Skin cleansing practices for older people: a systematic review

Cowdell, Fiona; Steventon, Katerina

doi:10.1111/opn.12041

Cited by 39 publications

(37 citation statements)

References 37 publications

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“…Bathing has been argued to have an effect on patient well-being [4] and patient comfort [5]. Furthermore, preserving skin integrity and personal hygiene are proposed to be important physiological functions of bathing, which in turn prevent infections and disease [6, 7]. …”

Section: Introductionmentioning

confidence: 99%

How does washing without water perform compared to the traditional bed bath: a systematic review

et al. 2017

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BackgroundFor immobile patients, a body wash in bed is sometimes the only bathing option. Traditionally, the bed bath is performed with water and soap. However, alternatives are increasingly used in health care. Washing without water is one such alternative that has been claimed to offer several advantages, such as improved hygiene and skin condition. This systematic review aims to provide a comprehensive overview of the evidence on outcomes of the washing without water concept compared to the traditional bed bath.MethodsControlled trials about washing without water outcomes published after 1994 were collected by means of a systematic literature search in CINAHL, Embase, MEDLINE, and PUBMED at the 25th of February, 2016. Additionally, references and citations were searched and experts contacted. Studies were eligible if (1) the study designs included outcomes of washing without water products developed for the full body wash compared to the traditional bed bath, and (2) they were controlled trials. Two researchers independently used a standardized quality checklist to assess the methodological quality of the eligible studies. Finally, outcomes were categorized in (1) physiological outcomes related to hygiene and skin condition, (2) stakeholder-related outcomes, and (3) organizational outcomes in the data synthesis.ResultsOut of 33 potentially relevant articles subjected to full text screening, six studies met the eligibility criteria. Only two studies (of the same research group) were considered of high quality. The results of these high quality studies show that washing without water performed better than the traditional bed bath regarding skin abnormalities and bathing completeness. No differences between washing without water and the traditional bed bath were found for outcomes related to significant skin lesions, resistance during bathing and costs in the studies of high quality.ConclusionsThere is limited moderate to high quality evidence that washing without water is not inferior to the traditional bed bath. Future research on washing without water is needed and should pay special attention to costs, hygiene, and to stakeholder-related outcomes, such as experiences and value perceptions of patients, nursing staff and family.Electronic supplementary materialThe online version of this article (doi:10.1186/s12877-017-0425-4) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

How does washing without water perform compared to the traditional bed bath: a systematic review

et al. 2017

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“…Four 3-5 , 22 of 7 systematic reviews showed good methodological quality; they met 6 or more out of 11 quality criteria according AMSTAR. The most common reasons for the poor ratings were: (1) no protocol was published a priori, 2,4,5,13,21 (2) excluded studies were not listed, 2,4,5,13,21,22 or (3) a confl ict of interest was not specifi ed for the systematic review and for each of the included studies 2-5 , 13 , 21 , 22 ( Table 1 ).…”

Section: Methodological Qualitymentioning

confidence: 99%

“…), clinical quality and risk management (A.H.). Based on feedback from these expert colleagues, the algorithm was 13 Kottner et al (2013) 5 Moore and Webster …”

Section: Development Of the Skin Care Algorithmmentioning

confidence: 99%

Evidence-Based Skin Care

Lichterfeld

Hauß

Surber

et al. 2015

Journal of Wound, Ostomy &Amp; Continence Nursing

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Patients in acute and long-term care settings receive daily routine skin care, including washing, bathing, and showering, often followed by application of lotions, creams, and/or ointments. These personal hygiene and skin care activities are integral parts of nursing practice, but little is known about their benefits or clinical efficacy. The aim of this article was to summarize the empirical evidence supporting basic skin care procedures and interventions and to develop a clinical algorithm for basic skin care. Electronic databases MEDLINE, EMBASE, and CINAHL were searched and afterward a forward search was conducted using Scopus and Web of Science. In order to evaluate a broad range of basic skin care interventions systematic reviews, intervention studies, and guidelines, consensus statements and best practice standards also were included in the analysis. One hundred twenty-one articles were read in full text; 41documents were included in this report about skin care for prevention of dry skin, prevention of incontinence-associated dermatitis and prevention of skin injuries. The methodological quality of the included publications was variable. Review results and expert input were used to create a clinical algorithm for basic skin care. A 2-step approach is proposed including general and special skin care. Interventions focus primarily on skin that is either too dry or too moist. The target groups for the algorithm are adult patients or residents with intact or preclinical damaged skin in care settings. The goal of the skin care algorithm is a first attempt to provide guidance for practitioners to improve basic skin care in clinical settings in order to maintain or increase skin health.

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“…[1][2][3][4][5][6] Still, there are very few studies and research to validate, whether the new bath technology is better than the wellknown basin-type with soap and water. Only a few studies describe [1,2,[5][6][7][8][9][10] the patients' and the nurses' attitude, experiences and evaluations of using the two methods. In home care-settings no studies are found, where the two types of nurse-assisted baths are explored, why it necessary to conduct this study in a home-care setting.…”

Section: Introductionmentioning

confidence: 99%

“…[9] A randomized clinical study from 2014 concluded, that most patients diagnosed with heart failures in an intensive care unit preferred the disposable bath. [1] Present literature research illustrate [1,2,[5][6][7][8][9][10] that the costbenefit effect is a dominating and underlying aim for the four other areas found, i.e. the microbiology, the skin quality, the satisfaction, and the traditional versus the new method of nurse assisted personal hygiene to older adults in homecare settings.…”

Section: Introductionmentioning

confidence: 99%

Nurse-assisted personal hygiene to older adults 65+ in home care setting

Hørdam

Brandsen²,

Frandsen³

et al. 2017

JNEP

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Background and objective: Assisting frail older adults in home care settings with personal hygiene is a daily nursing role. Both Nightingale and Henderson had in their approach to basic nursing focus on assisting patients in their need of nurse assisted bath. Since 1994 focus on using a new technology to patient in dependency of nurse-assisted bath was developed. A clinical study involving older adults in need of nurse-assisted bath was carried out in a public homecare setting. This study aimed to study and compare older adults' attitudes, experiences and evaluation of using traditional bath with soap and water versus prepacked products to their personal hygiene. Methods: A number of 20 men and women participated in our research with focus on their daily need of nurse-assisted bath. The older adults had given a written consent. All participants were informed about the study verbally and in writing and they all agreed to participate and signed written informed consent forms. All data were handled confidentially, and the participants' anonymity was assured. A clinical study was carried out. During three weeks, the older adults had nurse-assisted bath with soap and water two days followed by two days using prepacked was-cloths. The same nurse assisted the older adults all days, and they were interviewed before the research. Relevant data as age, gender, bath facilities at home, walking ability, dependency on help from others, contact to family/friends were collected. In the research period the older adults' self-reported experiences with the two types of baths were registered. The nurses observed the baths with focus on the older adults' attitude, satisfaction and experiences. Results and conclusions: The patients preferred to have their own individual choice of daily bath type. Pre-packed wash-cloths were overall preferred by the nurses.

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Skin cleansing practices for older people: a systematic review

Cited by 39 publications

References 37 publications

How does washing without water perform compared to the traditional bed bath: a systematic review

How does washing without water perform compared to the traditional bed bath: a systematic review

Evidence-Based Skin Care

Nurse-assisted personal hygiene to older adults 65+ in home care setting

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