from Hydrothermic Remedies...
"An ice pack is used where a large, continuous, and very cold application is desired." Physical Therapy in Nursing Care, p. 88.
:The application of cold will prevent much swelling and will lessen black-and-blue discoloration, which is due to rupturing of the blood vessels." Hydrotherapy in the Home, p. 34.
- Local Sedative and Vasoconstriction
A local application of cold over a covered body segment.
- Contraction of blood vessels slows down the oozing of blood into injured tissues; prevents oedema.
- Slows local metabolism and inflammation
- Relieves pain
- Deep penetration of cold since thermal convection by circulating blood is much deeper.
- To prevent Bruises and swelling when tissue has been injured in Sprains and Contusions
- Acute Bursitis
- Acute Joint Inflammation of Rheumatic Fever, Rheumatoid Arthritis and acute Infectious Arthritis
- Back Pain and Neck Pain
- Cuts or wounds
- Chronic conditions (only use in acute phases)
- Patients who cannot tolerate cold
- Poor local circulation such as peripheral vascular disease or severe diabetes
- White heavy wool flannel (preferably stitched around the edge); a piece at least 30x30cm for the shoulder or knee and 22x20cm for ankle and elbow.
- 1 or 2 Turkish Towels
- Safety pins
- Plastic - 1 or 2 pieces
- Finely crushed ice and snow
- Observe reaction of the skin to avoid tissue injury.
- Apply pack for specified time, no more than 30 minutes at intervals of 2-4 hours as prescribed.
- Make sure the rest of the body stays comfortably warm.
- Do not let wetness penetrate to the skin.
Preparation for Treatment
- Explain purpose of cold application for condition treated
- Spread Turkish towel out on a flat surface; over the towel spread finely crushed ice to make a layer 2-3cm thick; fold towel and pin together securely. Make pack large enough to cover area to be treated.
- Place flannel over part to be treated
- Apply pack over flannel-covered area, then cover with plastic and a Turkish towel or bandage to hold in place.
- Use another piece of plastic or a piece of rubber sheeting to protect the bedding.
- Continue application 30 minutes.
Completion of Treatment
- Remove pack, dry the area carefully and observe reaction.
- Cover or bandage area to avoid chilling the patient.
- Chart treatment, duration and reaction.
- Alternate to the Chest
- Cephalic Compress
- Chest Pack
- Cold Spinal Compress
- Cotton Poultice
- Dry Blanket Pack
- Foot Pack
- Half Chest Pack
- Head Alternate Applications
- Hip Pack
- Hot Chest Pack
- Hot Hip and Leg Pack
- Ice Pack
- Joint Compress
- Leg Pack
- Neck Compress
- Pelvic Pack
- Perineal Compress
- Precordial Compress
- Roller Chest Pack
- Simultaneous Hot and Cold
- Simultaneous to Head
- Spinal Pack
- Square Chest Pack
- Throat Compress
- Towel Chest Pack
- Triangular Chest Pack
- Wet Sheet Pack