Partial Thickness Burn CAT

Question 1

What are the types of partial thickness burns?

Answer 1

• Superficial partial-thickness
• Deep partial thickness

Question 2

Superficial partial-thickness burn

Answer 2

Involves the epidermis and upper portion of the dermis

Question 3

Deep partial thickness burn

Answer 3

Complete destruction of the epidermis, the majority of the dermis, and the structures w/in the dermis

Question 4

Pain w/ superficial partial-thickness burn vs deep partial-thickness burn

Answer 4

More pain w/ deep due to more destruction of nerves

Question 5

Extent of damage for deep partial-thickness burns

Answer 5

Irreversible epithelial damage, which may result in hypertrophic or keloid scarring

Question 6

Who is most at risk for burns?

Answer 6

• Kids b/t 1-5 years
• Adults over 70
• Males > females

Question 7

Clinical presentation for superficial partial-thickness burn

Answer 7

• Red skin that blanches w/ pressure
• Returns to red (capillary refill is intact
• Blisters and superficial moisture present
• Hair follicles intact

Question 8

Clinical presentation for deep partial-thickness burn

Answer 8

• Red skin w/ no blanching (absence of capillary refill)
• Edema accumulates b/t epidermal and dermall layers
• Cellular necrosis
• Healing occurs w/ scar tissue formation or grafting

Question 9

Healing timeframe for superficial partial-thickness burns

Answer 9

5-21 days (larger may need more time)

Question 10

Healing timeframe for deep partial-thickness burns

Answer 10

• 21-35 days w/ uncomplicated healing

Question 11

Goals of PT management of burns

Answer 11

• Wound care
• Prevention of hypertrophic/keloid scarring and contractures
• Edema management
• Splinting and positioning
• Scar mobilization
• Dressing
• Functional mobility training