continuous tub bath

continuous tub bath,

a therapeutic bath, usually prescribed in the treatment of some dermatologic conditions, in which the patient lies supported in a medicated solution of tepid water.

method The bath is prepared as for a medicated tub bath. The patient is immersed in the water, and a towel saturated with the solution is placed over the torso. The patient may wear a loin cloth, and a harness is fitted comfortably around the chest and under the shoulders and head to hold the head safely out of the water as the patient sleeps or dozes. A pillow or folded towel is placed over the wide supporting straps under the head and neck to add to the patient's comfort. A board is placed on top of the tub from the patient's shoulders to the end of the tub, and a sheet is draped over it. A bell for calling for assistance, a container of drinking water with a flexible straw, and any other materials that may be needed are placed on the board.

interventions The method and the reason for the treatment are explained to the patient. Privacy is maintained; close supervision by a nurse is available throughout the treatment. The procedure is psychologically trying and may be physically unpleasant for the patient. Psychosocial support and attention to maximization of patient comfort improve the patient's tolerance for the procedure.

outcome criteria The patient is observed for any febrile reaction, rapid or weak pulse, faintness, or increased severity of symptoms, such as itching, burning, or pain. The solution is changed completely every 4 hours, the linen is changed twice a day, and the harness is changed once a day.