Burns

Question 1

What is a first-degree burn?

Answer 1

superficial
affect only outer layer of skin (epidermis)
long-term tissue damage rare

Question 2

What is a second-degree burn?

Answer 2

partial thickness
epidermis and lower layer of skin (dermis)

Question 3

What is a third-degree burn?

Answer 3

full thickness
destroy epidermis and dermis and may go to subcutaneous tissue

Question 4

How long does a skin graft typically take to heal? What can happen after it heals?

Answer 4

7-10 days post-op
then ROM can be assessed

Question 5

What are some burn scar management techniques?

Answer 5

Gel pad inserts
Massage- with moisturizer

Question 6

List the phases of wound healing for burns.

Answer 6

inflammatory phase (3-10 days post onset)
proliferative phase (3rd day until healed)
maturation phase (3rd week post onset to 2+ years after onset or surgery)

Question 7

List the medical management phases for burns.

Answer 7

emergent phase
resuscitative phase
acute phase
rehabilitative phase

Question 8

What burn phases involve OT intervention?

Answer 8

acute and rehabilitative

Question 9

When does the acute phase of burn healing start?

Answer 9

72 hours onward

Question 10

What are OT goals during acute burn phase?

Answer 10

reduce edema
prevent loss of mobility

Question 11

What are OT goals during rehabilitative burn phase?

Answer 11

scar management
prevent contractures/deformity
improve mobility
increase activity tolerance