Published Paper Details:

ABSTRACT The main aim of the study was to assess the effect of cold application on pain perception among clients receiving Low Molecular Weight Heparin Injection in Cardiology Ward at AIMs Kochi. Background: Dry cold application is simple and in-expensive which has been accepted for decades are effective non pharmacological intervention for pain management and progression of ecchymosis. There was a significant association with cold therapy and presence of hematoma .The cold application can reduce the pain intensity and occurrence of hematoma in patients who receives Enoxaparin injection. Methods : Using Quasi experimental post- test only design .Using Purposive sampling techniques 12 samples were selected and randomly assigned to experimental group (n=6) and the control group (n=6) . The cold application was given for 5 minutes prior to the Low Molecular Weight Heparin injection site for the experimental group. The pain perception was assessed using numerical pain rating scale. Results of the study reveals that in the experimental group 50% patients experienced mild pain immediately after withdrawing the needle, 33.3% patients had experienced moderate pain and 16.7% patients had no pain immediately after with- drawing the needle whereas in the control group 66.7% patients had experienced moderate pain immediately after removing the needle and only 33.3% patients had experienced mild pain. Conclusion: This study findings stated that cold application on injection site before LMWH injection reduces the pain.