Sitting (or Sitz) Bath.--This bath, in whatever form administered, is
essentially a sitting in cold water with the feet out. The feet, in
fact, are better to be warmly covered up while the patient sits in the
bath. The most important thing to be considered in all such baths is
the degree of vitality possessed by the patient. If he has much
vitality, then the bath may be deep and longer continued--as long as
even forty minutes. If the vitality be low, the bath must be brief and
very shallow--it may be even necessary to make it as short as _one
minute_, or even less. In some cases, as a beginning, a mere dip is all
that is required. This leaves a large discretion to the nurse, and is a
matter which common sense should be able to decide. To try a short bath
first, and repeat it several times, rather than to give one long one,
is the safest plan. It will soon be found out how much the patient can
bear. If the vitality be so low as to make the simple sitz-bath a
danger, the feet may be immersed, for the one or two minutes of the
bath, in a small bath of hot water, and the patient well wrapped up all
over in warm blankets.
In some cases it is necessary to _pour_ cold water on relaxed organs,
which, especially with females, will sometimes not be braced up by mere
immersion. But such pouring must be done with caution. Half-a-minute of
it is _a long time_; one quarter-of-a-minute or less will usually be
enough, even in important cases. If longer applications have only done
harm, then let our friends try the one-minute bath, or the
quarter-minute stream of water. In many cases we have known this make
all right. Such short baths may be taken twice or thrice a day.
Skin, Care of.--Among the vast majority of people air and water far too
seldom touch the skin. Want of water makes it unclean, and want of
water and air make it slow in reaction. Now, a healthy skin is of the
utmost value when one is attacked by disease. It can regulate the
temperature of the various organs, and the application of heat or cold
to it will cause a reaction at once. Much of our treatment as given in
this book is directed towards stimulating the action of the skin. It is
obvious that in health as in disease the skin can and does so act on
the internal organs.
It should be the aim of everyone that this most important part of the
body should receive careful attention by a strict watch on the diet, by
cleanliness, tonic water baths (cold, tepid, shower, as may be found to
suit), and by tonic air baths. Light clothing and porous underwear will
also be found of use. We have already drawn attention to the value of
Kneipp linen as the most suitable form of underwear (_see_).
[Illustration: Section of the Skin, showing glandular structure.
Hairs
Fat Cells
Sebaceous Gland
Sweat Gland
Nutrient Artery
Hair Bulb]
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