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
Carry the poultice on a hot plate, or rolled in a newspaper or hot
towel. Test it carefully with the back of the hand, apply it to the skin
gradually, cover it with cotton batting, oiled muslin, or several
thicknesses of flannel, and keep it in place with a bandage or towel.
Remove it as soon as it has become cold, and unless the skin is much
reddened apply a fresh poultice. If the skin is much reddened, anoint it
with vaseline or sweet oil, wrap it warmly, and apply the next poultice
as soon as the appearance of the skin is normal.
_Stupes_ or _hot fomentations_ are cloths, preferably of flannel or
flannelette, wrung out of boiling water and applied to the skin. Each
stupe should be three or four times as large as the area to be covered.
Two are needed, so that one may be prepared before removing the other.
To prevent escape of heat and moisture the stupe should be covered after
it has been applied, first with a piece of rubber cloth or oiled silk or
muslin, and next with several thicknesses of flannel, or cotton batting
made into a pad. The whole should be kept in place with a bandage or
towel used as a binder. The doctor will tell how often the stupes are to
be applied, but if the skin becomes irritated they must be stopped until
its appearance is again normal.
[Illustration: FIG. 27.--WRINGING STUPE. (_From "Elementary Nursing
Procedures," California State Board of Health._)]
Great care must be taken in applying fomentations. They do little good
unless very hot, but if applied too hot the patient is likely to be
scalded. They must be wrung as dry as possible; but it is difficult to
wring them without scalding the hands unless stupe wringers are used.
Stupe wringers are heavy pieces of cloth, like roller towels or pieces
of ticking, long enough to extend over opposite sides of the basin in
which the stupe is to be boiled, and wide enough to hold the stupe
easily. The wringer should be placed in the basin with the stupe
arranged upon it. Boiling water should then be added, or the water,
stupe, and wringer may be boiled together in the basin. After the stupe
is ready, the wringer with the stupe upon it should be removed from the
water by grasping the dry ends of the wringer. Then the ends should be
twisted in opposite directions until the stupe inside is as dry as
possible. Wringing is made easier if the wringer has wide hems into
which sticks such as pieces of broom handles are inserted. By twisting
the sticks in opposite directions the stupe may be wrung out easily.
COLD APPLICATIONS
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