Burns Flashcards
Explain the rule of 9s
One side of each arm is 4.5... if front and back of BUE 18 Front LE= 9 Front Torso = 18 Head/Neck= 9 Groin- 1
Deep partial thickness (deep 2nd degree burn)
Effects: epidermis, deep epi, hair follicles and sweat glands
high risk to turn into full thickness d/t infection
May have impaired sensation
Full thickness (3rd degree burn)
Includes damage to nerve endings
Pain free, no sensation to light touch
Subdermal (4th degree)
Damage to fat, muscles, and bone
Peripheral nerve damage
What are the main areas of concern for the initial evaluation during the emergent phase?
Observation of joints affecte by burns
Info regarding prior level of functioning
What are some intervention strategies during the emergent phase?
Splinting in antideformity position
What are the anti-deformity positions?
Intrinsic +: hands Opposite client's posture Extension: neck, elbow, knees Shoulder in abduction Hip in extension Anti-frog let and anti-foot drop
What is the focus of the acute phase of a burn?
Infection control and Skin grafting
What is the OT intervention during the acute phase?
Splinting and positioning
Edema management
Early ADL participation
Education on healing process
What should you do if the burns are located on the LE when standing a patient up?
Apply vascular support to the LE
How long is the immobilization period post-op and what should you do after that period is over?
3-10 days
Gentle AROM
What is the focus of intervention during the rehabilitation phase of a burn?
SKin conditioning: lubricate before activity and massage for desensitization
Scar management: Compression therapy also helps with edema control
How do you manage a contracture?
- continuous exercise
- Anti-contracture positioning
- Serial splinting
When is a hypertrophic scar most active?
4-6 months
How do you manage heterotropic ossification?
AROM within pain free range
