Difference between revisions of "AY Honors/Home Nursing/Answer Key"

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{{honor header|2|1938|Health & Science<br>General Conference<br>2001 Edition}}
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A '''heating pad''' is a pad used for warming of parts of the body in order to manage [[Pain and nociception|pain]]. Localized application of heat causes the blood vessels in that area to [[vasodilator|dilate]], enhancing [[perfusion]] to the targeted tissue. Such pads are now usually [[electric|electrical]] or [[chemical]], though in the past "[[hot water bottle]]s" were used and sometimes still are.
  
==1. Have the First Aid Honor.==
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Electric pads usually operate from household current and must have protections against overheating. Chemical pads employ a chemical heat reservoir (see below) or a one-time chemical reaction such as [[catalyst|catalyzed]] [[rusting]] of [[iron]].
{{ay prerequisite|Health and Science|First Aid, Standard}}
 
==2. What foods are included in the following diets:==
 
===a. Liquid ===
 
*Creamed or clear soup
 
*Any drink following the criteria below.
 
*Pudding
 
*Jello
 
  
For a food to be classified as liquid, it would have to be able to be strained when heatedFor example, tapioca pudding would not qualify, but a milkshake without pieces of fruit or other foods would qualify.
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==Types==
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[[image:Hand warmer.jpg|right|thumb|A sodium acetate heat pad]]
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A '''sodium acetate heat pad''' contains a [[supersaturated]] solution of [[sodium acetate]] (CH<sub>3</sub>COONa) that heats when you start the [[crystallization]] process by clicking the piece of metal that is in the liquid.
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Because the liquid is [[supersaturated]], i.e. the temperature of the solution is raised so that more Sodium Acetate is in solution than could be normally dissolved at room temperature.  Clicking makes it crystallize suddenly thereby releasing the energy of the crystal latticeSee [[sodium acetate]] for a more technical discussion.
  
===b. Soft ===
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The heat is released on solidification, which is triggered by flexing a (patented[http://www.sfu.ca/physics/ugrad/courses/teaching_resources/demoindex/thermal/th4c/patentheatpack.html]) small flat disc of notched [[ferrous]] metal which releases very tiny adhered crystals of sodium acetate [http://www3.interscience.wiley.com/cgi-bin/abstract/108065684/ABSTRACT] into the solution which then act as nucleation sites for the recrystallization of the remainder of the salt solution.
===c. Light===
 
This diet is culturally diverse, and includes the following:
 
*Food that is easy to digest.
 
*Not spicy
 
  
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To reuse the pad, it is placed in boiling water for 10-15 minutes which redissolves the sodium acetate in the contained water, once again creating a supersaturated solution.  Once the pad has returned to room temperature it can be triggered again.  If one attempts to trigger the pad before it is cool, the pad will not be as hot as compared to if one waited until it was cool.
  
===d. Full===
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A '''microwavable heating pad''' is a heating pad that is warmed by placing it in a [[microwave oven]] before use.  Microwavable heating pads are typically made out of a thick insulative fabric such as flannel and filled with grains such as [[buckwheat]] or [[flax seed]].  Due to their relative simplicity to make, they are frequently sewn by hand, often with a custom shape to fit the intended area of use. These types of pads have been known to ignite during or after the microwave process and cause fires.
A ''full diet'' is also sometimes referred to as a ''general diet''. It includes all food items, including drinks.
 
  
==3. Know the symptoms of a fever. Know how to take person's temperature. Know how to bring a high temperature down.==
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Often, [[aroma compound|aromatic compound]]s will also be added to the filler mixture to create a pleasant or soothing smell when heated. The source of these can vary significantly, ranging from adding [[essential oil]]s to ground up [[spices]] such as [[clove]]s and [[nutmeg]], or even dried [[rose]] petals.
==4. Know what is a normal pulse rate, respiration rate, and temperature. Practice taking the pulse rate, respiration rate, and temperature of a friend or classmate.==
 
==5. What is a communicable disease? How is it transmitted? What precautions should be followed to guard against communicable diseases? List safety measures to be observed when caring for a person with a communicable disease in the home.==
 
==6. What symptoms tell you that a person is physically ill?==
 
==7. Know how to help take care of a newborn and an aged person in your home.==
 
==8. Know when and how to wash your hands when caring for a sick person.==
 
==9. Know how to make a bedridden patient comfortable in bed.==
 
  
Use a draw sheet or a piece of cloth under the patient if available, so they can be turned and pulled up in bed with more ease, preventing friction on their skin.
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A '''moist heating pad''' is a heating pad that is used to dry the users skin. These pads register temperatures from 170 to 180 degrees Fahrenheit (76 to 82 °C) and are intended for deep tissue treatment and should never be left turned on unattended. Mainly used by physical therapists but can be found for home use.
  
Make sure the person is aligned properly, especially when on their back. 
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== Function ==
  
Turn the patient every 2 hours during the day and at least 1 to 2 times during the night if possible.   
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Many episodes of pain come from [[muscle]] exertion or strain, which creates tension in the muscles and [[soft tissue]]s.  This tension can constrict [[circulatory system|circulation]], sending pain signals to the [[brain]]Heat application eases pain by:
  
Prop the patient up prior to eating and a half hour afterwards if possibleOtherwise turn the patient on their left side to eat if able.
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* dilating the [[blood vessel]]s surrounding the painful areaIncreased [[blood]] flow provides additional [[oxygen]] and nutrients to help heal the damaged muscle tissue.
  
Using a pillow between the knees while the patient is on his side can help prevent skin break down or creating a twist in the spine.
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* stimulating sensation in the [[skin]] and therefore decreasing the pain signals being transmitted to the brain
  
Have the patient by a window if possible or not contraindicated.  
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* increasing the flexibility (and decreasing painful stiffness) of soft tissues surrounding the injured area, including muscles and [[connective tissue]].
  
Have the things a patient can use within reach if applicable.
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As many heating pads are portable, heat may be applied as needed at home, at work, or while traveling.  Some physicians recommend alternating heat and [[ice]] for [[pain management|pain relief]].  ''As with any pain treatment, a physician should be consulted prior to beginning treatment.''
  
Provide an atmosphere conducive to the patient's and families needs if possible.  Example, some people do better being in the middle of the daily activities or they may need a  quiet place.
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==See also==
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*[[Hand warmer]]
  
Provide adequate nutrition and fluids if applicable.
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== References ==
  
Keep the patient clean.
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* [http://www.spine-health.com/topics/conserv/heat_therapy/heat_therapy01.html Benefits of heat therapy for lower back pain]
  
Be respective of the patient's dignity.
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[[Category:Medical treatments]]
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[[Category:Medical equipment]]
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[[Category:Heat]]
  
==10. Show how to feed a helpless patient in bed.==
 
==11. Show how to give liquid medicine and tablets, pills, or capsules to children and adults. Know how to properly apply eye drops.==
 
===Administering Medicines===
 
  
===Applyng Eye Drops===
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[[de:Wärmekissen]]
 
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[[nl:Natriumacetaat-verwarmertje]]
:Instruct your patient of the procedure as appropriate.
 
:The head of your patient should be tipped back. Gently pull down on the skin below the eye and apply the drop in the pocket formed below the eyeball without touching the dropper on the patient.  Then gently apply pressure at the tear duct area with your finger when the patient closes their eye.  Instruct the patient not the squeeze their eye shut tight.
 
 
 
[[Image:Eye_iris.jpg|240px]]
 
<br style="clear:both">
 
 
 
==12. Demonstrate the method of giving fomentations and foot baths. Explain the value of their use and tell the conditions under which such treatments should be given.==
 
==13. Demonstrate the application of a heating compress and the use of heat and cold for the treatment of inflammation and bruises.==
 
==14. Explain how the following natural remedies help in preventing disease: Note how the first letter of each item spells NEW START.==
 
;a. Nutrition:
 
;b. Exercise:
 
;c. Water:
 
;d. Sunshine:
 
;e. Temperance:
 
;f. Air:
 
;g. Rest:
 
;h. Trust in God:
 
==References==
 
 
 
[[Category:Adventist Youth Honors Answer Book|{{SUBPAGENAME}}]]
 

Revision as of 01:31, 14 January 2007

A heating pad is a pad used for warming of parts of the body in order to manage pain. Localized application of heat causes the blood vessels in that area to dilate, enhancing perfusion to the targeted tissue. Such pads are now usually electrical or chemical, though in the past "hot water bottles" were used and sometimes still are.

Electric pads usually operate from household current and must have protections against overheating. Chemical pads employ a chemical heat reservoir (see below) or a one-time chemical reaction such as catalyzed rusting of iron.

Types

A sodium acetate heat pad

A sodium acetate heat pad contains a supersaturated solution of sodium acetate (CH3COONa) that heats when you start the crystallization process by clicking the piece of metal that is in the liquid. Because the liquid is supersaturated, i.e. the temperature of the solution is raised so that more Sodium Acetate is in solution than could be normally dissolved at room temperature. Clicking makes it crystallize suddenly thereby releasing the energy of the crystal lattice. See sodium acetate for a more technical discussion.

The heat is released on solidification, which is triggered by flexing a (patented[1]) small flat disc of notched ferrous metal which releases very tiny adhered crystals of sodium acetate [2] into the solution which then act as nucleation sites for the recrystallization of the remainder of the salt solution.

To reuse the pad, it is placed in boiling water for 10-15 minutes which redissolves the sodium acetate in the contained water, once again creating a supersaturated solution. Once the pad has returned to room temperature it can be triggered again. If one attempts to trigger the pad before it is cool, the pad will not be as hot as compared to if one waited until it was cool.

A microwavable heating pad is a heating pad that is warmed by placing it in a microwave oven before use. Microwavable heating pads are typically made out of a thick insulative fabric such as flannel and filled with grains such as buckwheat or flax seed. Due to their relative simplicity to make, they are frequently sewn by hand, often with a custom shape to fit the intended area of use. These types of pads have been known to ignite during or after the microwave process and cause fires.

Often, aromatic compounds will also be added to the filler mixture to create a pleasant or soothing smell when heated. The source of these can vary significantly, ranging from adding essential oils to ground up spices such as cloves and nutmeg, or even dried rose petals.

A moist heating pad is a heating pad that is used to dry the users skin. These pads register temperatures from 170 to 180 degrees Fahrenheit (76 to 82 °C) and are intended for deep tissue treatment and should never be left turned on unattended. Mainly used by physical therapists but can be found for home use.

Function

Many episodes of pain come from muscle exertion or strain, which creates tension in the muscles and soft tissues. This tension can constrict circulation, sending pain signals to the brain. Heat application eases pain by:

  • dilating the blood vessels surrounding the painful area. Increased blood flow provides additional oxygen and nutrients to help heal the damaged muscle tissue.
  • stimulating sensation in the skin and therefore decreasing the pain signals being transmitted to the brain
  • increasing the flexibility (and decreasing painful stiffness) of soft tissues surrounding the injured area, including muscles and connective tissue.

As many heating pads are portable, heat may be applied as needed at home, at work, or while traveling. Some physicians recommend alternating heat and ice for pain relief. As with any pain treatment, a physician should be consulted prior to beginning treatment.

See also

References


de:Wärmekissen nl:Natriumacetaat-verwarmertje