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    Heat and cold applications are used by doctors to promote healing and reduce swelling. Heat dilates blood vessels while cold constricts them. Proper application of heat and cold treatments includes covering the area, limiting time to 20 minutes every hour, and monitoring for signs of discomfort. Moist heat penetrates deeper than dry heat. Heat relieves pain and tension while cold reduces swelling in the first 24 hours after an injury.

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    Heat and cold applications are used by doctors to promote healing and reduce swelling. Heat dilates blood vessels while cold constricts them. Proper application of heat and cold treatments includes covering the area, limiting time to 20 minutes every hour, and monitoring for signs of discomfort. Moist heat penetrates deeper than dry heat. Heat relieves pain and tension while cold reduces swelling in the first 24 hours after an injury.

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    140 views13 pages

    Hot and Cold Applications

    Uploaded by

    Jyoti
    Heat and cold applications are used by doctors to promote healing and reduce swelling. Heat dilates blood vessels while cold constricts them. Proper application of heat and cold treatments includes covering the area, limiting time to 20 minutes every hour, and monitoring for signs of discomfort. Moist heat penetrates deeper than dry heat. Heat relieves pain and tension while cold reduces swelling in the first 24 hours after an injury.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 13

    Chapter 29

    Heat and Cold


    Applications
    { Hot and Cold Applications
    Chapter 29
    Heat and Cold Applications

    Doctors order heat and cold applications to promote healing and comfort. They
    also reduce tissue swelling. Heat and cold have opposite effect on the body.

    Heat: dilates blood vessels-open, larger, expand


    Cold: constricts blood vessels- narrow, smaller
    1. When applying a heat or cold applications a CNA must cover all
    applications before applying them to the skin. Use flannel cover, towel, or
    pillowcase

    2. The first 24 hrs of an injury apply a cold application after 24 hours you can
    apply a heat application.
    •Applying a application:
    -never apply next to skin (must cover)
    -heat or cold applications are applied to the skin no longer
    than 20 minutes and checked every 5 minutes.
    -application remain on site for 20 minutes and 1 hour off
    -moist heat applications penetrates deeper than dry
    treatments.

    3. When combining a heat & cold applications remember to:


    -start with a cold application and end with a cold application
    -apply cold application for 20 minutes then apply heat
    application for 20 minutes then 1 hour off (rest)
    -only use this method after 24 hrs of injury
    4. Rules for applying heat/cold pg 605 box 29-1

    5.

    5. Observations reported to:


    -complaints of pain, numbness or burning
    -excessive redness
    -blisters
    -shivering
    -circulatory problems: temperature, skin color, capillary refill
    pale, white, or gray skin or cyanosis
    -time, site, and length of the application
    6. Heat applications: dilates
    -relieve pain and muscular tension
    -relax muscles
    -➚ blood flow which brings in oxygen and
    nutrients
    -decrease joint stiffness

    7. Cold applications: constricts- always used in the first 24 hours of injury.


    -helps stop bleeding
    -reduces swelling and pain
    -reduces fevers
    -decrease circulation
    -right after injury
    8. Moist application Vs. Dry application
    A. Moist applications: when water is in contact with the skin.
    -soaks (warm/cold)
    -tub baths (warm)
    -sitz bathe (warm)

    B. Dry applications: no water involved


    with touching the skin
    -aquamatic K-pad (warm/cold)
    -electric heating pad
    -disposable pack (warm/cold)
    -ice bag (cold)
    -Ice bags and ice collars are dry packs. Make sure you
    cover the pack to prevent damage to skin.

    C. Moist heat penetrates deeper than dry. Pg 604 applications


    9. Hyperthermia: body temperature is higher than normal. (Greater than
    103') Heat stroke

    Hypothermia: is very low body temperature. (Less than 95')

    ☺cooling and warm blankets are used to treat hyperthermia and hypothermia.
    These blankets are electric devices and are made of rubber or plastic with tubes
    filled with fluid.
    10. Different types to applications:

    •Hot compresses: moist washcloth

    ✓Water temp. 95-105


    -dip washcloth in water and wring out
    -apply to area, cover with plastic wrap and bath towel
    sometimes aquathermia pad is applied over the wrap to maintain temp.
    -no longer than 20 minutes
    •Warm soak: Putting the body into water. Smaller part of the
    body:

    ✓ temp. 95-105
    -place waterproof pad over floor or area
    -fill basin ½ full
    -great for hands, feet and lower arm.
    -no longer than 15 to 20 minutes.
    -make sure the person’s comfort and body alignment are maintained
    during the soak.
    •Sitz Bath: involves immersing the perineal and rectal areas in warm water.

    Use for rectal & pelvic surgery, hemorrhoids, after child birth.

    -plastic sitz bath goes on the toilet


    ✓ temp 95'-105' and fill 2/3 full
    -Last 20 minutes.
    -Increase blood flow to the area. Promotes healing, relieve pain, and
    soreness.
    -✓ every 5 minutes --watch person closely
    they may become weak, faint or drowsy.
    •Aquathermia Pads (K-pad): Electric device used for dry heat.

    -Tubes inside the pad are filled with distilled water. Secure the pad in
    place with ties, tape or rolled gauze. Do not use pins they will puncture
    the pad. Do not place the pad under the person or under a body part.

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