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BACHELOR OF SCIENCE IN NURSING:FUNDAMENTALSOF NURSING155Hot and Cold Application§CHECKLIST7Read course and laboratory unit objectivesRead study guide prior to class attendanceRead required learning resources; refer to course unitterminologies for jargonsParticipate in weekly discussion board (Canvas)7Answer and submit course unit tasks§UNITEXPECTEDOUTCOMES(UEOs)At the end of this unit, the students are expected to:1.Implement safe and quality nursing care in the performance of hot and cold application.2.Operate appropriate equipment/technology in the performance of hot and cold application.3.Participate in research by analyzing possible problems in the application of hot and coldcompress4.Demonstrate caring as the core of nursing, love of God, love of country, love of people.5.Integrate being an A.C.H.I.E.V.E.R. in the performance of nursing procedures involving hotand cold application.REQUIREDREADINGSANDWEBSITESBerman, A., Snyder, S.J., and Frandsen, G. (2020)Kozier and Erb’s Fundamentals of Nursing:Concepts, process, and Practice,11th Edition, Skin Integrity and Wound Care (pp.883-861).Pearson
Perry, A.G., Potter, P.A., and Ostendorf, W. (2018).Clinical Nursing Skills and Techniques,9thEdition, Application of Moist Heat and Cold (pp.306-308). MosbyCtec Nursing Skills. (2017, March).Hot or cold application[Video File]. Retrieved fromGeorge Elliot Hospital. (2016, December).Applying an icepack—physiotherapy advice[Video File].Retrieved fromB0RESOURCESNEEDEDComputer device or smartphone with internet access (at least 54 kbps; average data subscriptionwill suffice)ACTIVITYTo facilitate the practice of students’ skills demonstration, the concepts found below must be readand fully understood. Videos of the procedure found in the references section must be viewed.Brief OverviewIn anatomy and physiology, it is taught that temperature receptors in the body adapt totemperature changes. Nurses and clients need to understand this because a hot application cancause burn injuries while cold application can result to pain and severe circulation impairment.Physiologic Effects of Heat and ColdHOT1.Vasodilation2.Sedative effect3.Increase capillary permeability4.Increase cellular metabolism5.Increase inflammationVS.COLD1. Vasocontriction2.Local anesthetic effect3.Decrease capillary permeability4.Decrease cellular metabolism5.Increase inflammation (slowsbacterial growth)Therapeutic ApplicationLocal application of heat and cold in the body can be beneficial. They can either be in moist or dryforms. But before using these therapies, the nurse must understand the HOW and WHEN of theirusage. Table 1 summarizes this.A.Heat ApplicationDry heat:-Hot water bottle/bag = mostly used, especially at home; accessible and economical
-Aquathermia pad (K-pad) = pad is attached by a tubing to an electrically poweredcontrol unit (waterproof); has a temperature gauge-