Application of ice Flashcards
What is the rationale behind the application of ice?
Decrease swelling, acute inflammation & pain
Inhibits spasticity and spasm
Produces reactive hyperemia
Stimulates muscle contraction
What are the types of physiological effects of cooling with ice?
Circulatory
Neurophysiological
Mechanical
Neurological
What are the circulatory effects of cooling with ice?
vasoconstriction
Reduces metabolic rate - less phagocytic activity, reduce swelling
damage prevention
What are the neurophysiological effects of cooling with ice?
Increase nerve conduction speed
pain relief
What are the mechanical effects of cooling with ice?
Decrease spasticity, swelling
What are the neurological effects of cooling with ice?
reduces fear
stimulates relaxation,
reassurance
locus of control
placebo
What structures are effected by cooling with ice?
Muscles, joints
Areas where pain, spasm / spasticity, acute swelling burns are present
Areas where muscle stimulation is required
Areas where reactive hyperemia should be induced
How would you apply ice?
1) Introduce
2) Explain procedure & benefits for informed consent
3) Check area visually and ask about contraindications
4) Hot & cold sensation test
5) Apply baby oil & ensure patient comfort
6) Put ice in a damp towel & fold up the ends
7) Pack around joint, leave for 12 mins, check skin redness every few minutes
8) Remove after 12 and check for damage
9) Dry area
10) Advise on how to do safely @ home - don’t put limb on ice pack
What are the contraindications?
Arteriosclerosis
Peripheral vascular disease
Active DVT
Vasospasm – Raynaud’s disease
Cryoglobinaemia
Cold urticarial
Chronic wound
Impaired cognition or communication
Have you got any circulatory conditions?
Do you have any conditions that are affected by cold temperatures?
What are the precautions?
Cardiac disease
Hypertension
Defective skin sensation
Skin hypersensitivity
Adverse psychological factors
Damaged or at risk skin
