Independent Living

Bathing Assistance

Twin Cities Bathing Assistance

An essential component of Caregiver/PCA is bathing clients where they are unable to do this independently. The PCA is responsible for ensuring that the hygiene needs of the client are met whether the PCA performs the bath or the client does it their self. The type of bathe given is determined by the client’s self-care abilities. There are general types of baths, cleansing and therapeutic.

Cleansing Bath- baths are routine client care for personal hygiene. The 5 types of cleansing baths are shower, tub bath, self-help bath, bed bath, complete bed bath and partial bath.

Therapeutic- A Physicians order is required for Therapeutic bath. This order or care plan will state the type of bath, body surface to be treated, temperature of water and type of medication solution to be used. This is usually 20- 30 minutes in a tub. Therapeutic can be broken into: hot or warm or cool bath; soak or sitz bath.

At no time during any of these baths does the Caregiver/PCA leave the Client alone.


Attention to grooming and hygiene helps to build self esteem. It keeps clients in touch with their appearance and maintains body awareness and a sense of identity. Activities include; hair care, shampooing, foot and toe nail care, oral care, shaving and dressing.

Foot and Toe Nail Care Assistance-Proper foot and toe nail care is essential for standing and ambulation. Often foot and toe nail care are ignored until a problem occur. These problems may be a result of poorly fitted shoes, inadequate foot and toenail hygiene, incorrect nail trimming and exposure to harsh chemicals. These problems may cause a loss of skin integrity and potential for infection.

Pain and hardness is usually the first sign of foot and toenail problems. These symptoms may cause stains to certain muscle groups. Clients with diabetes mellitus have changes in circulation predisposing them to foot problems requiring special foot and toenail care.

Foot and toenail care prevents infection and soft tissue trauma from ingrown or jagged nails.

Care includes:

Oral Care-The oral cavity takes in food, chews it, secrete mucus to moisten and lubricate the food.

Common problems:

Poor oral hygiene and loss of teeth effects a person social interaction, body image and nutritional intake. Daily oral care is vital to maintaining the integrity of the entire mouth.

Preventative measure can prevent the oral cavity and teeth. These measures include:

Brush after each meals. If dentures are won, they should be brushed as well. The oral cavity must be cleaned of dentures wearers.

Hair Care Assistance-Hair affects a person’s appearance and body image. Hair maintains body temperature.

Caring for the hair includes: