Term
| Superficial burn (degree, parts involved, pain level, blisters?, healing time) |
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Definition
1st degree
involves epidermis only
minimal pain and edema
no blisters
healing time: 3 to 7 days |
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Term
| superficial partial thickness burn (degree, parts involved, pain, grafting necessary?, appearance, healing time) |
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Definition
2nd degree
involves epidermis and upper portion of dermis
painful
no grafting necessary
appearance: red, blistering, and wet
healing time: 7 to 21 days |
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Term
| Deep partial thickness burn (degree, parts involved, appearance, sensation impaired?, other info., healing time) |
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Definition
deep 2nd degree
involves epidermis, deep portion of dermis, hair follicles, and sweat glands
appearance: red, white, elastic
sensation may be impaired
other info: potential to convert to full thickness burn due to infection
healing time: 21 to 35 days |
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Term
| Full thickness burn (degree, parts involved, appearance, pain, skin graft?, scar type, healing time) |
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Definition
3rd degree
involves epidermis, dermis, hair follicles, sweat glands, and nerve endings
appearance: white, waxy, leathery, and non-elastic
pain free
requires skin graft
hypertrophic scar
healing time: can take months |
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Term
| 4th degree burn (parts involved, etiology) |
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Definition
involves fat, muscle, and bone
electrical burn: destruction of nerve along pathway |
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Term
| Adult Rule of Nines (head, UEs, torso, genital, LEs) |
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Definition
head: 9%
UEs: 9% each
Torso: 36%
genital: 1%
LEs: 18% each |
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Term
| Superficial, Partial-thickness burn eval |
|
Definition
occupational history and roles
ROM (72 hours post-op)
sensation (when wounds are healed)
strength (when wounds are healed)
ADL and meaningful role activities (ASAP) |
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Term
| Superficial, Partial-thickness burn interventions |
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Definition
wound care and debridement
sterile whirlpool
dressing changes
gentle A/PROM to individual's tolerance
edema control
splinting (if necessary)
ADLs and role activities |
|
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Term
| Deep, Partial-thickness burn eval |
|
Definition
occupational history and roles
ROM (72 hours post-op)
sensation (when wounds are healed)
strength (when wounds are healed)
ADL and meaningful role activities (ASAP) |
|
|
Term
| Deep, Partial-thickness burn interventions |
|
Definition
Wound care and debridement
sterile whirlpool
dressing changes
gentle A/PROM to individual's tolerance
edema control
splinting (if necessary)
ADLs and role activities
strengthening (when wounds are healed) |
|
|
Term
|
Definition
ROM (5 to 7 days post-op)
occupational history and roles
ROM (72 hours post-op)
sensation (when wounds are healed)
strength (when wounds are healed)
ADL and meaningful role activities (ASAP) |
|
|
Term
| Full thickness post-op interventions |
|
Definition
72 hours: dressing changes, splint at all times
5 to 7 days: begin AROM, light ADLs and meaningful activities, sterile whirlpool
Over 7 days: PROM as tolerated, ADLs and meaningful activities
When wounds are healed: massage
Order compression garments
Provide otoform/elastomer inserts
Strengthening |
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Term
| Antideformity positions following burn (neck, chest/abdomen, axilla, elbow, forearm, wrist, hand, hip, knee, ankle) |
|
Definition
neck: neutral to slight extension
chest/abdomen: trunk extension and scapula retraction
axilla: shoulder ABduction 90degrees and external rotation (airplane splint)
elbow: extension
forearm: neutral to supination
wrist: 30 to 45 degree extension
hand: MCPs 70 degrees flexion, IP extension, and thumb ABducted
hip: 10 to 15 degree ABduction
knee: knee extenion
(anterior burn: mild flexion)
ankle: 5 degree dorsiflexion |
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Term
| Splints for burns to dorsum of hand |
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Definition
wrist in 30 to 45 extension
MCP joints in 70 to 90 flexion
IP joints in full extension
Thumb ABducted and extended |
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Term
| Splints for burns to volar surface of hand |
|
Definition
wrist in 0 to 30 extension
MCP joints in neutral and ABducted
IP joints in full extension
thumb ABducted and extended |
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Term
| Hypertrophic scar (description) |
|
Definition
most common with deep 2nd and 3rd degree burns
appears 6 to 8 weeks after wound closure
1 to 2 years to mature |
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Term
| Hypertrophic scar (treatment) |
|
Definition
compression garments should be worn 24 hours:
applied when wounds heal
recommendation is to wear 24 hours for 1 to 2 years (until scar matures)
ROM
Skin Care
ADLs
role activities
patient/family education |
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