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41 Cards in this Set

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5 Heat Application Effects

Vasodilation


Decrease in Blood Viscosity


Decrease in Blood Spasm


Increase in Tissue Metabolism


Increase in Capillary Permeability

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.

Decrease in Blood Viscosity

Accelerates the transport of leucocyte and antibody to the injured area.

Decrease in Blood Spasm

Reduces the pain caused by muscle relaxation, muscle spasm, or stiffness.

Increase in Tissue Metabolism

Blood flow increases due to the increased local temperature.

Increase in Capillary Permeability

Transition of nutrients and residuum increases.

5 Cold Application Effects

Vasoconstriction


Local Anesthesia


Slowdown in Cell Metabolism


Increase of Blood Viscosity


Decrease the Blood Spasm

Vasoconstriction

Blood flow to the injured area decreases, edema formation is prevented, inflammation reduces.

Local Anesthesia

Reduces the localized pain.

Slowdown in Cell Metabolism

Decreases the oxygen requirement of the tissue.

Increase of Blood Viscosity

Increases blood coagulation in injured area.

Decrease the Blood Spasm

Reduce the pain.

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

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

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.


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)

A warm, shallow bath that cleanses the perineum

Warm Sitz Bath

The space between the rectum and the vulva or scrotum

Perineum

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

4 Contradictions of Warm Sitz Bath

Pregnancy


Menstruation


Renal inflammation


Increased irritability of the genital organ

A bath that is just washing up with a wash cloth

Tepid Sponge Bath

Indications of Tepid Sponge Bath

Treatment for reducing the elevated temperature


Bath as a regular, cleansing act

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

Complications of Heat:

Pain


Burns


Redness of the skin


Edema


Pallor (secondary effect)


Hyperthermia

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

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

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

Complications of Cold:

Pain


Blisters and skin breakdown


Gray or bluish discoloration


Thrombus formation


Redness (secondary effect)


Hypothermia

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

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

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

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

The duration of administration

Individual feels heat or cold severely until skin temperature changes, however, later, tolerance increases

The integrity of the skin

Impaired skin integrity is more sensitive to temperature changes

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

Age

Having a thin skin layer in children, decreasing the sensitivity to pain in the elderly increases the risk of burns

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

Edema or Scar Regions

Intracellular accumulation of fluid or thickening caused by scar tissue reduces the sensitivity to heat

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.

Confusion, Loss of Consciousness

Sensory stimuli or the perception of pain decrease.

Spinal cord injury

Sensory stimuli and the perception of pain is prevented due to the changes in the nerves transmit pathway