Burn Rehab

Question 1

Describe the Rule of Nines

Answer 1

head and neck- 9%
each UE- 9%
each LE- 18%
front trunk- 18%
back trunk-18%
perineum- 1%

Question 2

What is the lund browder chart

Answer 2

More accurate description of TBSA

Question 3

erythema

Answer 3

redness

Question 4

Describe a superficial burn

Answer 4

• superficial epidermis
• short-term, mod pain with no blistering, dry, and min erythema
• 3-7 day healing
  -no scar potential

Question 5

Describe superficial partial-thickness burn

Answer 5

• epidermis and upper dermis layers
  -significant pain, weet blistering, erythema
• 1-3 week healing,
• min scar potential

Question 6

Describe deep (partial thickness) burn

Answer 6

• epidermis and deep dermis layers, hair follicles, sweat glands
• severe pain
  -erythema with or without blistering
  -high risk of turning into full thickenss burn
  -3-5 week healing
  -high scar potential

Question 7

Describe a full-thickness brun

Answer 7

-epidermis, dermis, hair follicles, sweat glands, nerve endings
-no sensation to light touch except at deep partial thickenss borders
-pale and non blanching
-requires skin graft
extremely high scar and contracture potential

Question 8

Describe a subdermal burn

Answer 8

• Full thickness with damage to fat, muscles, and bone
  -Charring present
  -significant peripheral nerve damage
  -surgical intervention or amputation
  -scarring and contracture potential extremely high

Question 9

What are the mechanisms in which burns can occur

Answer 9

-thermal
-chemical
-electrical
-radiation

Question 10

How long is the emergent phase?

Answer 10

0-72 hrs after injury

Question 11

What are the focuses of the emergent phase?

Answer 11

-sustaining life
-controlling infection
-managing pain

Question 12

What are the concerns during sustaining life in emergent phase

Answer 12

• risk of dehydration
• hypo/hyperthermia
• fluid resucitation
• cardiopulmonary stability
• escharotomy and fasciotomy

Question 13

What types of wound dressing are used to control infection

Answer 13

-Topical antibiotics
-Xenografts
-Allografts
-Nonbiological skin substitutes

Question 14

How long is the Acute Phase

Answer 14

72 hours and until wound is closed
- can last days or months

Question 15

What are the main focuses of the acute phase

Answer 15

• Infection control
• pain management
• proper nutrition and hydration
  -Cardiopulmonary stability

Question 16

How is infection controlled in the acute phase

Answer 16

nonsurgically though wound care maintenance
OR
Surgically through escharotomy and debridment or skin grafts

Question 17

Describe an autograft

Answer 17

transplant of person’s own skin

Question 18

Describe a split thickness skin graft

Answer 18

full epidermal and partial dermal layers taken

Question 19

What is the gold standard skin graft

Answer 19

split-thickness skin graft

Question 20

describe a full-thickness skin graft

Answer 20

full epidermal and dermal layers and some fat layers

Question 21

mesh vs sheet graft

Answer 21

mesh- graft is meshed and stretched to cover greater area
sheet- graft is removed and laid down as is

Question 22

when would skin substitutes be used rather than skin grafts

Answer 22

when there is not enough donor skin to cover all of the affected area with an autograft

Question 23

When is the rehabilitation phase of burn rehab

Answer 23

6 months - 2 years

Question 24

what are the focuses during the rehab phase

Answer 24

• psychosocial monitoring and management
  -scar maintenance

Question 25

Describe the physical components of the OT eval

Answer 25

-burn etiology, pmh, 2 dx
-assess wounds
-ROM and strength
-sensation
-functional use
-pain, edema, tight eschar

Question 26

Describe the areas of occupation components during OT eval

Answer 26

-hand dominance
-previous injuries or conditions
-ADL and leisure participation
-psychological status, cognition, social support