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41 Cards in this Set
- Front
- Back
5 Heat Application Effects |
Vasodilation Decrease in Blood Viscosity Decrease in Blood Spasm Increase in Tissue Metabolism Increase in Capillary Permeability |
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Vasodilation |
Accelerates the transport of nutrients and the removal of the residuum by increasing blood flow to the injured area of the body. It reduces the accumulation of venous blood in the region. |
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Decrease in Blood Viscosity |
Accelerates the transport of leucocyte and antibody to the injured area. |
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Decrease in Blood Spasm |
Reduces the pain caused by muscle relaxation, muscle spasm, or stiffness. |
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Increase in Tissue Metabolism |
Blood flow increases due to the increased local temperature. |
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Increase in Capillary Permeability |
Transition of nutrients and residuum increases. |
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5 Cold Application Effects |
Vasoconstriction Local Anesthesia Slowdown in Cell Metabolism Increase of Blood Viscosity Decrease the Blood Spasm |
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Vasoconstriction |
Blood flow to the injured area decreases, edema formation is prevented, inflammation reduces. |
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Local Anesthesia |
Reduces the localized pain. |
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Slowdown in Cell Metabolism |
Decreases the oxygen requirement of the tissue. |
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Increase of Blood Viscosity |
Increases blood coagulation in injured area. |
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Decrease the Blood Spasm |
Reduce the pain. |
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8 Physiologic Effects of Heat Application |
Peripheral Vasodilation Increased capillary permeability Increased oxygen consumption Increased local metabolism Decreased blood viscosity Decreased muscle tone Increase blood flow Increase lymph flow |
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8 Physiologic Effects of Cold Application |
Peripheral Vasoconstriction Decreased capillary permeability Decreased oxygen consumption Decreased local metabolism Increased blood viscosity Increased muscle tone Decreased blood flow Decreased lymph flow |
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Heat Application |
- Opens up blood vessels, which increases blood flow and supplies oxygen and nutrients to reduce pain in joints, and relax sore muscle, ligaments, and tendons. - The warmth also decreases muscle spasms and can increase range of motion. - Applying superficial heat to your body can improve the flexibility of tendons and ligaments, reduce muscle spasms, and alleviate pain. |
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Heat Application serves to: |
Relieve local pain, stiffness, or aching, particularly of muscle and joints Assist in wound healing Reduce inflammation and infection Make chilly client more comfortable Raise body temperature (in cases of hypothermia) to help maintain body temperature Promote drainage (draw infected material out of wounds) |
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A warm, shallow bath that cleanses the perineum |
Warm Sitz Bath |
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The space between the rectum and the vulva or scrotum |
Perineum |
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Indications of Warm Sitz Bath |
Recently had surgery on the vulva or vagina Recently given birth Recently had hemorrhoids surgically removed Have discomfort from hemorrhoids Have discomfort with bowel movements |
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4 Contradictions of Warm Sitz Bath |
Pregnancy Menstruation Renal inflammation Increased irritability of the genital organ |
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A bath that is just washing up with a wash cloth |
Tepid Sponge Bath |
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Indications of Tepid Sponge Bath |
Treatment for reducing the elevated temperature Bath as a regular, cleansing act |
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Contradictions of Tepid Sponge Bath |
The first 24 hours after traumatic injury Active hemorrhage Non-inflammatory edema Skin disorder Localized malignant tumor Very young and very old client |
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Complications of Heat: |
Pain Burns Redness of the skin Edema Pallor (secondary effect) Hyperthermia |
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Cold Application |
- slows down blood flow to an injury, thereby reducing pain and swelling - cold therapy slows circulation, reducing inflammation, muscle spasm, and pain. It should be used if the area is swollen or bruised |
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Cold Application serves to: |
Lower the temperature of the skin and underlying tissue Vasoconstricts Decrease capillary permeability Slow bacterial growth Decrease inflammation Local anesthetic effect |
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Contradictions to the use of Cold: |
Open wound Impaired circulation Allergy and hypersensitive to cold application Some people react by decrease BP Inflammatory response Raynaud's Phenomenon |
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Complications of Cold: |
Pain Blisters and skin breakdown Gray or bluish discoloration Thrombus formation Redness (secondary effect) Hypothermia |
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Factors affecting physiological tolerance to heat and Cold: |
Part of the body where the application is done The size of the body area where the application is done Individual tolerance The duration of administration The integrity of the skin |
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Part of the body where the application is done |
Back of the hands and feet are not very sensitive to temperature changes, the inner face of the forearm and wrist, neck, and perineum are sensitive to temperature changes |
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The size of the body area where the application is done |
When the areas exposed to heat or cold application tolerance grows, tolerance decreases when areas exposed to heat or cold tolerance get smaller, tolerance increases |
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Individual Tolerance |
Tolerance in infants and elderlies are generally very low tolerance to cold or heat is higher in individuals with sensory and nervous disorders. However, warm or cold damage risks to these people are too much |
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The duration of administration |
Individual feels heat or cold severely until skin temperature changes, however, later, tolerance increases |
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The integrity of the skin |
Impaired skin integrity is more sensitive to temperature changes |
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Situations enhancing the injury risk in heat and cold application |
Age Disruption of skin integrity, open wound, stoma Edema or scar regions Peripheral vascular disease Confusion, Loss of consciousness Spinal cord injury |
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Age |
Having a thin skin layer in children, decreasing the sensitivity to pain in the elderly increases the risk of burns |
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Disruption of skin integrity, open wound, stoma |
Subcutaneous and deep tissues are more sensitive to temperature changes because they do not contain heat receptors and their receptors are few |
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Edema or Scar Regions |
Intracellular accumulation of fluid or thickening caused by scar tissue reduces the sensitivity to heat |
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Peripheral vascular disease |
Sensitivity to temperature and pain in the extremities decrease due to the circulatory disorder and local tissue damage. Cold Application go further reduces the blood flow. |
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Confusion, Loss of Consciousness |
Sensory stimuli or the perception of pain decrease. |
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Spinal cord injury |
Sensory stimuli and the perception of pain is prevented due to the changes in the nerves transmit pathway |