Help with Hygiene Scenario

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A client 75 years old, suffered a stroke 2 weeks ago resulting in paralysis of his left side. He states he doesn't want a bath, he can wash himself, and wants to be left alone. He is withdrawn and uncommunicative.

Now, I am supposed to determine the type of bath and hygiene care. Also, note any special precautions.

My problem with this is the type of bath and the precautions. I know this may seem extremely stupid of me to be asking, but I honestly don't know what to do in this situation. I need help. I would think you would have to respect his wishes, but only to the extent that his safety is not in question. So, would you allow him to take a partial bath at the sink by himself? I am really unsure what to do with this one. I would appreciate any help. Thanks.

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Specializes in Gerontological, cardiac, med-surg, peds.
A client 75 years old, suffered a stroke 2 weeks ago resulting in paralysis of his left side. He states he doesn't want a bath, he can wash himself, and wants to be left alone. He is withdrawn and uncommunicative.

Now, I am supposed to determine the type of bath and hygiene care. Also, note any special precautions.

My problem with this is the type of bath and the precautions. I know this may seem extremely stupid of me to be asking, but I honestly don't know what to do in this situation. I need help. I would think you would have to respect his wishes, but only to the extent that his safety is not in question. So, would you allow him to take a partial bath at the sink by himself? I am really unsure what to do with this one. I would appreciate any help. Thanks.

Patient safety is of paramount importance here. There also seems to be an element of denial. This patient needs to be carefully monitored, but also allowed "space" to come to terms with the effects of his stroke. Sensitivity on your part, and building a bridge of trust is very important. Offer as many choices as possible, to encourage autonomy. For instance, offer to draw up bath water in a basin, and allow the patient to wash all of the areas of his body he can reach, under your careful supervision. Offer to wash those areas which he cannot reach.

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Thanks so much for your advice, and clarifying that for me. I believe you are the same person that answered my last question. I can't thank you enough. :)

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Specializes in Gerontological, cardiac, med-surg, peds.
Thanks so much for your advice, and clarifying that for me. I believe you are the same person that answered my last question. I can't thank you enough. :)

You're very welcome :)

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