BURNS Flashcards
The largest organ of the body
skin
What are some things that skin does besides cover your body?Try to remember all of them - first try to remember 3, then 4, then 5 and then 6.
it’s waterproofit protects from infectionit helps control body tempit prevents fluid lossit provides vast sensory infoit contributes to identity
What are the two basic layers of skin?
dermis and epidermis
What type of cells are in the epidermis?
skin growth cells
what are at the dermal/epidermal junctions?
melanocytes
The ___ is composed of highly structured and organized collagen; wandering cells
dermis
A permanent destruction of tissue caused by release of energy from an external agent
burn
the dead epidermis and necrotic dermis that the remain attached to the wound bed.
eschar
Extent of the burn is classified as a _________ burned
TBSA%
This is described as a superficial, partial, or full-thickness injury
the burn
These types of injuries are caused by exposure to flames, steam, hot liquids, hot metals, electricity, radiation, toxic chemicals, or extreme cold.
thermal injuries
The first problem that OT pracititioners treat
Edema (Swelling)
a surgical transplantation of the person’s own skin frm an unburned area (donor site)
autograft
Getting a famous person to sign your t-shirt
autograph
What is an STSG?
split thickness skin graft
(Superficial epidermis) 1st degree burn - __________ decreases limb pain
elevation
(Superficial epidermis) 1st degree burn - _____ wound to prevent infection
wash
(Superficial epidermis) 1st degree burn - On healed wound, _____ or other moisturizer reduces dry skin and itching.
aloe
(Superficial epidermis) 1st degree burn - ___ rarely consulted
therapist
(Superficial dermis-superficial partial thickness burn) 2nd degree burn - _____ wound care
more
(Superficial dermis - superficial partial thickness burn) 2nd degree burn - Active _______ exercise to preserve joint function and improve wound circulation, esp. venous return
elevated
(Superficial dermis - superficial partial thickness burn) 2nd degree burn - ________ garments
protective
(Superficial dermis - superficial partial thickness burn) 2nd degree burn - What kind of sun protection
sunscreen
(Superficial dermis - superficial partial thickness burn) 2nd degree burn - ___________ pt’s pain and inconvenience
acknowledge
(Superficial dermis - superficial partial thickness burn) 2nd degree burn - _________ tx with adequate analgesia
coordinate
(Deep reticular dermis - deep partial-thickness burn) - still 2nd degree burn - ___________ consulted by burn team
therapists
(Deep reticular dermis - deep partial thickness burn) - still 2nd degree burn - _________ active elevated exercise
increase frequency
(Deep reticular dermis - deep partial thickness burn) - still 2nd degree burn - Elevated __________ or splints or both
positioning
(Deep reticular dermis - deep partial thickness burn) - still 2nd degree burn - __________ support garments
vascular
(Deep reticular dermis - deep partial thickness burn) - still 2nd degree burn - healed areas may need __________ or ________ tapes to manage hypertrophic scars
inserts or silicone tapes
(Deep reticular dermis - deep partial thickness burn) - still 2nd degree burn - _______________ to healed skin
moisturization/lubrication
(Deep reticular dermis - deep partial thickness burn) - still 2nd degree burn - Prolonged _______ to involved jonits twice daily until contractures resolve
stretching
(Deep reticular dermis - deep partial thickness burn) - still 2nd degree burn - Daily ___________ practce
living skills
(Deep reticular dermis - deep partial thickness burn) - still 2nd degree burn - ___________ therapy
psychological
(Deep reticular dermis - deep partial thickness burn) - still 2nd degree burn - Team collaboration to prevent ________ disorder
stress
(Subcutaneous tissue - full-thickness burn) - 3rd degree burn - ______________ positioning or immobilization
postoperative
(Subcutaneous tissue - full-thickness burn) - 3rd degree burn -Initiate exercise __________ pain, very slow weaning from analgesics and meds for stress
despite
(Subcutaneous tissue - full-thickness burn) - 3rd degree burn - ______ to help with itching
vibration
(Subcutaneous tissue - full-thickness burn) - 3rd degree burn - addt’l ed for ____ precautions
skin
(Subcutaneous tissue - full-thickness burn) - 3rd degree burn - wear support/pressure garments and inserts and overlays to manage __________ areas
concave
(Subcutaneous tissue - full-thickness burn) - 3rd degree burn - Participate in _______ support group
peer
(Subcutaneous tissue - full-thickness burn) - _______ return to recreation and work, school, family, and community responsibilites
early
Muscle, tendon, bone - 4th degree burn - Deep _________ massage to prevent tethered skin
tendon
Muscle, tendon, bone - 4th degree burn - ________ equipment
adapted
Muscle, tendon, bone - 4th degree burn - ___________ fitting and training if indicated
prosthetic
Muscle, tendon, bone - 4th degree burn -Additional counseling for ___________.
stress
Muscle, tendon, bone - 4th degree burn - _________ therapy for PTS
water (watsu) - therapy for PTS
Muscle, tendon, bone - 4th degree burn - ______ retraining
memory
Muscle, tendon, bone - 4th degree burn - participate in _____ support group
peer
Muscle, tendon, bone - 4th degree burn - work __________ if unable to return safely to preburn employment
retraining
an unpleasant sensory and emotional response to a stimulus associated with actual or potential tissue damage
pain
a hard, red, collagenous bundle of connective tissue raised above the surface of the burn wound
hypertrophic scar