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623: Physical Agents & Mech Modalities > Hydrotherapy > Flashcards

Hydrotherapy Flashcards

1
Q

5 Uses of Hydrotherapy

A
  • Superficial heating or cooling
  • Water exercise
  • Pain control
  • Edema control
  • Wound care
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2
Q

When should whirlpool treatments be used?

A

Only when…

  • used for cleansing wounds that contain extensive thick exudate, slough, necrotic tissue, gross purulence, or dry eschar
  • non-immersion hydrotherapy devices are unavailable or ineffective
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3
Q

What do most facilities use for wound care?

A

non-immersion hydrotherapy techniques

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4
Q

Non-immersion hydrotherapy devices deliver fluid between _ -__ psi

A

4-15

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5
Q

When is non-immersion hydrotherapy recommended?

A

for the treatment of wounds containing necrotic, nonviable tissue or debris

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6
Q

How long are non-immersion hydrotherapy techniques used for?

A

Used until there is a complete granulation bed present

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7
Q

What 3 things do non-immersion hydrotherapy do?

A
  • Removes necrotic tissue
  • Promotes healing
  • Increases patient comfort
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8
Q

How is bacteria removed from wounds?

A

By combining the use of whirlpool and non-immersion hydrotherapy

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9
Q

Why is the debridement of burns especially painful?

A

Because the wounds are less deep and sensory nerves may still be intact

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10
Q

For burns should you use non-immersion or immersion hydrotherapy?

A

Non-immersion hydrotherapy is generally less painful and faster

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11
Q

During what stages of a burn is hydrotherapy used?

A

Early in treatment to debride burns and late in treatment after re-epithelialization has occurred

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12
Q

How does negative pressure wound therapy aid in the wound healing?

A

By removing fluid and mechanically deforming the wound

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13
Q

Negative Pressure Wound Therapy (NPWT) helps to accelerate healing of what types of wounds?

A

diabetic ulcers

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14
Q

What are the 2 contraindications for local immersion therapy?

A
  • Maceration around a wound

- Bleeding

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15
Q

What are the 4 precautions for local immersion therapy?

A
  • Impaired thermal sensation in the area to be immersed
  • Infection in the area to be immersed
  • Confusion or impaired cognition
  • Recent skin grafts
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16
Q

What are the 2 contraindications for full body immersion therapy in hot water?

A
  • Pregnancy
  • MS
  • Poor thermal regulation
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17
Q

What are the 5 contraindications for full body immersion therapy regardless of the temperature?

A
  • Cardiac instability
  • Infectious conditions that may be spread by water
  • Bowel incontinence
  • Severe epilepsy
  • Suicidal patients
18
Q

What are the 7 precautions for full body immersion therapy?

A
  • Confusion or disorientation
  • Alcohol ingestion by patient
  • Limited strength, endurance, balance or ROM
  • Medications
  • Urinary incontinence
  • Fear of water
  • Respiratory problems
19
Q

What are the contraindications for negative pressure wound therapy?

A
  • Necrotic tissue
  • Untreated osteomyelitis
  • Malignancy
  • Untreated malnutrition
  • Exposed arteries, veins, nerves, or organs
  • Nonenteric and unexplored fistulas
20
Q

What are the 3 precaution’s for negative pressure wound therapy?

A
  • Anticoagulant therapy
  • Difficult hemostasis
  • Confusion or disorientation
21
Q

When should the turbine be pointed away from a wound during a whirlpool treatment?

A

If that region is hypersensitive of if granulation tissue is present

22
Q

Under what 3 circumstances is whirlpool typically used?

A
  • Hydrotherapeutic exercise
  • Pain control in limited area of the body
  • Wound treatment
23
Q

When treating acute inflammation what should the temperature of the whirlpool be?

A

0 to 26° C (32 to 79° F)

24
Q

When using the medium for exercise what should the temperature of the whirlpool be?

A

26 to 33° C (79 to 92° F)

25
Q

When treating open wounds what should the temperature of the whirlpool be?

A

33 to 35.5° C (92 to 96° F)

26
Q

When you want to increase mobility in a burn patient what should the temperature of the whirlpool be?

A

35.5 to 37° C (96 to 98° F)

27
Q

When the goal of treatment is to control pain what should the temperature of the whirlpool be?

A

37 to 40° C (99 to 104° F)

28
Q

When the goal of treatment is to increase soft tissue extensibility what should the temperature of the whirlpool be?

A

40 to 43° C (104 to 110° F)

29
Q

When treating chronic conditions what should the temperature of the whirlpool be?

A

40 to 43° C (104 to 110° F)

30
Q

What is the maximum temperature of a whirlpool treatment and why?

A

No warmer than 43° C (110° F) because it may cause burns

31
Q

How long are whirlpools applied for?

A

10 - 30 minutes

32
Q

Short whirlpool treatment times are sufficient at doing what?

A

softening wound eschar

33
Q

Long pool treatment times are sufficient at doing what?

A

increasing the amount of heat transferred to the patient

34
Q

What 3 things can whirlpool be used for?

A
  • Heat transfer
  • Wound treatment
  • Exercise
35
Q

Treatment room should be comfortably warm with a relative humidity of __%

A

50%

36
Q

Generally, how large are Hubbard tanks?

A

Generally 8’ long, 6’ wide, and 4’ deep

37
Q

What are the 3 types of Non-immersion Irrigation Devices?

A
  • Hand-held showers
  • Syringes
  • Pulsatile irrigation units
38
Q

Does non-immersion or immersion hydrotherapy produce faster granulation of the wound bed?

A

Non-immersion Irrigation Devices do

39
Q

When is Negative Pressure Wound Therapy used and why?

A

Often used in conjunction with non-immersion irrigation of wounds to promote wound healing

40
Q

How does Negative Pressure Wound Therapy work?

A

Involves the application of continuous or intermittent negative pressure over a wound bed and foam dressing

623: Physical Agents & Mech Modalities (17 decks)

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