Burn Phases/Wild Card
Initial burn injury to 72 hours later.
What is the Emergent Phase?
What 2 parts of the body are 4.5% for Anterior / Posterior?
What is the Head & the Arms.
Pain, ADLs, ROM, muscle strength, Psychosocial, Communication, Cognition.
Things you Evaluate in the Acute phase.
Skin conditioning, Scar management (including Pressure garments), Measurement for Custom Compression garments, Splinting, Client Education, ADLs, Therex /Theract.
What is the Rehabilitation Phase.
Wrist-20*-30* Extension MCP joints 70* Flexion IP joints Full Extension Thumb ABducted & Extended
Burns to the Hand or Dorsal Hand (Orthosis).
Medical management, Stabilize Patient.
What is the focus of the Emergent stage?
1% of the body.
What are the private parts.
Observation of joints impacted by burns, determine PLOF
Things you evaluate in the Emergent Phase.
Splinting, Positioning, Anti-Deformity positions, Edema management (compression wrapping), Elevate extremities, AROM (NO ROM w/grafts or exposed Tendons/wait 5-7 days), Early ADLs, Caregiver/Client Education (Pain management coordination w/ nursing).
What is the Acute Phase.
Wrist-0*-30* Extension MCP joints Neural to Slight Extension & ABducted (monitor collateral ligaments) IP joints Full Extension Thumb ABducted & Extended Web Space Burn (web spacer orthosis)
Burns to the Volar surface of the hand (Flexion contracture): Palmar Extension Orthosis.
Continues until wounds are closed.
What is the Acute Phase?
18% Anterior / Posterior (including the buttock).
What is the Upper body and back.
ROM, Cognitive screen, Pain, Sensation (healed wounds), Strength (healed wounds), ADL (when possible), Occupational Profile
What are things included in an OT Evaluation for burns.
Intrinsic Plus Splinting- Position client in opposite natural posture (Extentsion, Neck, Elbows, Knees), Shoudlers in ABduction, Hips in Extension; Anti-frog leg & Anti-foot drop (STARFISH position).
What is the Emergent Phase.
Complication where bone grows in joints impacting ROM (change from PROM to AROM).
What is Heterotopic Ossification.
Follows Acute Phase/ continues until scar maturation.
What is Rehabilitation.
9% Anterior / Posterior each limb.
What are the legs.
Immobilize after graft for healing (3-10 days for Receiving site/ 2-3 days for Donor site) LE - No walking 5-7 days, Continue AROM of uninvolved joints/ anti-deformity positioning.
What is the Surgical/ Post-op Phase.
Focus is to return person to their PLOF.
What is OT Intervention.
Standard Precaution and Transmission based precautions.
What are the type of precautions used for burns.
Contraindicated following a skin graft & if exposed tendons or fractures are present.
What is ROM.
Can lead to tearing of tissue/ Skin.
What is overstretching?
Scar management, Improve skin tolerance for friction, Activity tolerance & Modifications/Adaptions, Psychosocial adjustment.
What is Outpatient and Community Reintegration Phase.
Pain free A/PROM, Strengthening, Scar Management, Orthotics, Sensation, Occupational Roles & ADL, Psychosocial.
Things under OT Intervention.
PAM used for cleaning and debridement of wound.
What is Whirlpool.