Today is our topic of discussion Contraindications of Hot Application.
Contraindications of Hot Application
Contraindications of Hot Application
- Heat is not used because heat increases the metabolism.
- Heat is not used for the patients with impaired kidney, heart and lung functions .
- Heat should not be applied to acutely inflammed areas, e.g. acute appendicitis and tooth abscess .
- Heat should not be applied on patient with paralysis weak and debilitated patients Heat should not be applied when there is open wounds and bleeding.
- Heat should not be applied when there is edema associated with venous or lymphatic diseases.
- Heat should not be applied on patients with metabolic disorder, e.g. patients with diabetes, arteriosclerosis .
- Heat should not be applied on patients with high temperature.

Principles
- Heat causes dilation of blood vessels and increases the blood supply to the area.
- Heat stimulates metabolism and the growth of the new cells and tissues.
- The end organs of the sensory nerves in the skin convey the sensation of heat; the sensations are interpreted in the brain.
- Water is a good conductor of heat.
- The flow of heat is from the hotter area to the less hot area.
- Presence of stream increases the temperature of the hot applications.
- The temperature tolerance varies with individuals and according to the site and area covered.
- Friction produces heat.
Complications
- Pain
- Burns
- Maceration (with moist heat)
- Redness of the skin
- Edema
- Hyperthermia
- Pallor (secondary effect).
General Instructions
- Protect damaged skin layers exposed layers of skin are more sensitive to temperature variations than skin layer.
- Check a patient frequently during hot application, the condition of the skin indicates whether tissue injury is occurring.
- Do not allow a patient to adjust temperature settings .
- Never position a patient in such a way that he cannot move away from the temperature source.
- This avoids the risk of injuries from temperature exposure.
- Never ignore the complaints of a patient however small they appear to be.
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