Burns

Question 1

Give 3 characteristics of a first degree burn

Answer 1

no blister, painful/red, heals in 3-4 days

Question 2

Describe a superficial partial thickness burn

Answer 2

goes through first half of dermis
pink
heals in 1wk-3 wks
minimal scarring

Question 3

Describe a deep partial thickness burn

Answer 3

second half of dermis
heals 3-5wks
scar management

Question 4

Describe a third degree burn

Answer 4

all layers of skin
white, brown,black
surgery

Question 5

Describe 4th degree burn

Answer 5

fat/tissue/muscle
amputation
charred look

Question 6

what is the wallace rule of 9?

Answer 6

head/neck= 9
each arm=9
each LE=18
front of stomach=18
back of stomach=18
groin=1

Question 7

if a patient has a red, painful, warm, injury with edema. what phase of healing is this?

Answer 7

inflammatory

Question 8

the injury is red, scars develop, contracture may take place what phase of healing is this?

Answer 8

proliferation

Question 9

During this phase of healing, redness fades, scars soften and flatten

Answer 9

maturation

Question 10

For a pt with a superficial partial thickness burn what are some OT interventions?

Answer 10

Edema control, coban wrap, whirlpool/wound care, splinting, sensation testing

Question 11

For a pt with a full thickness burn what are some OT interventions in acute care

Answer 11

positioning, lengthen scar tissue, splinting, PROM/AROM (within 24hrs), edema control, feeding

Question 12

For a pt with a full thickness burn what are some OT interventions in IPR

Answer 12

home eval, scar management, dressing/bathing
therapeutic exercise
HEP

Question 13

If we are seeing a patient with a head/neck burn what should we consider?

Answer 13

conservative management and positioning

Question 14

if a patient has a hypertrophic scar how may that look and how should we approach?

Answer 14

thick, rigid, red
positioning, splinting, pressure wrap, massage

Question 15

How may a keloid scar present? how should we tx?

Answer 15

thick raised scar
pressure wrap, cryotherapy, surgery

Question 16

What is heterotopic ossification?

Answer 16

bone forms outside of affected area

Question 17

how do we approach a client if they have heterotopic ossification?

Answer 17

AROM within tolerance, HEP, positioning in extension, splinting

Question 18

If a client has a flexion contracture how should we splint?

Answer 18

on the volar surface with wrist in 30d flexion

Question 19

If a client has a extension contracture how should we splint?

Answer 19

dorsal side and 30d extension

Question 20

If a persons dorsal surface of their hand is burned how should we splint?

Answer 20

MCP 70-90d IP in extension and thumb in abduction/extension
(intrinsic plus)

Question 21

If a patients volar side of the hand is burned how should we splint?

Answer 21

MCP full extension, IP extension, and thumb horizontal abduction