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Continuing on in our series on modalities used in wound management, this week we'll cover whirlpool, including its indications, contraindications and advantages over other wound care modalities. Functions of Whirlpool Whirlpool was initially reserved as a method of debridement for patients who had suffered burns. Clinical reasoning with EBP.
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Whirlpool, one of the oldest types of hydrotherapy, was originally used by physical therapists (PTs) to treat patients with burns in need of extensive debridement. In many areas of the United States, WP remains an active component of wound care as a means for the removal of necrotic cellular debris and contamination. The whirlpool bath is a huge tub that is filled up with water.
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The body part that is to be treated is then positioned in the tub of water. Whirlpool therapy, or hydrotherapy, is one of the ancient adjuvant forms of treatment for wounds still in use today. It was originally used in pain management, but after that found use in wound management, exactly in the management of burn patients.
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Reassessing the burn wound injury with each cleansing and dressing change will dictate the treatment interventions, cleansing frequency, and topical agents and dressing selection. Whirlpool baths may also be used for patients recovering from a burn or open wound in these regions, 3 although this application of whirlpool is becoming less common due to the risk for infection. Clinical hydrotherapy whirlpools are used to treat a variety of medical or clinical conditions and injures such as skin burns, septic ulcers, limb amputations, arthritis, musculoskeletal aches, and pains associated with sports and competitive activity.
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Also, whirlpool can be used to assist in range of motion in elbows, wrist, fingers, toes, ankle and knees. What is the temperature needed in the whirlpool? The temperature is usually 85 to 92 F. What kind of wounds need whirlpool? Burns, dirty wounds, road rash and painful wounds.
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How often is it needed? Whirlpools are a non-selective form of mechanical debridement. Utilizing whirlpools to treat wounds predisposes the patient to risks of bacterial cross-contamination, damage to fragile tissue from.
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Whirlpool Bath Utilized to increase circulation and provide decreased overall effusion via the hydrostatic effect of the water, the whirlpool is an excellent treatment modality for lower quarter injuries. Sterile whirlpool baths are also effective for open wounds to accelerate the healing time. These are the most common treatment types.
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