Management of Burns Flashcards
what is the goal of graft surgery?
ability to stretch
what must be done before debridement?
soften skin
what is first degree burn?
superficial
heals spontaneously in 5-21 days
what does 1st degree burn look like?
blistering, shiny
what is 2nd degree burn
deep
heals in 21-31 days
can convert to full thickness
what is 3rd degree burn?
full thickness
skin graft needed
debridement
not fxnl anymore
what is 4th degree burn?
full thickness
burned down to bone
what areas of the body constitute major burns?
hands, face, perineum
when does OT tx burn?
after emergent phase
what are the goals of burn care?
control edema prevent mobility loss self care keep pt aware education
what OT goals are affected by grafting procedure?
splint + positioning
adaptive devices
exercise
what type of splint would be used on burn pt?
resting hand without straps
only gauze
what splint do burned toddlers use?
banjo splint (more relaxed)
what prevents mouth contracture after burn?
facial exercises
brace
methods for scar control
positioning, stretch, pressure
how does pressure help scar?
collagen is overlapping with scar
pressure lays down links and gives elasticity
how long to use pressure garments for scar?
up to 24 months
what UE position to avoid?
flexion
adduction
internal rotation
what LE position to avoid?
adduction
plantar flexion
what hand position to avoid?
claw
MCP hyperextension
IP flexion
why does claw position occur?
dorsal burn pulls skin up (not fxnl)
how to splint thumb web contracture?
splint with contact pressure (cobain) under
no dynamic
what do burn pt exercises help to avoid?
pulmonary problems
edema
OT tx of burns?
early ADL’s
emphasis on early movement if permitted
what are the characteristics of scar without tx?
red, raised, restricted mobility
what are characteristics of optimal scar?
faded, flat, supple, mobile
how to give pressure to burn?
gauze with antibiotics
elastomer mold
coban
what is biggest issue with face burns?
garments arent enough for contours of mouth and neck
