SITZ BATH (HOT APPLICATION)

SITZ BATH (HOT APPLICATION) – Purpose, Preliminary Assessment, Preparation of Patient and Environment, Equipment, Procedure and After Care

Sitz bath or hip bath is defined as a bath which is taken in a sitting position. The patient is usually immersed from the midthigh to the hips.

Sitz bath is bathing the perineal area in a sitting position. In this, the buttocks thighs and lower trunk also are immersed in water.

Purpose

  • To relieve pelvic congestion
  • To treat dysmenorrhea
  • To relieve pain, after operation, affecting the perineal area
  • To promote drainage of rectal abscess and hemorrhoids
  • To relieve pain following cystoscopy

General Instructions

  • When the patient takes sitz bath care has to be taken to prevent chills, burns and fainting
  • The temperature of the solution or water should be 110 to 115 degree F or 43 to 46 degree celcius
  • The temperature of the water should be checked in between and additional hot water is added as necessary
  • The duration of bath is 15 to 20 minutes
  • Sterile solution, in sterile containers is used for sitz bath. It will reduce the transmission of microorganisms

Solutions Used for Sitz Bath

  • Potassium permanganate 1:5000
  • Boric acid 1 g to 1 pint
  • Eusol solution

Sitz bath is contraindicated during

  • Pregnancy
  • Menstruation
  • Renal inflammation
  • Increased irritability of the genital organs

Preliminary Assessment

Check

  • Right (correct) patient
  • The doctors order for specific instructions
  • General condition and diagnosis of the patient
  • Type, duration, and medication used for procedure
  • Self-care ability to follow instructions
  • Articles available in the unit

Preparation of the Patient and Environment

  • Explain the procedure to the patient
  • Provide privacy if needed
  • Arrange the articles at the bedside
  • Put off the fan and close the windows
  • Check the temperature of the water with lotion thermometer
  • Position the patient comfortably

Equipment

  • Basin or bathtub
  • Bath blanket and safety pins
  • Bath towel
  • Lotion thermometer
  • Mackintosh
  • Rubber rings

Procedure

  • Hand wash
  • Place bath towel and rubber ring in bottom of tub
  • Fill 1/3 to ½ full of water
  • Check the temperature with lotion thermometer
  • Assist patient into the bathtub
  • The initial temperature should be 100 degree F and gradually increase to 115 degree F
  • Cover the patient in bath blanket
  • Leave the in tub for 10 to 20 minutes
  • Observe patient’s condition at least every 5 minutes

After Care

  • Observe for complications like burns and fainting
  • Assist the patient in drying and put on clothing to prevent chilling
  • The patient may feel sleepy due to the sedative effect of the size if the sitz bath. So care must be taken to prevent falling
  • Provide a comfortable position (lying) to patient
  • Replace the equipment after washing
  • Wash hand thoroughly
  • Record the procedure in nurse’s record sheet
SITZ BATH (HOT APPLICATION) – Purpose, Preliminary Assessment, Preparation of Patient and Environment, Equipment, Procedure and After Care
SITZ BATH (HOT APPLICATION) – Purpose, Preliminary Assessment, Preparation of Patient and Environment, Equipment, Procedure and After Care

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