Sitting in the shower is not inherently dangerous, but doing so without proper preparation introduces specific risks. These concerns fall into two categories: physical hazards related to movement and environmental hazards concerning surface cleanliness. For some, sitting is a choice for relaxation or convenience, while for others, it is a necessity due to mobility issues or fatigue. Understanding these dangers allows individuals to mitigate them effectively.
Physical Risks of Sitting and Standing
The physical dangers of sitting in a wet shower environment are concentrated around transitioning between positions. Standing up quickly after sitting in a hot shower can trigger orthostatic hypotension, a sudden drop in blood pressure. Hot water causes blood vessels to widen, which can exacerbate this effect and lead to dizziness, lightheadedness, or fainting.
Transitioning from a low sitting position on the floor back to standing is biomechanically difficult and increases the risk of slipping. The slick shower floor combined with the effort required to push up can cause a momentary loss of balance. Individuals with mobility impairments or fatigue find rising from the floor especially challenging. They may instinctively grab onto towel bars or shower doors, which are not designed to support human weight and can fail.
Hygiene Concerns Related to Shower Surfaces
The shower enclosure is a warm, moist environment, making it a prime location for the growth of microorganisms. Mold, mildew, and bacteria thrive on porous grout lines and poorly drained surfaces. Sitting directly on the floor dramatically increases the surface area and duration of skin contact with these contaminants. This prolonged exposure increases the risk of skin irritation or infection.
Common pathogens include fungal spores that cause athlete’s foot, and bacteria like Staphylococcus aureus, including the MRSA strain. Soap and water used during showering do not effectively eliminate all germs on the floor surface. If a person has open cuts, scrapes, or skin conditions, sitting on the shower floor provides a direct route for these pathogens to enter the body.
Making Showering Safer for Accessibility
For those who need or prefer to sit while bathing, the solution is to use safety equipment rather than the shower floor. The most effective modification is installing a non-slip, waterproof shower chair or bench. These devices provide a stable, elevated, and easily cleaned surface, greatly reducing physical strain and fall risk during transitions. A transfer bench that extends over the side of a tub is useful for individuals who have difficulty stepping over a high lip.
Properly installed grab bars are a necessary component, offering reliable support for balance when moving on or off the chair. These bars must be securely mounted to wall studs, as suction-cup models do not support full body weight. Regulating the water temperature avoids excessive heat, minimizing the physiological risk of blood pressure dropping upon standing. Utilizing a handheld or adjustable shower head can further enhance independence and ensure thorough cleaning while remaining seated.