TLDR;
This video provides a comprehensive overview of restorative care, focusing on hot and cold applications, proper documentation, and the application of TED stockings. It explains key terms like vasodilation, vasoconstriction, sitz bath, K-pad, blanching, and modeling, and introduces the TABLOC acronym for documenting hot and cold applications. The video also covers different types of equipment used in heat and cold applications and demonstrates the correct procedure for applying and measuring for TED stockings.
- Key terms and definitions related to hot and cold applications.
- Step-by-step guide on applying a hot soak and TED stockings.
- Importance of proper documentation using the TABLOC acronym.
Key Terms and Definitions [0:00]
The presenter defines several key terms related to hot and cold applications. Vasodilation, the expansion of blood vessels, is associated with heat applications, while vasoconstriction, the closing of blood vessels, is linked to cold applications. A sitz bath is a moist heat application used for healing and comfort, often involving an insert over the commode with warm water. A K-pad, or Aquathermal pad, is a pad with water-filled tubing connected to a temperature control unit, ensuring the water never directly touches the patient. Blanching refers to the skin turning white, indicating a negative effect from heat or cold, while modeling describes uneven or blotched skin appearance, both of which should be reported. A tepid bath is a cooler bath, distinct from hot or warm baths.
Documenting Hot and Cold Applications [0:00]
The presenter introduces the acronym TABLOC to simplify the documentation process for hot and cold applications. "T" stands for time and date of the application, "A" for application type (dry or moist heat/cold), "B" for body part where the application is placed, "L" for length of treatment (typically 15-20 minutes), "O" for observation of the skin before and after the application, and "C" for the patient's comments on how they felt during and after the treatment. Documenting these elements ensures comprehensive record-keeping and helps monitor the patient's response to the therapy.
Equipment Used in Heat and Cold Applications [0:00]
The presenter discusses various types of equipment used in heat and cold applications, ranging from historical methods like mineral baths to modern tools. Older methods included hot water bottles and ice bags, which, while crude, were early forms of heat and cold therapy. Modern options include gel packs, which can be used for both heat and cold, and disposable heat packs that activate upon kneading and provide a consistent temperature of 110 degrees for 30 minutes. Heating pads are also common but require caution to avoid burns, especially from metal components in clothing. K-pads and sitz baths are frequently used in nursing facilities due to their safety and temperature control features.
Demonstration of a Hot Soak [0:01]
A nurse's aid demonstrates a hot soak for a patient's hand, explaining the necessary supplies and precautions. The supplies include a basin with warm water (around 105 degrees), a pitcher of slightly hotter water (around 110 degrees) to maintain the temperature, and a timer. Before starting, any metal jewelry should be removed to prevent burns. The patient's hand is soaked for 20 minutes, with checks every five minutes for signs of redness, blanching, modeling, pain, burning, or numbness. Special care is advised for the very young, very old, fair-skinned individuals, and those with sensory impairments. The process includes documenting the time, application type, body part, length of treatment, skin observations before and after, and the patient's feedback, following the TABLOC acronym.
TED Stockings: Purpose and Function [0:01]
TED (thromboembolic deterrent) stockings, also known as anti-embolism or compression stockings, are used to prevent blood clots in immobile patients. Immobility due to illness, surgery, or being bedridden can slow blood movement in the legs, increasing the risk of clot formation. These stockings compress the leg muscles, promoting blood circulation to the heart, reducing clot risk, and controlling edema. The compression is greatest at the ankle and gradually decreases up the leg. TED stockings should be applied before the patient gets out of bed and worn daily, but removed at night. They are also recommended for long plane trips. These stockings come in various styles, lengths, and pressures, often with an opening in the toe area to monitor circulation.
Measuring and Applying TED Stockings [0:02]
The presenter demonstrates how to measure a patient's legs for the correct fit of TED stockings. Measurements include the calf at its fullest point, the ankle at its narrowest point, and the distance from behind the knee to the back of the heel. Before applying the stocking, the legs should be inspected for redness, skin breakdown, and edema. To apply, place a hand inside the stocking, pinch at the heel, and turn the stocking inside out to the heel. Then, place the stocking over the foot and heel, and smoothly pull it up the leg, ensuring there are no bunches or wrinkles. To remove, simply peel the stocking off up to the toe.
