Burns C Flashcards
Acute rehab burns - prevent
Contractures Atrophy Tendon coalescence Shortening of joint capsule Edema
Burn rehab acute stage
Early w/in first 24 hours.
Body begins to swell peak at 36 hr
Manage pain
Apply anti-deformity positioning and splinting; must be done w/in 24 hours to prevent contracture
Burn rehab-splinting
Check daily for skin breakdown/pressure pints
Prevent pressure injury
Educate nursing and family on fit, placement, schedule
Straps - limit or don’t use due to infection risk - wrapping instead
Burn splinting position - neck
Neutral/slight extension
No pillows under burn on posterior of neck
Tilt head laterally to opposite side if burns are one the side of the neck
Neck conformers but be in full contact w/ neck
Burn splinting - chest/abs
Trunk ext, shoulder retraction
Lower top of bed, towel rolle beneath spine, clavicle straps
Burn splinting - shoulder/axilla
Shoulder flexion/ab 90-100, horizontal ad 20, ER
Burn splinting - elbow/forearm
Full ext, forearm neutral
Burn splinting - wrist/hand
Wrist: ext 15-20, MP flex 70-90, PIP and PIP full ext
Thumb in radial ext and palmar ab, lig on stretch
Elevate w/ pillows
Burn splinting -hip/thigh
0 flex, 0 rotation, 15-20 ab
Elevation w/ pillows, b/n knees, wedges
Burn splinting - knee
Full ext,
Ant burn: slight flexion
Burn splinting - ankle/foot
Neutral w/ 90 or greater DF
Acute burn rehab; immobilize
Grafted areas for 4-5 days, until takedown and receive order from surgeon
Microstomia prevention
Counteract the contractile forces to maintain adequate ROM for facial muscles
Subacute burn rehab
Desensitization
Stretch hypertrophic scars
Scar massage
Subacute burn rehab precuations
Prevent/manage edema
Avoid sun which makes scar thicker
Scar highly susceptible to sunburn
Avoid body overheating
