HOT APPLICATION PROCEDURE BSC NURSING

Fundamental of Nursing Bsc nursing

1. HOT APPLICATION By : A. Augustyan Romeyo , B.Sc Nursing 2 nd year, The Kaavery Nursing College, Mecheri

2. DEFINITION: LOCAL APPLICATION OF DRY HEAT TO A SPECIFIC BODY PART FOR A SHORT DURATION USING A RUBBER BAG.

3. PURPOSES : TO PROVIDE WORMTH AND COMFORT. TO PROMOTE HEALING. TO REDUCE TISSUE SWELLING AND JOINT STIFFNESS. TO RAISE BODY TEMPERATURE IN CASE OF HYPOTHERMIA. TO RELIVE RETENTION OF URINE TO RELIVE PAIN AND CONGESTION BY STIMULATING BLOOD FLOW. TO STIMULATE CIRCULATION BY DILATING BLOOD VESSELS.

4. INDICATION: Strains Edemas and inflammations. Musle spasams and low back ache. Arthritis and stiff joints. Urine retention.

5. CONTRAINDICATIONS : ACUTE INFLAMMATION. PATIENT WHO ARE UNCONSCIOUS,VERY OLD AND NEONATES. OPEN WOUND,ACTIVE HEMORRHAGE. MALIGNANCY BLISTERS/BURNS PATIENTS WITH HIGH TEMPERATURE.

6. ARTICLES: A TRAY CONTAINING: JUG: TAP WATER FOR MIXING HOT WATER: FOR HEATING THE BAG DUSTER: TO DRY THE BAG FROM OUTSIDE BATH THERMOMETER: TO MEASURE WATER TEMPERATURE.

7. KIDNEY TRAY: TO DISCARD SOILED GARBAGE,IF NECESSARY. HOT WATER BAG WITH COVER: FOR LOCAL APPLICATION . TOWEL : TO WRAP THE BOTTLE. VASELINE OR OIL IN A BOTTLE: TO APPLY IF REDNESS DEVELOPS.

8. STEPS OF PROCEDURE PREPROCEDURAL STEPS: IDENTIFY THE PATIENT. PROVIDE EXPLANATION TO THE PATIENT REGARDING THE PROCEDURE AND CARE TO BE TAKEN. ASSESS SKIN SURFACE AT THE SITE OF APPLICATION. ASSEMBLE ARTICLES.

9. INTRAPROCEDURAL STEPS CHECK THE TEMPERATURE(CHILDREN:105* F,ADULTS:115*F) OF WATER WARM THE BAG WITH LITTLE AMOUNT OF HOT WATER FILL 2/3 rd OF THE BOTTLE PLACE STOPPER BUT DON’T TIGHTEN YET EXPEL THE AIR BY PLACING THE HOT WATER BOTTLE ON A FLAT SURFACE AND PRESSURE GENTLY TIGHTEN STOPPER

10. HOLD THE BOTTLE UPSIDE DOWN TO CHECK FOR LEAKAGE WASH HANDS WIPE OFF ANY MOISTURE ON THE OUTSIDE OF THE BAG WRAP/COVER IT AND TAKE IT TO THE BEDSIDE. APPLY IT TO THE AREA AS PRESCRIBED CHANGE IT AS FREQUENTLY AS REQUIRED AND ASK THE PATIENT REGARDING DISCOMFORT IF ANY ASSESS THE AREA

11. POSTPROCEDURAL STEPS: CHECK THE SITE FOR REDNESS,BLISTERS TAKE ALL THE ARTICLES TO THE UTILITY ROOM EMPTY THE HOT WATER BAG WASH OUTSIDE OF THE BAG WITH SOAP AND WATER AND HANG UPSIDE DOWN TO DRY IT DRY THE HOT WATER BOTTLE IN SHADE ONCE DRIED,FILL IT WITH AIR AND KEEP IN WOODEN CUPBOARD.

12. POINTS TO REMEMBER: CHECK FOR LEAKAGE IN THE BAG BEFORE USE HOT WATER BOTTLE SHOULD BE 2/3 RD FULL AND NOT MORE THAN THAT SMALL QUANTITY OF WATER SHOULD BE USED FOR APPLYING HOT WATER BOTTLE TO FACE AND ABDOMEN ALWAYS COVER THE BOTTLE WHEN THERE IS DIRECT APPLICATION TO SKIN

13. WHILE WARMING THE CRIB OF THE BABY DON’T APPLY HOT WATER BOTTLE TO THE BABY DURING APPLICATION,CHANGE THE POSITION OF THE HOT WATER BOTTLE AFTER EVERY FIVE MINUTES OBSERVE FOR REDNESS/BURNS/SCALDS OF THE SKIN INTERMITTENTLY.

14. DOCUMENTATION RECORD IN THE PATIENT CHART THE TIME SITE DURATION OF APPLICATION EFFECTS OBSERVED

15. Thank You