objectives1.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.
Burn injuryAn estimated 500,000 people are treated for minor burn injury annually.About 14 % die from burns and associated inhalation injuries47% 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.
Survival and recoveryCDC (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 USResearch in areas such as fluid replacement, emergency burn treatment, inhalation injury, nutritional needs, skin grafting have contributed greatly to the decrease in burn deaths.
BurnBurn is tissue injury caused by transfer of energy form from heat source to body.Heat from flames, hot liquid, bath, hot surfacesElectrical currentExplosionsradiation
Burns todayCurrent improvement in survivalMultiorgan physiologic response to catastropheFluid resuscitate, give ventilator, nutrition support and infection control
As a nurse-you’ll be involved First aid on site at parties, backyard barbequeIn ERIn burn centerIn after care as home health nurseIn OR – surgeries and repairsIn psych – for victim, caregivers etc.
Child abuse implicationsIs the story logicalWhat is the psych presentation of parent, childIs it geriatric abuse?Could it have happened as describedInvolve your superior get photos
Skin –largest body organ1stline of defense
Skin anatomyEpidermis - 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
Skin anatomyDermis- Site for pain, temp and tactile sensations- With arterioles, capillaries and nerve- Deeper layer of dermis is filled with fibroblast which make collagen and elastinSub dermis- Has layer of macrophages ad mast cells for inflammation- Calorie reservoir and shock absorber- Has layer of macrophages and mast cells for inflammation
Skin functionsBarrier to infectionSense organ -touch, pressure, pain tempThermoregulation-prevents heat loss, allows for rapid coolingSecretory organ-softens and lubricates