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Effectiveness of mailing "Bathing Without a Battle" to all US nursing homes.

An educational CD-ROM/video program was developed to educate nursing home staff about two research-based techniques for reducing agitation and aggression during bathing of persons with Alzheimer's disease, including person-centered showering and the towel bath. This educational program was distributed free of charge to all 15,453 US nursing homes in the Centers for Medicare and Medicaid Services database. The dissemination, use, and short-term outcomes were evaluated by extrapolating data collected by long-term care surveyors in three states; usage was further assessed by tracking the number of nursing home staff who registered for the continuing education credits associated with the program. The program's quality and content was evaluated by actual program users, who rated the program after completion. Short-term learning outcomes were assessed by examinations built into the CD-ROM. Evaluating a national innovation presented a set of unique challenges; yet, to date, our findings have revealed mostly favorable short-term outcomes in terms of its dissemination, usage, and educational value. The long-term outcomes of this educational program continue to be monitored.

Adult↗

["Hot-water epilepsy ", "warm-water epilepsy", or bathing epilepsy? Report of three cases and considerations regarding an old theme].

Partial and generalized tonic-clonic reflex seizures related to hot water bathing have been described as temperature-related. We describe three cases of bathing epilepsy: a 28 year-old white male and a 30 year-old white female with spells triggered either by warm or hot water, and a 32 year-old female with spells triggered by hot water. The later two of the three cases presented localized epilepsy and a familial history of epilepsy. A complex tactile stimuli might play the most relevant role on seizure triggering, as well as water temperature with an additive effect over cutaneous stimulation.

Adult↗

[Perceptions of unskilled patients of self-care bed baths].

Descriptive study with qualitative approach performed on the medical surgical and orthopaedic treatment units with the objective of verifying and discussing the acceptance/rejection/satisfaction of bath in bed from the patients themselves perception. The population is composed of self-care non-skilled patients. The semi-structured interview and direct observation have been used for data collecting. Through reports, we have been able to verify that patients perception on bath in bed were diversified, considered disagreeable and constraining by some and indispensable by others. The aspects on the water quality, soap, nurses slowness and more humanized relationship have also been described.

Adolescent↗

Concentrations of trace elements in sweat during sauna bathing.

Trace elements in sweat during sauna bathing were assessed. Sweat collected by the whole body method was compared with that collected by the arm bag method. The sweat samples were collected from ten healthy male adults aged 22-26 years, by heat exposure in dry sauna bathing (60 degrees C, 30 minutes). Concentrations of major (Na, Cl, K, Ca, P and Mg) and trace (Zn, Cu, Fe, Ni, Cr and Mn) elements in sweat tended to be lower in the arm bag method than in the whole body method. It was found that Ca, Mg, Fe and Mn concentrations in the arm bag method were significantly lower than those in the whole body method. The amount of trace elements in sweat measured by the arm bag method was less than that by the whole body method; significant differences were observed in Fe and Mn amounts. These observations suggest that excretion of trace elements by sweating induces trace element decrease. Therefore, athletes and workers who work in a hot environment and sweat much habitually should ingest adequate amounts of trace elements.

Adult↗

Hot spring bath and Legionella pneumonia: an association confirmed by genomic identification.

A 59-year-old man developed pneumonia 9 days after bathing in a hot spring spa. Bilateral shadows on his chest radiograph rapidly progressed after admission. He was successfully treated with erythromycin and rifampicin. Legionella pneumophila serogroup 6 was recovered from an intratrachial specimen and a significant elevation was observed in a paired indirect fluorescent antibody to Legionella. Persistent slight fever and chest rentogenographic shadows resolved after administering low-dose prednisolone to treat organizing pneumonia shown by transbronchial lung biopsy. The same serotype of Legionella was recovered from the water of the hot spring spa where the man had bathed. When the extracted DNA of these two strains showed identical restriction fragments by pulsed-field gel electrophoresis, we had direct evidence that hot spring spas can be a source of Legionella pneumonia.

Anti-Bacterial Agents↗

Legionella pneumonia due to exposure to 24-hour bath water contaminated by Legionella pneumophila serogroup-5.

A 79-year-old man was admitted to hospital from his nursing home for treatment of pneumonia, but died 7 days after admission. Legionella pneumonia was diagnosed after isolation of Legionella pneumophila serogroup-5 from sputum culture. The environment of the nursing home was investigated; only water specimens from the 24-hour bath were positive by culture for Legionella pneumophila serogroup-5. Subsequent analysis by pulsed-field gel electrophoresis revealed an identical pattern in isolates from both sputum culture and 24 hour bath water culture. Among 123 inpatients and staff of the nursing home, 17 were found to be seropositive for Legionella pneumophila serogroup-5.

Aged↗

Comprehensive health education combining hot spa bathing and lifestyle education in middle-aged and elderly women: one-year follow-up on randomized controlled trial of three- and six-month interventions.

BACKGROUND: This study attempted to clarify the duration of effects of 3- and 6-month comprehensive health education programs based on hot spa bathing, lifestyle education and physical exercise for women at 1-year follow-up. METHODS: We examined middle-aged and elderly women who were randomly divided into two groups and followed up them for one year. Spa programmers instructed subjects for one hour in lifestyle education and physical exercise and for one hour in a half bath (salt spring, temperature at 41.5 degrees C) once a week. The program for the 3-month group (n=19) was repeated in the 6-month group (n=14). The evaluation items were body mass index, PWC75%HRmax (by a bicycle ergometer as aerobic capacity), blood profiles (total cholesterol, HDL cholesterol, arteriosclerotic index, uric acid, and hemoglobin A1c), profile of mood states, self-rating depression scale, subjective happiness, pains in the knee and back, and active modification of lifestyle. RESULTS: There were significant interactions between groups and response over time to aerobic capacity, hemoglobin A1c, back pain, vigor, fatigue and self-rating depression (respectively, p<0.05). Duration of effects was longer for the 6-month intervention than for the 3-month intervention. CONCLUSIONS: Beneficial effects of 6-month intervention on hemoglobin A1c, aerobic capacity, pains in the back, vigor, fatigue and depression remained significant at the 1-year follow-up. Duration of effects was longer in the 6-month intervention than in the 3-month intervention.

Adult↗

Influence of cold bath on maximum handgrip strength.

12 female college students participated in a repeated-measures experiment, receiving an experimental treatment and a control treatment. The former was a 30-min. cold bath to the forearm while the control was a simolar 30-min. period without the cold bath. Subjects' maximum handgrip strength was measured 11 times, immediately prior to treatment, immediately following treatment, and then every 20 min. for 3 hr. The subjects were tested at the same time of the day, on the same day of the week, for two consecutive weeks. Grip strength was significantly decreased immediately following the experimental treatment below pre-treatment measures and post-treatment measures for the control session. Grip strength during the experimental session significantly increased at 80 min. post-treatment when compared to the strength measures for the control at the same time interval or when compared to pre-treatment measures for either treatment. The strength measures for the two treatments remained significantly different over the rest of the testing occasions.

Baths↗

A case of multiple organ failure due to heat stoke following a warm bath.

Heat stroke is a potentially fatal disorder that's caused by an extreme elevation in body temperature. We report here an unusual case of multiple organ failure that was caused by classical, nonexertional heat stroke due to taking a warm bath at home. A 68 year old diabetic man was hospitalized for loss of consciousness. He was presumed to have been in a warm bath for 3 hrs and his body temperature was 41degrees C. Despite cooling and supportive care, he developed acute renal failure, disseminated intravascular coagulation (DIC) and fulminant liver failure. Continuous venovenous hemofiltration was started on day 3 because of the progressive oligouria and severe metabolic acidosis. On day 15, septic ascites was developed and Acinetobacter baumanii and Enterococcus faecium were isolated on the blood cultures. In spite of the best supportive care, the hepatic failure and DIC combined with septic peritonitis progressed; the patient succumbed on day 25.

Aged↗

Managing disruptive responses to bathing by elderly residents. Strategies for the cognitively impaired.

1. Persons with altered cognition are more prone to display inappropriate behaviors because of decreased ability to accurately interpret environmental cues, and increased frustration in combination with reduced inhibition. 2. Disruptive and agitated behaviors are commonly associated with the provision of assistance with activities of daily living, particularly bathing and dressing. 3. A preventive approach intended to reduce the occurrence of distress and disruptive behaviors in cognitively impaired residents during showering and bathing respects long-standing routines and preferences of the patient.

Aged↗

Learning to nurse: reflections on bathing a patient.

The reflective process allows nurses to view their practice by bringing their theoretical knowledge and nursing practice closer together. In this article, a nursing student describes different methods of reflection and applies them to her experience of bathing a patient. Issues of bathing, preparation and the conflicts with time management are explored, demonstrating the benefits of reflection as a tool for learning.

Adaptation, Psychological↗

[Radon baths and laser therapy in the rehabilitation of patients with the late sequelae of joint trauma to the head and neck].

The study of combined effects of radon baths and laser irradiation of some cranial zones in therapy of 60 patients with late sequelae of craniocervical trauma has shown that the highest response can be achieved in vegetovascular dystonia, asthenoneurotic syndrome, vestibulopathy, spinal artery syndrome. Pathogenetic therapy with laser radiation and radon baths is validated in management of late sequelae of craniocervical trauma.

Adolescent↗

[The effect of sanatorium-health resort treatment using foot baths on bronchial patency in children with chronic nonspecific diseases of the respiratory organs].

174 children aged 7-14 years in remission of recurrent asthmatic bronchitis and bronchial asthma took feet baths in addition to standard course of sanatorium treatment. Measurements of bronchial permeability and reactivity have demonstrated that foot baths have no negative effects on bronchial permeability in all the disease forms and maintain tolerance of the respiratory system to both cold and exercise.

Adolescent↗

Perineal burns from sitz bath in children: case reports.

This is a report of 2 children aged < 18 months who sustained perineal and gluteal burns from sitz bath prescribed for fissure-in-ano and perianal pruritus from ascaris infestation respectively at peripheral hospitals. The management included regular cleaning of the burns wounds and open dressing with 1% silver sulphadiazine and administration of broad-spectrum antibiotics and tetanus prophylaxis. This natal cleft was parted regularly to avoid adhesion and anal stenosis. A plea is made for appropriate investigation and treatment of anorectal conditions in children. Arbitrary use of sitz bath is to be discouraged.

Baths↗

Ballistocardiographic changes after carbon dioxide baths.

Ballistocardiography was used for following up the changes in cardiovascular dynamics in 2 groups of patients suffering from hypertensive disease stage II. In a group of hypertensive patients who took CO2 baths for 28 days, or improvement of the pathologically altered Bcg showed with a simultaneous decrease in blood pressure and pulse rate for a better dynamics of the cardiac function. In the group of hypertensive patients taking isothermic tap-water baths under identical conditions, the same trend in the Bcg changes was found, but these changes were not statistically significant.

Ballistocardiography↗

[The use of local iodobromine baths in the early sanatorium rehabilitation of myocardial infarct patients with arterial hypertension].

The effect of local iodine-bromine baths at the early stage of health-resort treatment on the main values of the cardio-vascular system was studied in patients suffering of myocardial infarction with arterial hypertension. It was established that local iodine-bromine baths produce a more integrative effects on the cardiovascular system than drugs. They favour the arterial pressure reduction, increase of physical working capacity, normalization of the parameters of central hemodynamics.

Baths↗

[Effect of oxygen baths and massage on hemodynamics in patients with neurocirculatory dystonia].

56 patients with neurocirculatory asthenia (NCA) of a hypertensive and cardial type aged 30 to 55 years took general oxygen baths and collar zone massage, no drugs were used. The baths and the massage improved the disease course in 92.6% patients: improved hemodynamics, relieved high vascular resistance, lowered high diastolic blood pressure, decreased heart rate in tachycardia. More effective was the treatment in hypertensive NCA.

Adult↗

[Influence of sauna baths on urinary excretion of catecholamines].

The urinary excretion of noradrenaline, adrenaline and creatinine has been studied in 22 normal young men during a sauna bath (20 minutes). The radio noradrenalinuria/creatinine is specifically increased, indicating a stimulation of the orthosympathetic system (19.6 ng.mg-1 +/- 7.9 in basal state; 30.5 +/- 15.7 in sauna bath).

Adolescent↗