COLD OR TEPID SPONGE BATH in the transfer of heat.

Wring washcloth, it
should be damp but not dripping
 It is the sponging of the client's body to reduce
(washcloths warm up relatively quick in such
the elevated temperature. It promotes body
vascular areas. Slow gentle motion increase in
heat loss through conduction and evaporation.
tissue metabolism and heat production)
 It generally refers to one in which water
 Sponge the arms and legs slowly and gently for
temperature is 90 degrees Fahrenheit
about 5 minutes as tolerated by the client then
throughout the bath
dry using a patting motion.
 It is a bath where the water beginning 90
degrees Fahrenheit and is generally lowered to When sponging the extremities hold the washcloths
60 degrees Fahrenheit by adding ice chips briefly over the wrist and ankle

(The blood circulation is close to the skin surface in the

wrist and ankle)
Objectives
 Sponge the back and pat it dry.
 To reduce client's elevated temperature
 Remove the cold application from axilla and
 To develop the skill in giving Treatment
groin. Then dry said areas.
 Put on the client's gown.
 Remove rubber sheet and bottom bath blanket
EQUIPMENT NEEDED:  Remove hot water bag and leave ice cap on the
 Basin head
 Bath Thermometer  Make the client comfortable
 Rubber Sheet  Take the equipment to the utility room.
 Bath Towel  Check the temperature after 30 minutes
 2 Bath Blankets (To check effectiveness of therapy.)
 6 wash cloths  Record.
 Hot water bag with cover
 Ice cap with cover

STEPS

 Prepare and carry equipment to the bedside.

 Introduce yourself and identify the client.
Explain the
(Promote client's cooperation)
 procedure to the patient and why it is
necessary.
 Wash your hands.
 Obtain relevant baseline data.
(To provide comparative baseline data)
 Close the windows and door.
(Prevent chills and for the privacy of the client)
 Remove the gown and assist the client to a
comfortable supine position
(washcloths need to be as moist as possible to
be effective)
 Place the remaining washcloths under each
axilla and each groin. The axilla and groin
contain large superficial blood vessels that aid