SOAK OR LOCAL BATH (Hot Application)

SOAK OR LOCAL BATH (Hot Application) – Purpose, Preliminary Assessment, Preparation of Patient and Environment, Equipment, Procedure and After Care

A soak refers to either immersing a body part (e.g. an arm) in a solution or to wrapping a part in gauze dressing and then saturating the dressing with a solution

Soak may employ wither ‘Clean technique’ or sterile technique. A sterile technique is indicated for any open wounds present on the area.

Purpose of Soaks

  • To apply heat to hasten suppuration
  • To apply medication
  • To cleanse the wound
  • To relieve edema
  • To relieve muscle spasm
  • To increase circulation

General Instructions

  • The body part to receive the moist heap application is submerged in a basin of warm water at 105 to 110 degree F (40.5 to 43 degree celcius)
  • The duration of the treatment is usually 20 minutes
  • Ideally the temperature of the solution should be checked frequently and additional solution added or the solution is replaced in order to maintain the appropriate temperature
  • The patient should be in a comfortable position and the limbs are supported with pillows
  • Dry the surface thoroughly all the end of the treatment

Preliminary Treatment

Check

  • The doctors order for any specific precautions
  • General condition and diagnosis of the patient
  • Assess any contraindication of hot application
  • Self-care ability to follow instructions
  • Articles available in the unit

Preparation of Tile Patient and Environment

  • Explain the procedure to the patient
  • Provide privacy if needed
  • Close the window and put off the fan
  • Arrange the article at the bed side
  • Position the patient comfortably according to the need of the procedure

Equipment

  • Bathtub
  • Solution, e.g. normal saline, magnesium sulfate and sterile water
  • Mackintosh
  • Extra towel
  • Piece of woolen blanket
  • Lotion thermometer

Procedure

  • Wash hands
  • Place the Mackintosh to protect bed linen
  • Keep bathtub on the Mackintosh
  • Allow the part to soak for prescribed length of time, usually 15 to 20 minutes
  • Check the temperature of the solution frequently and add additional solution to replace in order to maintain the appropriate temperature
  • Dry the area at the end of the procedure

After Care

  • Remove the bathtub from bedside
  • Observe the part for any skin changes
  • Make the patient comfortable in the bed
  • Replace the articles after cleaning
  • Wash hand
  • Record the procedure in the nurse’s record sheet
SOAK OR LOCAL BATH (Hot Application) - Purpose, Preliminary Assessment, Preparation of Patient and Environment, Equipment, Procedure and After Care
SOAK OR LOCAL BATH (Hot Application) – Purpose, Preliminary Assessment, Preparation of Patient and Environment, Equipment, Procedure and After Care

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