Fundamental of Nursing Bsc nursing

1. HOT APPLICATION
By :
A. Augustyan Romeyo,
B.Sc Nursing 2 nd year,
The Kaavery Nursing College,
Mecheri

2. DEFINITION:
LOCAL APPLICATION OF DRY HEAT
TO A SPECIFIC BODY PART FOR A
SHORT DURATION USING A RUBBER
BAG.

3. PURPOSES:
TO PROVIDE WORMTH AND COMFORT.
TO PROMOTE HEALING.
TO REDUCE TISSUE SWELLING AND JOINT STIFFNESS.
TO RAISE BODY TEMPERATURE IN CASE OF
HYPOTHERMIA.
 TO RELIVE RETENTION OF URINE
TO RELIVE PAIN AND CONGESTION BY STIMULATING
BLOOD FLOW.
 TO STIMULATE CIRCULATION BY DILATING BLOOD
VESSELS.

4. INDICATION:
• Strains
• Edemas and inflammations.
• Musle spasams and low back ache.
• Arthritis and stiff joints.
• Urine retention.

5. CONTRAINDICATIONS:
ACUTE INFLAMMATION.
PATIENT WHO ARE UNCONSCIOUS,VERY OLD
AND NEONATES.
OPEN WOUND,ACTIVE HEMORRHAGE.
MALIGNANCY
BLISTERS/BURNS
PATIENTS WITH HIGH TEMPERATURE.

6. ARTICLES:
• A TRAY CONTAINING:
• JUG:TAP WATER FOR MIXING
• HOT WATER:FOR HEATING THE BAG
• DUSTER:TO DRY THE BAG FROM OUTSIDE
• BATH THERMOMETER:TO MEASURE WATER
TEMPERATURE.

7. • KIDNEY TRAY:TO DISCARD SOILED GARBAGE,IF
NECESSARY.
• HOT WATER BAG WITH COVER:FOR LOCAL
APPLICATION .
• TOWEL :TO WRAP THE BOTTLE.
• VASELINE OR OIL IN A BOTTLE:TO APPLY IF
REDNESS DEVELOPS.

8. STEPS OF PROCEDURE
• PREPROCEDURAL STEPS:
• IDENTIFY THE PATIENT.
• PROVIDE EXPLANATION TO THE PATIENT
REGARDING THE PROCEDURE AND CARE TO
BE TAKEN.
• ASSESS SKIN SURFACE AT THE SITE OF
APPLICATION.
• ASSEMBLE ARTICLES.

9. INTRAPROCEDURAL STEPS
• CHECK THE TEMPERATURE(CHILDREN:105*
F,ADULTS:115*F) OF WATER
• WARM THE BAG WITH LITTLE AMOUNT OF HOT
WATER
• FILL 2/3rd OF THE BOTTLE
• PLACE STOPPER BUT DON’T TIGHTEN YET
• EXPEL THE AIR BY PLACING THE HOT WATER
BOTTLE ON A FLAT SURFACE AND PRESSURE
GENTLY
• TIGHTEN STOPPER

10. • HOLD THE BOTTLE UPSIDE DOWN TO CHECK FOR
LEAKAGE
• WASH HANDS
• WIPE OFF ANY MOISTURE ON THE OUTSIDE OF THE
BAG
• WRAP/COVER IT AND TAKE IT TO THE BEDSIDE.
• APPLY IT TO THE AREA AS PRESCRIBED
• CHANGE IT AS FREQUENTLY AS REQUIRED AND ASK
THE PATIENT REGARDING DISCOMFORT IF ANY
• ASSESS THE AREA

11. POSTPROCEDURAL STEPS:
• CHECK THE SITE FOR REDNESS,BLISTERS
• TAKE ALL THE ARTICLES TO THE UTILITY ROOM
• EMPTY THE HOT WATER BAG
• WASH OUTSIDE OF THE BAG WITH SOAP AND
WATER AND HANG UPSIDE DOWN TO DRY IT
• DRY THE HOT WATER BOTTLE IN SHADE
• ONCE DRIED,FILL IT WITH AIR AND KEEP IN
WOODEN CUPBOARD.

12. POINTS TO REMEMBER:
• CHECK FOR LEAKAGE IN THE BAG BEFORE USE
• HOT WATER BOTTLE SHOULD BE 2/3RD FULL
AND NOT MORE THAN THAT
• SMALL QUANTITY OF WATER SHOULD BE
USED FOR APPLYING HOT WATER BOTTLE TO
FACE AND ABDOMEN
• ALWAYS COVER THE BOTTLE WHEN THERE IS
DIRECT APPLICATION TO SKIN

13. • WHILE WARMING THE CRIB OF THE BABY
DON’T APPLY HOT WATER BOTTLE TO THE
BABY
• DURING APPLICATION,CHANGE THE POSITION
OF THE HOT WATER BOTTLE AFTER EVERY FIVE
MINUTES
• OBSERVE FOR REDNESS/BURNS/SCALDS OF
THE SKIN INTERMITTENTLY.

14. DOCUMENTATION
• RECORD IN THE PATIENT CHART
• THE TIME
• SITE
• DURATION OF APPLICATION
• EFFECTS OBSERVED

15. Thank You