Understanding Burns and Their Treatments
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Questions and Answers

What is the primary cause of most burn injuries?

  • Heat (correct)
  • Chemicals
  • Electricity
  • Extreme cold
  • A superficial burn only affects the top layer of the skin.

    True (A)

    What are the three types of burns based on their depth?

    Superficial, partial thickness, and full thickness.

    Burns to the ______ can indicate that the airways may be burnt and require immediate medical attention.

    <p>face</p> Signup and view all the answers

    What is the main goal of positioning in burn rehabilitation?

    <p>To prevent oedema and contractures (A)</p> Signup and view all the answers

    Transcutaneous electrical nerve stimulation (TENS) can be used to alleviate burn pain.

    <p>True (A)</p> Signup and view all the answers

    Match the following types of burn injuries with their description:

    <p>Superficial burn = Only affects the surface of the skin Partial thickness burn = Damages the whole depth of the skin, appearing dry Full thickness burn = Damages the skin, but not the entire depth Inhalational injury = Damage caused by directly inhaling hot fumes or gases</p> Signup and view all the answers

    Explain the difference between thermal and chemical injuries of the upper airway.

    <p>Thermal injuries are caused by direct heat exposure, while chemical injuries are caused by the inhalation of toxic substances.</p> Signup and view all the answers

    Which of the following is NOT a factor that a therapist needs to be sensitive to when working with a burn patient?

    <p>The patient's blood type (B)</p> Signup and view all the answers

    Medications are always administered to burn patients before therapy sessions to increase efficacy and decrease discomfort.

    <p>False (B)</p> Signup and view all the answers

    What is the purpose of properly performed antideformity positioning in burn patients?

    <p>Minimizes shortening of tendons, collateral ligaments, and joint capsules, reduces extremity and facial edema, and prevents predictable contractures.</p> Signup and view all the answers

    Flexion deformities of the neck can be minimized with ______ splints.

    <p>thermoplastic neck</p> Signup and view all the answers

    Match the following body parts with the common contractures that can occur in burn patients:

    <p>Neck = Flexion deformities Elbow = Flexion contractures Hips and Knees = Flexion contractures Ankles = Deformity</p> Signup and view all the answers

    Which of the following can help prevent hip flexion contractures in burn patients?

    <p>Prone positioning (A)</p> Signup and view all the answers

    Ankle deformities only occur if the ankles are directly burned.

    <p>False (B)</p> Signup and view all the answers

    Why is regular inspection of splints important for burn patients?

    <p>To identify any signs of poor fit or pressure injuries that could cause further complications.</p> Signup and view all the answers

    Flashcards

    Sensitivity to Patient's Wounds

    Therapists should be aware of the patient's injuries and pain levels.

    Medication Before Therapy

    Medications can enhance therapy effectiveness and reduce discomfort.

    Antideformity Positioning

    Proper positioning reduces tendon shortening and swelling.

    Splinting Programs

    Structured splinting can prevent predictable joint contractures.

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    Neck Flexion Deformities

    Minimized by using thermoplastic neck splints or proper extension positioning.

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    Prevention of Axillary Adduction Contractures

    Achieved by positioning shoulders in wide abduction with splints.

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    Hip and Knee Flexion Contractures

    Can be prevented by careful ranging and positioning, especially in children.

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    Ankle Deformity Prevention

    Static positioning and ranging prevent ankle injuries, even without burns.

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    Burn

    Damage to the skin’s tissues caused by excessive heat, chemicals, electricity, or cold.

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    Superficial burn

    A burn that only affects the surface of the skin.

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    Partial thickness burn

    A deeper skin burn that does not affect the whole depth of the skin.

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    Full thickness burn

    A burn that damages the full depth of the skin, making it appear dry.

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    Inhalational injury

    Damage to airways and lungs caused by inhaling hot fumes or gases.

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    Pain control methods

    Using analgesics and techniques like TENS to manage pain after burns.

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    Edema in lungs

    Swelling in the lungs caused by fluid buildup after an inhalational injury.

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    Passive ranging

    Therapist-guided movement of patient joints to prevent contractures.

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    Study Notes

    Burn Definition

    • A burn is damage to skin tissues, usually caused by excessive heat.
    • Heat is the most frequent cause of burn injuries.
    • Burns can also be caused by chemicals, electricity, the sun's rays, or extreme cold.
    • Burns commonly affect the skin, but other body parts, like airways and lungs, can also be damaged.

    Types of Burns

    • Superficial burn: Affects only the surface of the skin.
    • Partial thickness burn: Damages deeper skin layers but doesn't reach the whole skin depth.
    • Full thickness burn: Damages the entire skin depth, visibly dry appearance.

    Other Burn Sites

    • Burns to the face, eyebrows, or nasal hair can suggest airway damage.
    • Black deposits in the mouth or sputum indicate potential airway/lung burns.
    • Immediate medical attention is crucial for these burn types.

    Rehabilitation after Burn Injury

    • Treatment begins on the day of admission.
    • The goal is to prevent swelling (oedema) and contractures.
    • Positioning and splinting help maintain correct body positions.
    • Active exercises and ambulation are often performed.
    • Pain control includes analgesics like paracetamol and non-steroidal anti-inflammatory drugs (NSAIDs).
    • Other methods like transcutaneous electrical nerve stimulation (TENS) may help.
    • Inhalational injuries require specialized treatments that focus on removing lung secretions and preventing complications like pneumonia.

    Inhalational Injury

    • Upper airways are vulnerable to thermal or chemical injuries, causing edema.
    • Lower airway involvement, like from steam, is less common than upper airway injuries.
    • Inhalation of water-soluble substances can also cause injury.

    Ranging and Anti-deformity Positioning

    • Passive ranging and anti-deformity positioning can prevent contractures in injured patients.
    • The therapist must consider factors like patient's wounds, extremity status, pain level, and airway security.
    • Pre-treatment medication can improve patient comfort and effectiveness.
    • Positioning is important to prevent shortened tendons, ligaments, and capsules, thus reducing swelling in extremities and face.

    Other Considerations

    • Splinting programs help prevent neck and joint contractures.
    • Positioning the neck in a neutral and extended position is important to prevent neck contractures, especially during ventilator use.
    • Elbow, shoulder, and other joint contractures can be prevented using splints.
    • Positioning is crucial in minimizing contractures of the hips and knees, particularly in young children. Prone positioning (stomach down) can be helpful.

    Knee Drop Plank

    • Ankle deformities can develop even in the absence of direct burn injury to the ankles.
    • Prevention is possible with neutral positioning and daily exercises.

    Splint Usage

    • Improperly designed splints can cause pressure injuries, particularly on the metatarsal heads or calcaneus.
    • Regular inspections of splints for proper fit and pressure points are essential.
    • Nursing staff monitoring reduces the risk of skin injury due to splints.

    Oedema Management

    • Oedema removal is vital, and the lymphatic system is responsible for effectively removing fluid.
    • Oedema in burn areas can promote deeper burn progression.
    • Edema reduction facilitates rehabilitation efforts by minimizing joint stiffness.
    • Treatments include compression (e.g., Coban, edema gloves), rhythmic movements, elevating affected areas, and maximizing lymphatic function.

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    Burn Rehabilitation PDF

    Description

    This quiz explores the definition, types, and rehabilitation processes associated with burn injuries. Learn about the causes of burns, their effects on the skin and respiratory system, and the importance of prompt medical attention. Test your knowledge on burn treatments and recovery strategies.

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