American Red Cross Text-Book on Home Hygiene and Care of the SickAmerican National Red Cross
Science
American Red Cross Text-Book on Home Hygiene and Care of the Sick
American National Red Cross
Home nursing; Hygiene; Nurses; Nursing
Strong bottles, jugs, and jars, if they can be securely stoppered, may
be used sometimes instead of hot water bags. The same precautions are
necessary. Bricks, flat irons, or thick flannel bags containing salt or
sand may be heated in the oven and used in the same way. Salt and sand
retain heat for a long time, but are correspondingly slow to heat;
therefore one bag should be heating in the oven while the other is in
use. Their effect on the skin must be no less carefully watched than the
effects of other hot applications.
Hot dry flannel may be used without fear of burning a patient, and it
sometimes yields sufficient warmth to relieve pain, particularly
abdominal pain of babies. After it has been heated on a radiator or in
an oven, it should be applied quickly and covered closely with another
flannel to prevent escape of heat.
Dry heat can be applied conveniently by an electric pad. The part to be
heated may be wrapped in flannel or placed directly above or below the
pad. The pad should be carefully watched to see that the switch is not
accidentally turned, as it is possible for the pad to become hot enough
to burn the patient or to set fire to the bed covers.
MOIST HEAT.--To apply moist heat poultices or fomentations (stupes) are
used.
_Poultices_ may be made of various heat-retaining substances, but
flaxseed meal is generally used. The poultices when ready should be
applied without delay, therefore all preparations should be made in
advance. To prepare a poultice, first provide a piece of gauze or thin
old muslin about two inches wider than you wish the poultice to be when
finished, and about two inches more than twice as long. In a shallow
saucepan boil water, varying in amount according to the size of the
poultice desired; about equal parts of water and meal will be needed.
When the water is boiling briskly add the meal gradually, beating
constantly with a spatula or knife. The poultice is done when the
mixture coheres and is thick enough to drop from the spatula leaving it
clean. Quickly spread a layer of the hot flaxseed from a quarter to half
an inch thick on one-half of the muslin, leaving a margin on three sides
of about an inch (Fig. 25). Fold in the margins of the cloth (Fig. 26)
and then bring the other half of the cloth over the flaxseed so that the
top of the poultice is covered. Tuck the free end of the upper half of
the cloth under the turned in edges of the long sides.
[Illustration: FIG. 25.--Turn the edges of the muslin over the flaxseed
by folding first on the line _AA'_, and then on the lines _BB'_ and
_CC'_.]
[Illustration: FIG. 26.--Fold on the line _EE'_, bringing _FF'_ up over
the flaxseed and tucking it under at _D_ and _D'_.]
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