burns
Help!
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| show | epidermis only
minimal pain and edema, no blistering
heal 3-7 days
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| show | epidermis and upper dermis
red, blistering, wet
heal 7-21 days
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| show | epidermis and deep portion of dermis
red, white, elastic, potential for hypertophic scar is high
sensation may be impaired
potential to convert to full thickness due to infection
heal 21-35 days
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| Full thickness (3rd degree) | show 🗑
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| Subdermal (4th degree) | show 🗑
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| show | splinting in antiderformity positions
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| Antideformity positions: hands, neck, elbow, knees, shoulder, hip, LE | show 🗑
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| show | splinting and positioning
edema management
early participation in ADL
client and caregiver education
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| Precautions and contraindications | show 🗑
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| Surgical and postoperative | show 🗑
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| show | wound closure is stable
skin lubrication several x per day
skin massage for desensitization
compression therapy: edema and scar compression
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| custom made compression garments indications | show 🗑
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| show | provide gradient pressure
24 hours a day excpet bathing, massage, and other skin care activity
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| show | compression therapy, skin conditioning, splinting and positioning, exercise
ROM and strength tolerance
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| For full thickness burns, rehabilitation | show 🗑
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| show | most apparent 6-8 weeks after wound closure
apply compression therapy early and continue till scar matures 1-2 years
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| heterotopic ossification | show 🗑
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| pruritis | show 🗑
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