Continuous Tub Bath
SYN: continuous flowing tub-bath
JHK
from Dr JH Kellogg's Hydriatic Techniques...
Prolonged Neutral Tub Bath 35°C as long as required
- Rub the skin at least once a day to prevent maceration
Skin disorders:
Antipyretic:
31°C whenever body temperature 39°C until 38°C then removed
Sedative 4-8 hrs daily in:
- Nervous System Irritability or Spinal Irritation especially
- Meningitis
- Sclerosis
- Tabes Dorsalis
- Paraplegia
- Hemiplegia
- Stroke
- Chorea
- Epilepsy
- Nervous System Irritability
- Cerebral Irritability
- Delirium
- Mania
- grave Hysteria
- irritable Neurasthenia,
GKA
from Dr GK Abbott's Prescriptions...
Uses special tub 190cm long with
- large outflow vent near the top
- large drain so it can be emptied and cleaned quickly
- inflow consisting of one large opening near head and smaller openings around the sides connected directly to the mixer
- a mixing chamber with thermometer where water is mixed before inflow usually to 36.5°C
- a continuous supply of hot water at constant temperature
- continuous supply of cold water
- inflow is reduced to a gentle stream when bath is full to overflowing
- the patient is on canvas cot or hammock in the tub with a canvas cover and plastic pillow
- Ice Bag on head
- free Cold Water Drinking
- attendant constantly present to check on patient and maintain temperature of bath by bath thermometer
- very excited or violent patients should be in a dry sheet, pinned on, then placed in tub
Duration depends on degree of sedation required -
- hours to days
- if long term remove every 12 hours for bowel care and rubbing of skin with olive oil