Causes & Types of Injuries
What organ regulates body temperature, excretes water and electrolytes, and deals with sensory perception?
Skin (The largest organ of the body!!!)
What is burn severity based on?
Depth
Percentage of body
Location
Ichobad is recovering from a burn injury. Ichobad is hoping to return to his former desk job. What will be limitations to consider and interventions to help him in his return to work?
Dexterity
Temperature
Colleagues reaction
Stamina
AT
Time off for appointments
Name 3 types of general burn management.
Wound management
Splinting
Nutrition
Pain management
Psychological
What are a protective factor and a risk factor for an individual with a burn injury/skin condition?
Protective
Premorbid personality traits and personal circumstances
Type of burn injury
Psychological meaning of the injury to the individual
Risk
Preexisting health conditions
Substance abuse
Mental health condition
Cause of Injury: circumstances surrounding accident
Why is the skin vulnerable to injury and irritation?
Environmental Exposure
Can emotional factors contribute to a skin condition?
Yes!
What are some situational factors to consider with individuals who have experienced a burn injury?
Separation from family and friends, experiencing pain, change in life plans, concerns about implications of burn injuries.
Give 4 examples of management for skin conditions.
Medications
Dressings & Therapeutic Baths/Soaks
Phototherapy (light treatment)
Dermabrasion
Chemical face peeling
Plastic & Reconstructive surgery
Psychological Intervention
Vocational Interventions
Individuals with skin conditions face activity and participation limitations. Many individuals will have to avoid substances and will experience continuous discomfort. How does this impact activities and participation?
Sun exposure
Alcohol/ social
Agility/endurance
Etc.
What is the most common type of burn, and what is a cause of this type of burn?
Thermal; Burns
Fire, hot liquids, or direct contact with a hot surface
Why are some types of skin cancers more readily diagnosed in comparison to other types?
Visible physical changes
How can family and friends help support individuals facing these limitations?
Discussions
Individual therapy
Research
Adjustment
Empower and promote independence
What are the focuses for the first, second, and third phase of burn injury management?
Survival
Water loss
Organisms within the individual
Name 3 personal/psychosocial implications for an individual with a burn injury.
Body Appearance
Treatment Management
Family & Friends
Life Plan
Loss of Independence
Name one general skin condition and name one skin condition caused by an infection.
General: Dermatitis, allergic reactions, psoriasis
Infection:acne, shingles, skin cancers
What 2 factors affect burn depth, and how is the burn depth measured?
Hint* How are the four categories different?
Temperature of Burning Agent
Length of Exposure
Level of tissue affected
What psychological manifestations may develop during the burn management stage?
Anxiety
Depression
Adjustment
Coping
Substance Abuse
PTSD
What psychological interventions would you suggest for individuals post burn-injury?
Individual Therapy (CBT, ACT, PTGT, Mindfulness, etc.)
Group Therapy
Peer Support
Medication
Why is sexuality an important implication for this these populations?
Stigma and reaction of others
Cultural importance placed on appearances
Self-concept and self efficacy
Anxiety, depression, low self-esteem
Name 3 risk factors for Psoriasis.
Smoking
Obesity
Bacterial or viral infections
genetics
medication
Name 3 possible physiological manifestations post burn injury.
Homeostasis
Infections
Contractures
Amputation
Vision
Loss of nose, ears, or hair
Hypertrophic scars
Chelsea was recently diagnosed with skin cancer. It has progressed significantly, as she did not see any physical signs. Chelsea is a professional surfer and has a house in Hawaii. She has 2 children. What areas of Chelsea's life will be affected and what limitations is she facing?
Exposure outside
Child care
Treatments
Stigma
Isolation
Depression
Name 5 professionals you would want to involve in care management for individuals with burn injuries or other skin conditions.
Doctors
PT, OT, ST
Psychiatrist
Psychologist/Counselor
Social Worker
Vocational Rehabilitation Counselor
What is one environmental factor (temperature) that may affect an individual's (burn injury) ability to achieve vocational success? How will this environmental factor affect symptoms?
Warmth affects compression garments and internal temp (sweat glands)
Warmth affects compression gloves which decrease manual dexterity
Dry climates may cause itching