Page 306 - Saunders Comprehensive Review For NCLEX-RN

a. The application of heat and cold or
alternating application of the two can
soothe pain resulting from muscle
strain; cold reduces swelling.
b. In some conditions, such treatment may
require a PHCP’s prescription.
c. Heat applications may include warm-
water compresses, warm blankets,
thermal pads, and tub and whirlpool
baths.
d. The temperature of the

application must be monitored
carefully to help prevent burns; the
skin of very young and older clients is
extra sensitive to heat.

e. The client should be advised to

remove the source of heat or cold if
changes in sensation or discomfort
occur. If the change in sensation or
discomfort is not relieved after
removal of the application, the PHCP
should be notified.

Ice or heat should be applied with a towel

or other barrier between the pack and the skin but
should not be left in place for more than 15 to 30
minutes.
D. Complementary and alternative therapies
1. Description: Therapies are used in addition to
conventional treatment to provide healing resources
and focus on the mind-body connection (Box 10-5).
2. Nursing considerations
a. Some complementary and alternative
therapies require a PHCP’s
prescription.

b. Herbal remedies are considered

pharmacological therapy by some
PHCPs; because of the risk for
interaction with prescription
medications, it is important that the
nurse ask the client about the use of
such therapies.
c. If cultural or spiritual measures are to

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