Burns: Rehabilitation Phase

Question 1

Rehabilitation Phase

Answer 1

begins when burn wounds are healed
client is able to resume a level of self-care activity
- can occur as early as 2 weeks or as long as 7-8 months after the burn injury

Question 2

Goals of the Rehabilitation Phase (2)

Answer 2

1. assist the client in resuming a functional role in society
2. rehabilitate from functional and cosmetic reconstructive surgery

Question 3

Pathophysiology Changes

Answer 3

• Burn wound heals either by primary intention or by grafting
• Layers of epithelialization begin to rebuild the tissue structure
• Collagen fibres add strength to weakened areas
• in approximately 4-6 weeks, the area becomes raised and hyperemic (apply compression to flatten it out)
• mature healing is reached in about 12 months
• skin never completely regains its original colour

Question 4

Newly Healed area

Answer 4

Discoloration of scar fades with time
Pressure can help keep scar flat
Newly healed areas can be hypersensitive or hyposensitive to cold, heat, and touch
Healed areas must be protected from direct sunlight for 3-6 months

Question 5

Complications: Skin and Joint Contractures

Answer 5

• most common complications during rehab phase
• positioning, splinting and exercise should be used to minimize contractures
• a result of shortening of scar tissue in the flexor tissues of a joint

Question 6

Nursing and Collaborative Management

Answer 6

• Both client and family actively learn how to care for healing wounds
• an emollient water-based cream should be used
• cosmetic surgery is often needed following major burns
• role of exercise cannot be overemphasized
• constant encouragement and reassurance
• address spiritual and cultural needs

Question 7

Age-Related Considerations

Answer 7

Normal aging puts the client at risk for injury because of:
- unsteady gait
- diminished eyesight
- diminished hearing
- the fact that wounds take longer to heal