Whirlpool

Question 1

the utilization of tanks of water for partial or total body immersion

Answer 1

hydrotherapy

Question 2

process where water is agitated and mixed with air to be directed against or around the affected part. Patient can move extremities easily because of buoyancy and is therapeutic

Answer 2

hydrotherapy

Question 3

the upward force of water and amount of water displacement that helps patient move easily

Answer 3

buoyancy

Question 4

ease or resistance of movement of fluid molecules

Answer 4

viscosity

Question 5

H2O heat absorbing capacity of water and amount of heat required to make change

Answer 5

specific heat

Question 6

indications for hydrotherapy (7):

Answer 6

• exercise
• pain control
• edema/swelling management
• RA
• subacute/chronic MSK conditions
• treatment of open wounds, decubiti
• treatment of burns

Question 7

local immersion precautions (4):

Answer 7

• decreased temperature sensation
• impaired cognition
• recent skin graft
• deconditioned state

Question 8

full body immersion precautions (5):

Answer 8

• confusion/disorientation
• decreased strength/ endurance/ balance/ ROM
• medications
• urinary incontinence
• hydrophobia
• alcohol ingestion

Question 9

precautions for hot or very warm water (3):

Answer 9

• pregnancy
• MS
• impaired thermal regulatory system

Question 10

local immersion CONTRAindications (2):

Answer 10

• bleeding

- wound maceration

Question 11

full body immersion CONTRAindications (5):

Answer 11

• cardiac instability
• profound epilepsy
• suicidal patients
• bowel incontinence
• infections that can be spread by water

Question 12

types of whirlpool tanks (3):

Answer 12

• extremity tanks
• low boy or high boy tanks
• hubbard tanks

Question 13

for immersion of distal extremity; small ~25 gallons

Answer 13

extremity tanks

Question 14

for immersion of larger parts of extremities (up to waist); ~200 gallons

Answer 14

low boy or high boy tanks

Question 15

for total body immersion, used in the treatment of burns with large surface area. Used for ROM for multiple area. And also sometimes used for exercise if pool is contraindicated.

Answer 15

hubbard tanks

Question 16

whirlpool treatment temperature (extremities):

Answer 16

103-110 degrees

Question 17

hubbard tank treatment temperature (full body):

Answer 17

100 degrees

Question 18

whirlpool treatment for PVD:

Answer 18

95-100 degrees

Question 19

whirlpool treatment open wounds

Answer 19

92-96 degrees

Question 20

Whirlpool set-up forced recall:

Answer 20

1. Pick an appropriate temperature based on diagnosis and treatment goals
2. Fill tank immediately prior to treatment to prevent significant changes in water temperature
3. standard precautions
4. check patient’s VS
5. Immerse effected area into the water
6. adjust and power on agitator
7. monitor and adjust as necessary (force, direction, depth, etc)
8. End of tx: dry and inspect

Question 21

woundcare universal precautions:

Answer 21

• gloves
• waterproof gown
• goggles and mask
• remove any bandages
• liners should be used for patients with burns or wounds, or those who are infected with bloodborne pathogens

Question 22

treatment time:

Answer 22

10-30 minutes (closer to 30 mins if other interventions/procedures are also being done

Question 23

documentation (7):

Answer 23

• type of hydrotherapy used
• temperature of the water
• patient position, activity
• treatment time
• response to treatment
• skin integrity
• any changes