Neutral Tub Bath
HYD
from Hydrothermic Remedies...
The neutral bath is used for sedative purposes and as such is quite helpful in cases of insomnia.
Water 34 - 37°C
Effects:
- Sedative
- Cerebral Derivative
Definition
Immersion of the body in a tub of water at a neutral temperature (34 - 37°C).
Physiologic Effects
- Circulation is equalized and blood is drawn away from the brain
- Calms the nerves
Indications
- Insomnia
- Nervous Exhaustionor Nervous System Irritability
- Diseases of the heart and blood vessels where more extreme hot or cold cannot be used (such as Diabetes and Arteriosclerosis)
- Cleansing
- Anxiety
- Chronic Diarrhoea - especially diarrhoea induced by anxiety
- Multiple Neuritis
- Burns - only burnt area need be in the water
Contraindications
- Eczema and other skin conditions aggravated by water
- Severe Cardiac Insufficiency
Equipment
- Bath thermometer
- Bath towels and bath mat if desired
- 2 sheets and shower cap
- Air pillow or folded towel for patient's head
Procedure
Important Considerations
- The temperature will vary with the condition of the patient especially with regard to skin temperature, season of the year, temperature of the room, etc.
- All heat treatments should precede the neutral bath
- If patient is in the bath longer than one hour, lubricate the skin with a lanolin cream
Preparation for Treatment
- Fill the tub sufficient to cover the patient at with water temperature 34 - 37°C.
- Assemble equipment
- Room should be, warm, quiet and with subdued light
- The bath should feel comfortably warm, hence the patients sensation is a better guide than a thermometer
Treatment
- Assist patient into tub; make comfortable with a air pillow or folded Turkish towels under hips and behind head such there is no strain
- Cover exposed body parts with a towel or cover tub with a sheet or light blanket; Instruct patient to lie quietly and relax
- If the bath lasts longer than 15-20 minutes, add more warm water to maintain temperature
- Stay with patient; do not talk unless by so doing you can keep the patient quiet
- Duration: from 15-20 minutes to 3-4 hours
- Cool the bath two to three degrees if necessary at close of treatment
- Assist patient out of the bath
- Dry quickly without friction or unnecessary rubbing
- Assist patient with dressing or going to bed, as needed
Completion of Treatment
- The patient should have undisturbed rest for at least 30 minutes
JHK
from Dr JH Kellogg's Hydriatic Techniques...
35, 33-36°C 31°C, prolonged
- Be careful to prevent heat loss after the bath.
- Wrap well in sheet and blanket
Sedative and Restorative in:
- Nervous System Irritability or Cerebral Irritability 15-30min in
- Organic Brain or Cord disorders:
- Paraplegia
- Tabes Dorsalis
- or those with Arteriosclerosis
- severe Pain in Sciatica - use between other treatments to continue their good effects
- Stroke
- Multiple Neuritis
- Exhaustion
- Cardiac Insufficiency - if tendency to heart failure then use
- Precordial Compress and cold to the head and neck
Eliminative in
- Toxaemia 15-30 min daily in:
- chronic Inflammation of Meningitis
- Rheumatoid Arthritis
- Acidosis (in urine) 1-3 hours in
- Neurasthenia,
- Rheumatoid Arthritis
- Dyspepsia
- Pruritus without eruption
- Urticaria
- general Oedema 30-60min where other methods are Contra-indicated
- Chronic Diarrhoea
- Peritonitis other chronic abdominal conditions
- Drug Addictions
- Alcoholism
Antipyretic
begin at 37°C rapidly drop to 33°C, 30min-2 hours
- continued Fevers, patients who have not had cold treatment early
- for infants 5-10min, elderly and feeble 10 min. Repeat every 2 hours or whenever body temperature reaches 38°C.
Antiphlogistic
- Cerebral Congestion 34°C ½
- 1 hr with rubbing and
- Cold Compress to head,
- follow with Scotch to feet and legs, then
- Abdominal Heating Compress and Evaporating Compress to head
Contra-indications
- Eczema and other skin conditions aggravated by water
- Severe Cardiac Insufficiency - depressing without Tonic Friction and Precordial Compress
GKA
from Dr GK Abbott's Prescriptions...
Sedative
- equalises circulation by reducing the amount of blood in brain and spinal cord
- Temperature varies according to skin temperature and to a lesser extent season.
- in Insomnia
- Patient must always be warm beforehand especially feet
- 35-36°C, 15-30min or longer in quiet, warm room
- stretch sheet across top of bath to avoid drafts
- finish by lowering water temperature to 34°C
- dry with a sheet immediately on rising
- use no percussion or unnecessary rubbing