Nursing Interventions | Rationale

1. Check physician’s order for sitz bath patient.
   • Rationale: To determine if a sitz bath is medically indicated for the patient.
2. Prepare the materials needed:
   • Take linen to the bathroom.
   • Fill a clean tub about one-third full with warm water.
   • Check water temperature (105°F to 110°F or 40.5°C to 43.3°C).
   • Place a towel or inflatable ring on the tub bottom and a bathmat on the floor beside the tub.
   • Rationale: To save time and effort, ensuring a smooth and organized procedure.
3. Explain the purpose and procedure to the patient.
   • Rationale: To inform and educate the patient about the purpose of the sitz bath and the steps involved.
4. Test the water in the sitz with a thermometer before the patient enters the tub.
   • Rationale: To ensure the water temperature is appropriate for the intended therapeutic purpose. Warm water should not be used if there is considerable congestion. Temperature varies based on therapeutic goals.
5. Assist the patient into the tub, ensuring proper positioning.
   • Check for pressure against the patient’s thighs or legs.
   • Use a stool if the patient’s feet do not touch the floor.
   • Place a towel in the water to support the patient’s back if necessary.
   • Rationale: Proper positioning enhances comfort and prevents discomfort or pressure points.
6. Wrap a bath blanket around the patient’s shoulders, draping the ends over the tub.
   • Rationale: To protect the patient from feeling chilly and exposure during the sitz bath.
7. Observe the patient closely for signs of weakness and fatigue.
   • Use a cold compress at the back of the neck or forehead to prevent weakness.
   • Discontinue the bath if the patient’s condition warrants.
   • Rationale: To monitor the patient’s well-being and respond promptly to signs of distress.
8. Test the water in the tub several times and maintain the desired temperature.
   • Additional hot water may be added cautiously.
   • Agitate the water to prevent burning the patient.
   • Rationale: Ensuring the water remains at the desired temperature for the duration of the sitz bath.
9. Do not leave the patient alone unless it is absolutely certain that it is safe to do so.
   • Rationale: Ensures the safety of the patient during the sitz bath.
10. Help the patient out of the tub when the bath is completed.
    • A hot sitz bath is typically continued for 15 to 30 minutes.
    • Help the patient dry and cover adequately.
    • Rationale: Ensures a safe and comfortable transition out of the sitz bath.
11. Assist the patient to their bed and keep them away from drafts until normal circulation returns.
    • Rationale: Promotes patient comfort and prevents potential complications during the recovery period after the sitz bath.