II. Bathing
C. Bath Devices
1. Non-slip bathmats or tub appliqués
To avoid slipping during this bathing transfers, non-slip bathmats or tub appliqués are recommended for the tub surface. These devices will keep the feet from slipping on a wet tub surface. Currently on the market is a new type of tub appliqué that is heat sensitive and detects when the bath water may be too hot. Two of the appliqués are green in color and will change color to a bright yellow when the water temperature reaches about 98°. A word of caution: Elderly adults have decreased sensation and the risk of scalds from hot water is possible. As another precaution, reduce the water temperature of the hot water heater to 120°. The care giver should check the water temperature in the tub before the care recipient steps into the tub. Placing one’s hand into the water is not enough because the skin on the hands is not as sensitive as the skin on the feet or bottom. The best way to test the water temperature, if a device is not available, is to put your elbow into the water.
Bath Appliqués
It is recommended that both, a bathmat or tub appliqués always be used with grab bars and bath seats. These devices should be inspected periodically so make sure they are in good working order. If worn, they should be replaced. After each use, the bathmats should be removed from the tub, rinsed and allowed to air dry for a secure fit for the next use and to decrease mold and mildew buildup. Bathmats come in various lengths (small, medium, and large). When in doubt on the size, the longer length is best when not using a bath seat. If a bath seat is needed, a medium to shorter length can be used. A word of caution: Do not use a dark colored bathmat (black, navy, forest green) in the tub for someone with cognitive impairment or Alzheimer’s disease. The care recipient with cognitive impairment will imagine it to be a dark hole that they may fall into.
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