CHAPTER 2 2:3 ADMINISTERING HEAT /COLD APPLICATIONS ( ASSIGNMENT SHEET Grade Name INTRODUCTION: This assignment will help you review the main facts regarding heat and cold applications. INSTRUCTIONS: Review the information on Administering Heat/ Cold Applications. In the space provided, print the word(s) that best completes the statement or answers the question. 1. Define cryotherapy. 2. Define thermotherapy. 3. How do blood vessels react when heat applications are applied? How does this affect the blood supply to the area? 4. How do blood vessels react when cold applications are applied? How does this affect the blood supply to the area? 5. List three (3) reasons why cold applications are done. 6. List three (3) reasons why heat applications are done. 7. Define the following words and provide two (2) examples for each type of application. a. moist cold: b. drycold: c. moist heat: d. dryheat: 8. What is the purpose of a sitz bath? 9. What are hydrocollator packs? 10. Paraffin wax treatments are often used for or prior to. 554 2009 Delmaf, Cengage Learning.
11. Why do most health care agencies use disposable bags for ice bags or warm-water bags? ( 12. What is the advantage to using an aquathermia pad instead of a warm-water bag? 13. A/An order is needed before heat or cold applications can be applied to a patient. 14. Why is it essential to check legal responsibilities before administering heat or cold application? 15. Name three (3) things that should be checked frequently while a heat or cold application is in place. 16. Why should metal objects such as rings, bracelets, and watches be removed before a heat or cold application is applied to the area? 2009 Delmar, Cengage Learning. 555
C H A P T E R 22 : 3 A Evaluation Sheet Name Date ( Evaluated by DIRECTIONS: Practice applying an ice bag/collar according to the criteria listed. When you are ready for your final check, give this sheet to your instructor. PROFICIENT Applying an Ice Bag or Ice Collar Peer Check Final Check* Comments Possible Yes No Yes No Earned** l. Checks order or obtains authorization 2 2. Assembles equipment and supplies 2 3. Washes hands 2 4. Fills bag with water to check for leaks 4 5. Rinses ice cubes to remove sharp edges 4 6. Uses scoop or cup without bottom to fill bag 4 7. Fills one-half full 4 8. Expels air from bag 4 9. Secures cap in place 4 10. Dries outside of bag 4 11. Covers bag correctly 4 ( 12. Knocks on door, introduces self, identifies patient, and explains procedure 4 13. Washes hands and puts on gloves if needed 3 14. Positions ice bag gently with metal cap away from patient's skin 4 15. Checks patient and position of application before leaving 4 16. Places call signal within reach 3 17. Removes gloves and washes hands before leaving room 2 18. Checks following points at least every ten minutes: Checks bag for coldness 2 Refills as necessary 2 Checks condition of skin 3 Removes immediately if skin is mottled or discolored 3 19. Leaves application in place for ordered length of time 4 556 2009 Delmar, Cengage Learning.
22:3A (cont.) Applying an Ice Bag or Ice Collar Possible Peer Check Final Check* Yes No Yes No Earned** Comments 20. Removes ice bag/collar at correct time 3 21. Checks condition of skin 4 22. Notes patient's comments 4 23. Checks patient for following points before leaving: Patient in correct alignment 1 Side rails elevated if indicated 1 Bed at lowest level 1 Call signal and supplies in reach 1 Area neat and clean 1 24. Empties ice bag or collar and wipes with disinfectant or discards disposable packs 2 25. Inflates reusable pack with air for storage 2 26. Replaces all equipment 2 27. Washes hands 2 28. Records or reports all required information 4 Totals 100 Final Check: Instructor or authorized person evaluates. Earned: possible times each "yes" check. 2009 Delmar, Cengage Learning. 557
C H A P T E R 22 : 3 B Evaluation Sheet Name Date ( Evaluated by -------------------------------------------------- DIRECTIONS: Practice applying a warm-water bag according to the criteria listed. When you are ready for your final check, give this sheet to your instructor. PROFICIENT Applying a Warm-Water Bag Peer Check Final Check* Comments Possible Yes No Yes No Earned** 1. Checks order or obtains authorization 2 2. Assembles equipment and supplies 2 3. Washes hands 2 4. Fills with water or air to check for leaks 4 5. Fills pitcher with water at ll0-120 F, or 43-49 c 4 6. Fills bag 1 I 3-1 I 2 full 4 7. Expels air from bag 4 8. Closes bag correctly 4 9. Dries outside of bag with towels 4 10. Checks for signs of leaks 4 11. Covers bag properly 4 12. Knocks on door, introduces self, identifies patient, and explains procedure 4 13. Washes hands and puts on gloves if needed 2 14. Applies bag gently to affected area 4 15. Positions bag on top of affected area 4 16. Checks patient and position of bag before leaving 4 17. Places call signal within reach 3 18. Removs gloves and washes hands before leaving room 2 19. Rechecks at least every ten minutes for following points: Notes pain, extreme redness 3 Removes immediately if signs of burn are present 3 Refills as necessary 3 20. Removes application at end of ordered time period 4 558 2009 Delmar, Cengage Learning.
22:3B (cont.) Applying a Warm-Water Bag Possible Peer Check Final Check* Yes No Yes No Earned** Comments 21. Checks skin carefully 4 22. Notes patient's comments 4 23. Checks patient for following points before leaving: Patient in correct alignment 1 Side rails elevated if indicated 1 Bed at lowest level 1 Call signal and supplies within reach 1 Area neat and clean 1 24. Empties water from bag and wipes with disinfectant or discards disposable heat pack 3 25. Inflates reusable bag with air for storage 3 26. Replaces all equipment 2 27. Washes hands 2 28. Records or reports all required information 3 Totals 100 Final Check: Instructor or authorized person evaluates. Earned: possible times each "yes" check. 2009 Delmar, Cengage Learning. 559
C H A P T E R 22 : 3 C Evaluation Sheet Name Date Evaluated by ---------------------- -------------- DIRECTIONS: Practice applying an aquathermia pad according to the criteria listed. When you are ready for your final check, give this sheet to your instructor. PROFICIENT Applying anaquathermia Pad Peer Check Final Check* Comments Possible Yes No Yes No Earned** l. Checks orders or obtains authorization 3 2. Assembles equipment and supplies 2 3. Knocks on door, introduces self, identifies patient, and explains procedure 3 4. Washes hands and puts on gloves if needed 2 5. Places unit on solid table 4 6. Checks cord carefully 4 7. Attaches tubing to main unit and aquathermia pad if necessary 4 8. Fills unit to fill line with distilled water 4 9. Screws cap in place and loosens 1/4 turn 4 10. Plugs in cord 4 11. Sets temperature at 95-105 F, or 35-41 o C, or as ordered; removes key; and stores key in safe area 4 12. Turns unit on 4 13. Checks for leaks and warmth 4 14. Coils tubing to facilitate water flow, checks tubing for kinks or obstructions, and rechecks level of water in reservoir 4 15. Covers pad properly 4 16. Places pad on correct area 4 17. Places call signal within reach 3 18. Removes gloves if worn and washes hands before leaving room 2 19. Rechecks patient and pad at least every ten minutes for following points: Checks condition of skin 3 Removes if skin is burned or patient complains of pain 3 Refills unit as necessary 3 20. Removes pad at end of ordered time period 4 560 2009 Delmar, Cengage Learning.
22:3C (cont.) Applying an Aquathermia Pad Possible Peer Check Final Check* Yes No Yes No Earned** Comments 21. Checks condition of skin 4 22. Notes patient's comments on effectiveness 4 23. Checks patient for following points before leaving: Patient in correct alignment 1 Siderails elevated if indicated 1 Bed at lowest level 1 Call signal and supplies within reach 1 Area neat and clean 1 24. Empties pad and control unit 2 25. Disinfects unit and pad correctly or discards pad if disposable 2 26. Replaces all equipment 2 27. Removes gloves if worn and washes hands 2 28. Records or reports all required information 3 Totals 100 Final Check: Instructor or authorized person evaluates. Earned: possible times each "yes" check. 2009 Delmar, Cengage Learning. 561
C H A P T E R 22 : 3 D Evaluation Sheet Name Evaluated by Date (' DIRECTIONS: Practice applying a moist compress according to the criteria listed. When you are ready for your final check, give this sheet to your instructor. PROFICIENT Applying a Moist Compress Peer Check Final Check* Comments Possible Yes No Yes No Earned** 1. Checks order or obtains authorization 4 2. Assembles equipment and supplies 2 3. Knocks on door, introduces self, identifies patient, and explains procedure 2 4. Closes door and screens unit 2 5. Washes hands and puts on gloves if necessary 2 6. Elevates bed and Jowers siderail if elevated 2 7. Positions underpad or bed protector by area to be treated 4 8. Fills basin with correct temperature water: Checks temperature with bath thermometer 4 Uses cold water and at times ice cubes for cold compress 4 Uses 100-105 F, or 37.8-41 o C, for hot compress 4 9. Puts compress in water 5 10. Wrings out compress to remove excess water 5 11. Applies compress to correct area 5 12. Covers compress with plastic sheet and towel orunderpad 5 13. Covers with ice bag/aquathermia pad if indicated 4 14. Places call signal in reach 4 15. Removes gloves if worn and washes hands before leaving room 2 562 2009 Delmar, Cengage Learning.
22:3D (cont.) Applying a Moist Compress Possible Peer Check Final Check* Yes No Yes No Earned** Comments 16. Checks compress at frequent intervals: Changes compress and remoistens as necessary 3 Checks condition of skin 3 Notes pain, extreme redness 3 Removes immediately if signs of burn are present 3 17. Removes application at end of ordered time period 5 18. Checks skin carefully 5 19. Notes patient's comments 5 20. Checks patient for following points before leaving: Patient in correct alignment 1 Siderails elevated if indicated 1 Bed at lowest level 1 Call signal and supplies within reach 1 Area neat and clean 1 21. Replaces all equipment 2 22. Removes gloves if worn and washes hands 2 23. Records or reports all required information 4 Totals 100 Final Check: Instructor or authorized person evaluates. Earned: possible times each "yes" check. 2009 Delmar, Cengage Learning. 563
C H A P T E R 22 : 3 E Name Evaluation Sheet Date Evaluated by ------------------------------------------------ -------- DIRECTIONS: Practice administering a sitz bath according to the criteria listed. When you are ready for your final check, give this sheet to your instructor. PROFICIENT Administering a Sitz Bath Peer Check Final Check* Comments Possible Yes No Yes No Earned** 1. Checks order or obtains authorization 3 2. Assembles equipment and supplies 3 3. Knocks on door, introduces self, identifies patient, and explains procedure 3 4. Washes hands 3 5. Prepares sitz chair: Sets temperature at 105 F, or 41 o C 3 Fills with water 3 Plugs in cord 3 Drapes bottom with towel or bath blanket 3 6. Prepares tub or sitz tub: Regulates temperature of water at 105 F, or 41 o C 3 Fills with water to correct level 3 Places towel or bath blanket in bottom of tub 3 ( 7. Prepares portable unit: Fills container with water at 105 F, or4l C 3 Positions container on commode or toilet seat 3 Connects tubing correctly 3 Clamps tubing 3 Positions holes on tubing to face side 3 Fills bag with water at 110-115 F, or 43-46 C 3 8. Positions patient in bath with perineal area in water 5 9. Covers legs/shoulders with bath blanket 5 10. Observes patient for signs of weakness or fainting 5 564 2009 Delmar, Cengage Learning.
22:3E (cont.) Administering a Sitz Bath Possible Peer Check Final Check* Yes No Yes No Earned** Comments 11. Maintains temperature by adding water to tub or allowing water to flow from bag on portable unit 5 12. Continues treatment 20 minutes or as ordered 5 13. Dries patient and replaces clothes at end of bath 5 14. Returns patient to bed 3 15. Checks patient for following points before leaving: Patient in correct alignment 1 Siderails elevated if indicated 1 Bed at lowest level 1 Call signal and supplies within reach 1 Area neat and clean 1 16. Wears gloves to empty and disinfect tub or chair 2 17. Cleans and replaces all equipment 2 18. Removes gloves and washes hands 3 19. Records or reports all required information 4 Totals 100 Final Check: Instructor or authorized person evaluates. Earned: possible times each "yes" check. 2009 Delmar, Cengage Learning. 565