HydroTherapy Flashcards

1
Q

Thermal Agents: Hydrotherapy - Indications

A
  • Convection
  • Decubitus ulcers
  • Open burns
  • Wounds
  • Post hip fractures
  • Post surg conditions of hip
  • Subacute and chronic musculoskeletal conditions of neck, shoulder, back
  • Rheumatoid arthritis
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2
Q

Thermal Agents: Hydrotherapy - Contraindications

A
  • Local immersion:
    • Bleeding
    • Wound maceration
  • Full body immersion
    • Cardiac instability
    • Profound epilepsy
    • Suicidal pts
    • Bowel incontinence
    • Infections that can be spread by water
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3
Q

Thermal Agents: Hydrotherapy - Precautions

A
  • Use liners for patients with burns/wounds/blood-borne pathogens
  • Add disinfectant and if open wounds are present
  • Standard precautions in infected environment (goggles, gown etc. - splashing)
  • Local Immersion:
    • Decreased temp sensation
    • Impaired cognition
    • Recent skin graft
    • Confusion Disorientation
    • Deconditioned state
  • Full body immersion
    • Confusion
    • Disorientation
    • Decreased strength, endurance, balance or ROM
    • Medications
    • Urinary incontinence
    • Hydrophobia
    • Respiratory problems
    • Alcohol ingestion
    • Very hot/warm water
    • Pregnancy
    • Multiple sclerosis
    • Impaired thermoregulation
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4
Q

Thermal Agents: Hydrotherapy - Application

A
  • Treatment Temperature:
    • 103-110 F = whirlpool
    • 100 F = Hubbard Tank
    • 95-100 F = PVD
    • 92-96 F = open wounds
  • Treatment time: 20 or up to 30 minutes
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