Adverse outcomes include burns, infections, increased pain, and increased inflammation.
The condition of the skin should be monitored every 5 minutes during the application.
Cold application is indicated for conditions such as sprains, strains, fractures, muscle spasms, minor burns, and chronic pain from arthritis.
Superficial heat generally affects only cutaneous blood flow and cutaneous nerve receptors.
Patients should be instructed on how to control the temperature of the heat application and supervised for potential burns or overheating.
Moist heat applications increase skeletal muscle and ligament relaxation and flexibility, promote healing, and relieve spasms, joint stiffness, and pain.
The nurse’s primary responsibility is to assess and evaluate the skin and tissues to be treated and explain the purpose of the treatment.
Common forms include warm compresses, commercial moist heat packs, warm baths, soaks, and sitz baths.
Patients should be educated on the proper temperature, signs to watch for such as excessive redness or blistering, and how frequently to monitor the skin.
Common contraindications include pregnancy, laminectomy site, malignancy, vascular insufficiency, neuropathy, and open lesions.
Common forms include a water-flow pad (e.g., aquathermia pad), electric heating pads, and commercial dry heat packs.
Stop the therapy immediately and notify the healthcare provider.
Heat applications help in relieving pain, improving range of motion (ROM), and facilitating healing.
A nurse should know if a patient is at risk for injury from a heat application, how to apply it, and monitor it safely.
Moist heat is most commonly used after the acute phase of a musculoskeletal injury, during and after childbirth, surgery, and superficial thrombophlebitis.
To protect bed linen and prevent creating a moist environment that could lead to infection.
By increasing local blood flow and having an analgesic effect due to higher cutaneous temperature.
Cold applications decrease pain, muscle spasm, metabolism, blood flow, inflammation, and edema.