Judy: 1, h.
e. Begin the bed bath, using he equipment previously described here - teacart, two-sided pail, etc. This portion of my bath includes face, hands, arms, abdomen, back and shoulders and is done while I am still in a sitting position. We rub Jean Nate liberally on my back and shoulders as a skin toner.
f. Lower the bed, change the water in the pail and begin the most important part of daily care - a thorough careful washing of the creases in the groin, vaginal and catheter areas. We use a procedure of gentle soaping, then several clear rinses, using thin wash cloths for both washing and drying. This delicate skin needs to be patted (not rubbed) thoroughly dry to keep it from deteriorating and sloughing away. The same process is following from the rear, including the back part of the catheter area. Once sure the folds of flesh are no longer damp, we use Desitin powder freely, being sure to protect the vaginal opening. (The reasoning behind using the thinner wash cloths, rather than a towel, is that they maneuver better in close quarters.) An alternative here, rather than the complete bed bath, is to get in to the bath tub after the catheter area has been cleaned.
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