Provide privacy; wash hands.
Cover patient with blanket, remove gown, and close windows and doors.
(6) Test the water temperature. Place washcloths in water and then apply
wet cloths to each axilla and groin.
(7) Gently sponge an extremity for about 5 minutes. If the patient is in tub,
gently sponge water over his upper torso, chest, and back.
(8) Continue sponge bath to other extremities, back, and buttocks for 3 to 5
minutes each. Determine temperature every 15 minutes.
(9) Change water; reapply freshly moistened washcloths to axilla and groin
(10) Continue with sponge bath until body temperature falls slightly above
normal. Discontinue procedure according to SOP.
(11) Dry patient thoroughly, and cover with light blanket or sheet.
(12) Return equipment to storage, clean area, and change bed linens as
necessary. Wash hands.
(13) Record time procedure was started, when ended, vital signs, and
CARE OF THE HANDS AND FEET
a. General. Special attention is often required to prevent infection, odor, and
injury of the patient's hands and feet. Problems often arise from abuse or poor care of
hands and feet, such as biting the nails and wearing ill-fitted shoes. Assessment of the
feet involves a thorough examination of all skin surfaces. Areas between toes should
be carefully checked. Patients with diabetes mellitus or peripheral vascular disease
should be observed for adequate circulation of the feet. Because of poor vision and
decreased mobility, the elderly are at risk for foot disorders. Care of hands and feet can
be administered during the morning bath or at another convenient time.
b. Important Points.
Notice general physical conditions that may place the patient at risk for
Prevent interruptions during the procedure.