Contraindications Checklist

Absolute Contraindications

  • Medical instability following an acute episode e.g. CVA, DVT, PE, Asthma
  • Uncontrolled angina 
  • Shortness of breath at rest 
  • Uncontrolled cardiac failure/paroxysmal nocturnal dyspnoea 
  • Neutropaenia 
  • Diarrhoea/ vomiting within last 14 days 
  • Proven chlorine allergy 
  • Patients weight in excess of evacuation equipment (25 stone or 159kg)

Relative Contraindications

  • Recent radiotherapy/chemotherapy – within last 6 weeks
  • Acute systemic illness/fever/high temperature 
  • Infections (eg: wound)
  • Unstable diabetes 
  • Poorly controlled epilepsy 
  • Known aneurysm

Precautions

  • Fear of water 
  • Renal failure/kidney pathology 
  • Skin conditions/eczema/ Impaired sensation 
  • 1st trimester of pregnancy 
  • Poor skin integrity/open/surgical wounds 
  • Hypotension
  • Reduced vital capacity