1. Heat and Cold Application
Prepared by :
Salwa Maghrabi
Teacher Assistant
Nursing Department

2. OUTLINES Definition of heat and cold application
Heat Application ,Cold Application
Contraindications to Use Heat and Cold.
Appling heat and cold .
Guidelines in Local Applications of Heat or Cold
Hot Water Bag .
Heat and cold packs
Aquathermia Pad .
Electric Pads .
Compress
Soak
Sitz Bath
Cooling Sponge Bath

3. OBJECTIVES Define heat and cold application .
List the indication of using heat and cold application .
Enumerate the contraindication for heat and cold application.
Understand the guidelines for heat and cold application .
Ability to apply several type of heat and cold application

4. Definition
A therapy applied to body part for local and systemic effect

5. Heat Application Indications of Heat application : 1- Ache and pain 2- Comfort and relief . 3- Client with musculoskeletal problem . Cold Application Cold application is most often used for sport injury .

6. Contraindications to Use Heat and Cold
1- the first 24 hour after traumatic injury . 2- Active hemorrhage . 3- Noninflamatory edema. 4- Localized malignant tumor . 5- Skin disorder . 6- Open wound. 7- Allergy or hypertensive to cold .

7. Contraindications to Use Heat and Cold Cont’
Neurosensory Impairment.
Immediately after injury or surgery .
Open Wound
Impaired Circulation
Impaired Mental Status

8. Appling heat and cold
2 forms of application
Moist
Dry
Heat
Cold

9. Guidelines in Local Applications of Heat or Cold
1- Determine the client ability to tolerate therapy
2- Identify conditions that might be contraindicate treatment
3- Explain the application to the client
4- Assess the skin area to which heat and cold to be applied
5- Ask the client to report any discomfort.

10. Guidelines in Local Applications of Heat or Cold
6- Return to the client 15 min. after starting the heat or cold.
7- Remove the equipment .
8- Examine the area to which the heat or cold was applied , and record the client response .

11. Hot Water Bag Safe and effective temperature :
Debilitated or unconscious Adult or child under 2 years
Normal Adult or Child over 2 years

12. Hot Water Bag

13. Hot and Cold Packs

14. Aquathermia Pad
Is pad constructed with tubes containing water .

15. Electric Pads Guideline for applying electric pad :
1- Do not insert sharp object.
2- Ensure the body area are dry.
3- Use pads with a preset heating switch .
4- Do not place the pad under the client .

16. Compress is a moist gauze dressing applied to a wound .
it can be either cold or warm .

17. Soak
immersing a body part in a solution or to wrapping a part in gauze dressing and then saturating the dressing with a solution .

18. Assist the client into the tub provide support for client feet .
Sitz Bath
Used to sock the client pelvic area.
to provide Sitz Bath :
Assist the client into the tub provide support for client feet .
Provide a bath blanket.

19. Observe the client closely Maintain the water temperature.
Assist the client out of the tub, help the client to dry .

21. Cooling Sponge Bath to reduce the client fever .
Temperature for cooling sponge bath range from

22. Cooling Sponge Bath Cont’
To provide cooling sponge bath , the nurse should :
Sponge the face , arms , legs and buttocks.
Leave each area wet and cover with a damp towel
Place ice bags and cold packs.

23. Cooling Sponge Bath Cont’
To provide cooling sponge bath , the nurse should :
Sponge only body part
Discontinuing if: pale
cyanotic
shivers
pulse rapid or irregular .
Reassess the vital signs

24. THANK YOU FOR YOUR ATTENSSION