Management of Burns

Question 1

what is the goal of graft surgery?

Answer 1

ability to stretch

Question 2

what must be done before debridement?

Answer 2

soften skin

Question 3

what is first degree burn?

Answer 3

superficial

heals spontaneously in 5-21 days

Question 4

what does 1st degree burn look like?

Answer 4

blistering, shiny

Question 5

what is 2nd degree burn

Answer 5

deep
heals in 21-31 days
can convert to full thickness

Question 6

what is 3rd degree burn?

Answer 6

full thickness
skin graft needed
debridement
not fxnl anymore

Question 7

what is 4th degree burn?

Answer 7

full thickness

burned down to bone

Question 8

what areas of the body constitute major burns?

Answer 8

hands, face, perineum

Question 9

when does OT tx burn?

Answer 9

after emergent phase

Question 10

what are the goals of burn care?

Answer 10

control edema
prevent mobility loss
self care
keep pt aware
education

Question 11

what OT goals are affected by grafting procedure?

Answer 11

splint + positioning
adaptive devices
exercise

Question 12

what type of splint would be used on burn pt?

Answer 12

resting hand without straps

only gauze

Question 13

what splint do burned toddlers use?

Answer 13

banjo splint (more relaxed)

Question 14

what prevents mouth contracture after burn?

Answer 14

facial exercises

brace

Question 15

methods for scar control

Answer 15

positioning, stretch, pressure

Question 16

how does pressure help scar?

Answer 16

collagen is overlapping with scar

pressure lays down links and gives elasticity

Question 17

how long to use pressure garments for scar?

Answer 17

up to 24 months

Question 18

what UE position to avoid?

Answer 18

flexion
adduction
internal rotation

Question 19

what LE position to avoid?

Answer 19

adduction

plantar flexion

Question 20

what hand position to avoid?

Answer 20

claw
MCP hyperextension
IP flexion

Question 21

why does claw position occur?

Answer 21

dorsal burn pulls skin up (not fxnl)

Question 22

how to splint thumb web contracture?

Answer 22

splint with contact pressure (cobain) under

no dynamic

Question 23

what do burn pt exercises help to avoid?

Answer 23

pulmonary problems

edema

Question 24

OT tx of burns?

Answer 24

early ADL’s

emphasis on early movement if permitted

Question 25

what are the characteristics of scar without tx?

Answer 25

red, raised, restricted mobility

Question 26

what are characteristics of optimal scar?

Answer 26

faded, flat, supple, mobile

Question 27

how to give pressure to burn?

Answer 27

gauze with antibiotics
elastomer mold
coban

Question 28

what is biggest issue with face burns?

Answer 28

garments arent enough for contours of mouth and neck