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Heat and cold
 

Heat and cold

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  • this presentation is very timely and informative for those who are getting caregiving course. keep up the good work.
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  • Reduces joint stiffness by decreasing synovial fluid viscosity 6. Provides sedative effect. 5. Hastens suppuration by increased supply of phagocytes to an area; promotes wound healing. 4. Relieves pain by increased blood flow to an area and by muscle relaxation. Promotes muscle relaxation. Increases Cellular Metabolism VASODILATION: Increase blood flow to an area bringing oxygen, nutrients, antibodies and leukocytes.
  • Relieves edema 1.Slows bacterial growth Numbs nerve endings: has local anesthetic effect; relieves pain Decreases Cellular Metabolism VASOCONSTRICTION: controls bleeding 1.VASOCONSTRICTION: controls bleeding 2. Decreases Cellular Metabolism 3. Numbs nerve endings: has local anesthetic effect; relieves pain Slows bacterial growth Relieves edema

Heat and cold Heat and cold Presentation Transcript

  • Manila Central University COLLEGE OF NURSING Nursing Care Management 100: RELATED LEARNING EXPERIENCE PRINCIPLES OF HEAT AND COLD APPLICATION Prepared by: Arthur Cruz Fetalvero, r.n.
  • PHYSIOLOGIC EFFECT OF HEAT AND COLD APPLICATION Nursing Care Management 100: RELATED LEARNING EXPERIENCE PRINCIPLES OF HEAT AND COLD APPLICATION
  • Nursing Care Management 100: RELATED LEARNING EXPERIENCE PRINCIPLES OF HEAT AND COLD APPLICATION PHYSIOLOGIC EFFECTS OF HEAT
    • VASODILATION: Increase blood flow to an area
    • Increases Cellular Metabolism
    • Promotes muscle relaxation.
    • Relieves pain by increased blood flow to an area and by muscle relaxation.
        • 5. Hastens suppuration by increased supply of phagocytes to an area; promotes healing
    • Provides sedative effect.
    • Reduces joint stiffness by decreasing synovial fluid viscosity.
  • Nursing Care Management 100: RELATED LEARNING EXPERIENCE PRINCIPLES OF HEAT AND COLD APPLICATION PHYSIOLOGIC EFFECTS OF COLD
            • 1. Cold lowers the temperature of underlying tissues and causes VASOCONSTRICTION.
    • Decreases Cellular Metabolism
    • Decreases pain by numbing the area, slowing the area, slowing the pain impulses, and by increasing the pain threshold.
    4. Relaxes muscle by decreasing muscle contractility. 5. Slows bacterial growth and decreases inflammation.
  • METHODS OF HEAT AND COLD APPLICATION Nursing Care Management 100: RELATED LEARNING EXPERIENCE PRINCIPLES OF HEAT AND COLD APPLICATION
    • Cold application, in general is safer than heat
    • application
    Nursing Care Management 100: RELATED LEARNING EXPERIENCE PRINCIPLES OF HEAT AND COLD APPLICATION PRINCIPLES IN HEAT AND COLD APPLICATION
    • Heat application usually requires doctor’s order.
    • Cold application is done during the first 72
    • hours; heat application follows after 72 hours.
    • Heat and cold application is done at a maximum of 30 minutes; an average of 15 – 20 minutes. Beyond 30 minutes, rebound effects occurs.
    • During heat and cold application, check the area every 15 to 20 minutes. Increased pain and swelling, numbness, extreme redness and mottling may indicate the need to discontinue the treatment
  • Nursing Care Management 100: RELATED LEARNING EXPERIENCE PRINCIPLES OF HEAT AND COLD APPLICATION METHODS OF HEAT APPLICATION DRY HEAT APPLICATION
    • HOT WATER BAGS/ BOTTLES
    • Temperature of water: Normal adult & children over 2 yrs old 46- 52 C (115-125 F); Unconscious adult or children below 2 40.5 – 46 C (105 – 115 F)
    • Expel air covering the bag/ bottle
    • Dry the bag/bottle and hold it upside down to check for leakage.
    • Cover the bag or bottle with cloth before application to an area (CAUTION: Prevent Burns)
    • DISPOSABLE HOT PACKS
    • Strike, shake, or knead the package with the hands.
    • Avoid puncture or damage of the outer covering.
    • HEAT CRADLE
    • The bulb should be no larger than 25 watts.
    • The bulb should be positioned at least 18 inches away from the site to be treated to prevent irritations or burns.
    • HEAT LAMP OR GOOSENECK LAMP/ PORTABLE FLOOR LAMP
  • Nursing Care Management 100: RELATED LEARNING EXPERIENCE PRINCIPLES OF HEAT AND COLD APPLICATION METHODS OF HEAT APPLICATION MOIST HEAT APPLICATION
    • WARM MOIST COMPRESS
    • Sterile warm moist compress is indicated for eye condition and open wound and lesions.
    • Clean warm moist compress is indicated for other parts of the body.
    • WARM SOAK
    • If a wound is present, the basin and solution should be sterile.
    • Fill the basin half fill water, saline or the medicated solution prescribed.
    • The temperature of water or solution should be 105 – 115 F
    • Pat dry the area after the procedure.
    • SITZ BATH OR HIP BATH
    • Soak up to the pelvic area
    • The temperature of the water should be 105 – 115 F
    • Provide for patient’s privacy and warmth.
    • Check BP and PR before the procedure and after five minutes for hypotension which could result to dizziness and/ or fainting.
    • Keep the patient comfortable, warm and dry after the procedure.
  • Nursing Care Management 100: RELATED LEARNING EXPERIENCE PRINCIPLES OF HEAT AND COLD APPLICATION METHODS OF COLD APPLICATION DRY COLD APPLICATION
    • ICE COLLAR
    • ICE CAP
    • DISPOSABLE COLD PACK
    • Placed over the neck
    • Fill the bag one-half to two-thirds full with crushed ice.
    • Fill the bag one-third full for application over the chest and one-half-full for application over the abdomen and other body areas.
    • Strike, shake, or knead the package to create a chemical reaction that releases the cold.
  • Nursing Care Management 100: RELATED LEARNING EXPERIENCE PRINCIPLES OF HEAT AND COLD APPLICATION METHODS OF HEAT AND COLD APPLICATION TEMPERATURE FOR HOT AND COLD APPLICATIONS
    • DESCRIPTION TEMPERATURE APPLICATION
    • Very Cold Below 15 C (59 F) Ice bags
    • Cold 15 – 18 C (59 – 65 F) Cold Pack
    • Cool 18 – 27 C (65 – 87 F) Cold Compress
    • Tepid 27 – 37 C (80 – 98 F) Alcohol Sponge Bath
    • Warm 37 – 40 C (98 – 105 F) Warm Bath
    • Hot 40 – 46 C (105 – 115 F) Heat soak, irrigations
    • Very Hot Above 46 C (above 115F) Hot water bags for
    • adults