Techniques on How to Bathe & Care for a Chair-Bound Person

Privacy and independence are important human needs. For people who are wheelchair bound, these may be difficult to maintain. It is the job of the caregiver to assist people, emotionally and physically, while still ensuring they feel respected. Especially regarding the task of bathing and caring for people, it is important to keep their feelings in mind. The extent to which you will assist such a person varies according to the individual's condition and the level of assistance needed.

Bathing

• Allow the individual to be as independent as possible, only filling in to assist when needed.

  Face, hands and genital area should be washed every day, even if the person is not fully bathed daily. Wear gloves when at risk for touching bodily fluids/feces.

  If the individual can enter the shower, have him do so and be sure he holds onto rails and sits on a chair or bench in the shower.

  If the person cannot enter the shower, he will need to receive a sponge bath in bed.

Skin Care

• Sitting in a wheelchair for an extended period of time leaves an individual at risk for bed sores. To prevent these, make sure the person eats and drinks well so her skin is healthy. Shift her positioning every two hours, apply lotion to her skin and clean urine or feces as soon as possible.

Hair Care

• A trip to the barber or salon can be exciting and will enable the person to feel well-cared for. If the person cannot leave the house, you may be able to find someone who can come to the home. In any case, try to keep the individual's hair short so it is easier to maintain. Also, it is easiest to wash hair in the shower or sink, though if necessary, you can wash someone's hair in bed as well.

Mouth Care

• Healthy teeth are important. If the individual is capable, have him brush his teeth himself. If not, brush for him at least once a day. For those with dentures, check to make sure they are not cracked and whether they fit properly. Remember to remove dentures for sanitizing.