Final answer:
The client's statement about using heat to reduce swelling after total knee replacement indicates a misunderstanding since ice, not heat, should be used for swelling in the initial stages post-surgery. Heat may be part of later therapy to prepare for exercise but not for initial swelling reduction.
Step-by-step explanation:
The statement "I will apply heat to reduce swelling" indicates a need for further explanation in the discharge teaching for a client who had a total knee replacement. Generally, in the initial stages following surgery, the application of ice is recommended rather than heat to manage swelling and inflammation. The cold helps to constrict blood vessels, reducing blood flow to the area, thereby helping to decrease swelling and inflammation.
Physical therapy may utilize heat as a method to warm up the tissues and improve blood flow for healing, but this usually occurs after the acute inflammatory stage has passed. Early on, the emphasis is on reducing inflammation through icing. Over time, and as part of an appropriate physical therapy plan, the use of heat may be incorporated to aid in increasing flexibility and preparing muscles and joints for exercise. Upon completion of physical therapy, there is often an exit exam to assess the range of motion and function, which signifies improved health outcomes.