Component Task: Shaving the Beard of a Psychiatric Patient

This is the act of removing hair from the face of a patient using a shaving device (electronic/disposable).

Aims

·         Give patient a well kempt appearance

·         Boost patient’s confidence

·         Enhance patient’s body image

·         Prevent infection

·         Identify facial abnormalities with ease

Types

·         Dry shaving

·         Wet shaving

Requirements

1.        A clean tray containing:

·         Shaving device (Electronic/Disposable)

·         Razor/Scissors

·         Soap in a dish

·         Alcohol rub

·         Cotton wool swabs

·         Sterile gauze

·         A jar of water

·         Gallipot

·         Receiver for used sharps/swabs

·         Protective material

·         Gloves

·         After-shave lotion/talcum powder

·         Antiseptic lotion

2.      Screen

Steps

1.        Establish rapport (refer procedure)

2.      Explain procedure to the patient

3.      Determine the patient’s usual shaving routine

4.      Gather the patient’s preferred equipment taking into consideration any potential hazards

5.      Set and send tray to the bedside/appropriate place for the procedure

6.      Provide privacy

7.       Place patient in a sitting up position or lying position depending on the condition

8.      Cover patient with protective clothing e.g. mackintosh and towel

9.      Wear protective clothing and don gloves

10.    Inspect the face for any abnormalities such as elevated moles, birthmarks, lesions etc.

11.      Lather the face with shaving cream or soap according to patient’s preference

12.    Use short strokes with shaving device (electronic/disposable) and shave in the direction of the hair growth

13.    Start from the upper face and lip and extend to the neck

14.    Instruct the patient to tilt his/her head to help shave folded or curved areas

15.    Use the hand without the shaving device to pull the skin below the area being shaved

16.    Rinse the shaving device after each stroke as appropriate

17.    Rinse and dry the face when done

18.    Apply the patient’s choice of after-shave lotion

19.    Express appreciation to patient and direct him/her to the next activity

20.  Clear the tray, disinfect used items and perform hand hygiene

21.    Document procedure and any observations made in the nurses’ note/patient’s folder