Midterm 09/16/2019
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| Lymphadenopathy | show 🗑
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| show | A type of cancer that forms in the lining of blood and lymph vessels (only with hiv/aids patients)
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| The Pizzi Assessment Productive Living (PAPL) | show 🗑
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| Psychosocial Assessment | show 🗑
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| Function of The Skin | show 🗑
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| show | A burn is a permanent destruction of tissue caused by released of energy from external agent
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| show | The hand is the most common thermal burns and may result in long-term loss of function
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| Epidermis | show 🗑
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| show | Cells for skin growth
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| Where are the melanocytes found? | show 🗑
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| Dermis | show 🗑
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| What’s in the dermis? | show 🗑
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| Glycosaminoglycans | show 🗑
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| show | 1. Thermal: (most common) dry heat (fire) and most heat (steam, hot liquid)
2. Chemical
3. Electrical
4. Friction
5. Radiation
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| show | 1. Involves epidermis (top layer of the skin)
2. Heals by itself in 1 to 5 days
3. Therapist rarely consulted
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| show | 1. 14 days for spontaneous healing
2. Possible pigment
3. Coordinate txs with adequate pain medication
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| show | 1. 21 days for spontaneous healing
2. 14 days with grafted healing
3. Sensory scarring
4. Sweating changes
5. Edema
6. Vascular support garments
7. Elevated positioning and/or splints
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| Full Thickness Burn (subcutaneous tissue) | show 🗑
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| show | 1. Variable healing time
2. Amputation or reconstructive surgery needed
3. All layers destroyed including nerve endings
4. Possible work retraining
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| show | 1. Goal is to prevent deformity where burns have occurred and restore
Parts where damaged or lost
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| show | Loss of skin and joint mobility in areas of wrist and digits
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| Proper splinting is used to prevent what? | show 🗑
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| show | Achieve joint motion and tendon gliding
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| show | • Excessive heat on burn wound
• Serial casting
• Overstretching or vigorous exercise
• No splinting straps (use gauze)
• No ROM to exposed tendons
• No ROM if pt. complains of deep joint pain
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| show | 1. Acute Care (first 72 hours)
2. Surgical/Post Op
3. Rehabilitation
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| show | • 72 hours
• Therapist focuses o bn edema management and splinting
• ROM and exercises initiated
• ADL independence
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| Surgical/Post Op | show 🗑
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| Rehabilitation | show 🗑
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| show | • First 48 hours keep had elevated
• Gentle AROM and PROM to tolerance
• Splint if needed
• Control pain
• After 48 hours, full mobility
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| show | • Up to 72 hours post op keep hand elevated
• Splint at night and during rest only
• Once edema goes down, being PROM
• Use hand for light activity
• Gradual strengthening
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| show | • After 5 to 7 days take off splint to exercise with gentle AROM
• Some light ADLs
• After 7 days, begin PROM to tolerance; use hand for all self-care
• Once tissue heals, begin friction massage and edema massage; use scar control methods
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| Skin Graft | show 🗑
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| Meshing | show 🗑
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| Split thickness skin graft (STSG) | show 🗑
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| show | Taken from hypothenar eminence, medial aspect of arm, or groin
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| Split thickness skin graft (STSG) location? | show 🗑
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| show | • Increased durability
• Better protection
• Better sensibility
• More epidermal attachments -contracts less than STSG
• Increased cosmesis and color match -More suitable for small clean wounds
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| show | 1. Recipient bed must have good vascularity
2. Free from increased levels of bacteria
3. Optimal bed muscle and fascia
4. Bone and tendon are not optimal for take
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| Hydrotherapy Tank/Whirlpool | show 🗑
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| Sharp Debridement | show 🗑
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| Rule of Nines | show 🗑
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| show | More accurate assesment for children younger than 1
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| show | First and superficial second degree burns usually don not scar
Deep second- and third-degree burns scar the most
Early healing/grafting decrease scarring
Made up of collagen and a rich blood supply
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| show | Pressure application: apply when wounds are healed, continued 23 hours a day for one year, effective as long as the scar is immature (red, warm, elevated)
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| Methods of Pressure Application: | show 🗑
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| Position of Comfort = | show 🗑
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| Goals of positioning? | show 🗑
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Created by:
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