2 BURN STUDENT - Nursing 274 Ocean County College BURN INJURY objectives 1 discuss the incidence of burn injury in the united states today 2 Describe

2 BURN STUDENT - Nursing 274 Ocean County College BURN...

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Nursing 274 Ocean County College BURN INJURY
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objectives 1.discuss the incidence of burn injury in the united states today.2. Describe the factors that affect the severity of burn injury.3. describe the local and systemic effects of a major burn injury.4. describe the goals of burn care and the nurse’s role in wound assessment, wound cleansing, topical antibacterial therapy, wound dressing, debridement, excision, and skin grafting.5. describe the nurse’s role in pain management, restoration of function, psychological support of the patient and family, nutritional support, pulmonary care, and patient and family education.6. describe patient care and the recovery process for burn patients.
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Burn Video Burn
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Burn injury An estimated 500,000 people are treated for minor burn injury annually. About 14 % die from burns and associated inhalation injuries 47% occurred at home, 27% on the road, 8% are occupational, 5% are recreation and 13% from other sources. Young children and the older adults are at high risk for burn injuries.
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Survival and recovery CDC (The National Center for Injury Prevention and Control of the Centers for Disease Control and Prevention) - identifies fire or burn injury as the fifth most common cause of death from unintentional injury in US Research in areas such as fluid replacement, emergency burn treatment, inhalation injury, nutritional needs, skin grafting have contributed greatly to the decrease in burn deaths .
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Burn Burn is tissue injury caused by transfer of energy form from heat source to body. Heat from flames, hot liquid, bath, hot surfaces Electrical current Explosions radiation
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Burns today Current improvement in survival Multiorgan physiologic response to catastrophe Fluid resuscitate, give ventilator, nutrition support and infection control
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As a nurse-you’ll be involved First aid on site at parties, backyard barbeque In ER In burn center In after care as home health nurse In OR – surgeries and repairs In psych – for victim, caregivers etc.
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Child abuse implications Is the story logical What is the psych presentation of parent, child Is it geriatric abuse? Could it have happened as described Involve your superior get photos
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Skin – largest body organ 1 st line of defense
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Skin anatomy
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Skin anatomy Epidermis - a protective physical barrier - Thin, outer non vascular layer - No blood vessels so need dermis for capillaries - Sebaceous glands, hair follicles, sweat glands from here extend into dermis - Varies in thickness
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Skin anatomy Dermis - Site for pain, temp and tactile sensations - With arterioles, capillaries and nerve - Deeper layer of dermis is filled with fibroblast which make collagen and elastin Sub dermis - Has layer of macrophages ad mast cells for inflammation - Calorie reservoir and shock absorber - Has layer of macrophages and mast cells for inflammation
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Skin functions Barrier to infection Sense organ -touch, pressure, pain temp Thermoregulation-prevents heat loss, allows for rapid cooling Secretory organ-softens and lubricates
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