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TEPID-SPONGE-BATH.pdf

The document details the procedure and purpose of administering a tepid sponge bath to patients with elevated temperatures, aiming to reduce fever and improve comfort. It outlines equipment preparation, implementation steps, and post-care instructions, emphasizing safety and patient assessment throughout the process. Special considerations include monitoring for adverse reactions and ensuring documentation of the treatment's effectiveness.

Healthcare◦
Related topics:
Fundamentals of Nursing•
TEPID SPONGE BATH
DEFINITION ► The application of tepid water to the body’s surface with the use of a washcloth to provide cooling measures to patient with elevated temperature.
Purpose ► To reduce fever by dilating superficial blood vessels, thus releasing heat and lowering body temperature ► Improve circulation ► Relieve restlessness ► Assist in the elimination of toxic materials from the body ► Provide comfort to the client
EQUIPMENTS
Making a bath mitt, triangular method Lay your hand on the washcloth; Lay your hand on the washcloth; , fold the side corners over your hand tuck the second corner under the cloth on the palm side to secure the mitt.
Making a bath mitt, rectangular method lay your hand on the washcloth and fold one side over your hand fold the second side over your hand fold the top of the cloth down and tuck it under the folded side against your palm to secure the mitt.
Procedure and Rationale Assessment: ► Check the doctor’s order per institutional policy ► Identify and explain procedure to the client ► Assess if bedding needs to be changed ► Some pediatrician do not allow TSB to be done on their client because rapid reduction in temperature can lead to convulsion ► Proper explanation allays fear and anxieties, making the client more cooperative. ► To avoid unnecessary trips to get linen
Planning: ► Give prescribe antipyretic 15-20 mi before starting the TSB ► Wash hands ► Assemble equipment and bring it to the bedside: 1. Pour water basin until it is ½ full 2. Pour additional water into the pitcher 3. Prepare HWB and ice cap 4. Place everything in cart and bring to bedside ► Close windows. ► Provide privacy ► For rapid reduction of fever when combined ► Prevent the spread of microorganism ► Ensure ease and systematic performance of the procedure ► Minimize spillage ► Water should be change as necessary ► Prevent chilling ► Exposure of body part
Implementation: ► Offer bedpan or urinal ► Replace top sheet with bath blanket ► Remove all clothing and place on the chair. Move client near you ► Place ice cap on forehead. ► Ask the client to bend the knees, place soles on the client’s feet on hot water bag. Remove HWB 3o minutes after the application. ► Place towel under the ► To avoid interruptions in the procedure ► The bath blanket is thicker and is more effective in preventing chilling ► This relieves the client’s headache ► This prevent chilling. Removing HWB prevents rebound phenomenon ► Prevent bed from wetting unnecessarily
► Sponge face and neck about three times then dry. Use different surface of the was cloth. DO NOT APPLY ALCOHOL. ► Sponge the following body areas in the following order: a. Hands and arms b. Chest c. Legs and thigh d. Back Note: in case of shock, stop treatment then apply external heat. Report condition at once to clinical instructor e. abdomen-just spread wet wash cloth over the abdomen ► To avoid drying of the skin ► Key points in sponging: ► Fold washcloth ► Wring washcloth gently to retain water which can be applied generously to skin, avoid wetting the floor ► Sponge each part about 6 times with long even strokes ► Use fresh surface of the washcloth each time ► Change water as often as needed to maintain the desired temperature.
► After each part has been sponged. Pat dry ► Assist client with clothing ► Replace bath blanket with top sheet ► Open windows ► Give cold drinks unless client complaints of chilling ► Take temperature 3o minutes after bath ► Remove the ice cap prn ► Do aftercare of the equipment ► Wash hands. ► To make client comfortable ► Fresh air will make client comfortable and freely circulating air promotes heat loss through radiation ► Fever increases the body’s fluid loss , so client needs fluid replenishment.. If the client is chilling give the warm drink instead ► Determines effectiveness of the procedure ► Client’s room must be left neat and tidy
Documentation: ► Document and include the following: a. Time and duration of treatment b. Client’s reaction to procedure c. Liquids given d. temperature ► Indicate whether TSB has been effective.
Special Considerations ► Do not apply sponge cloth over the chest. ► Observe the patient carefully during and after procedure. ► Avoid unnecessary exposure. ► Do not use frictions as it raise temperature. ► Give sponge for 20 min, discontinue in case of any untoward reactions (shivering,cyanosis or if the pulse becomes rapid or irregular). ► Offer liquids as desired by the patient. ► Provide diet which is high in calorie and easy to digest.
AFTER CARE ► Remove the sponge clothes from the axilla and groin. Discard it in kidney tray ► Dry the body with bath towel ► Replace the gown and remove the bath blanket ► Observe for any symptoms of chill or any other abnormality ► If needed give him hot drinks ► Position the patient comfortably in the bed ► Replace the articles after cleaning ► Wash hands ► Record the procedure in the nurse’s record sheet and vital signs in TPR sheet