Care Map Template Burns - Patricia A Rivera A00329380 Remediation Exam 1 NURSING ASSESSMENT Burn injuries that should be referred to a burn center

Care Map Template Burns - Patricia A Rivera A00329380...

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NURSING ASSESSMENT Burn injuries that should be referred to a burn center include the following: 1. Partial-thickness burns >10% of total body surface area (TBSA). 2. Burns that involve the face, hands, feet, genitalia, perineum, or major joints. 3. Third-degree burns in any age-group. 4. Electrical burns, including lightning injury. 5. Chemical burns. 6. Inhalation injury. 7. Burn injury in patients with preexisting medical disorders that could complicate management, prolong recovery, or affect mortality risk (e.g., heart or kidney disease). 8. Any patients with burns and concomitant trauma (e.g., fractures) in which the burn injury poses the greatest risk of morbidity or mortality. In such cases, if the trauma poses the greater immediate risk, the patient may be initially stabilized in a trauma center before being transferred to a burn center. The health care provider will need to use his or her judgment, in consultation with the regional medical control plan and triage protocols. 9. Burn injury in children in hospitals without qualified personnel or equipment needed to care for them. 10. Burn injury in patients who will require special social, emotional, or long-term rehabilitative intervention. DIAGNOSTICS The severity of the injury. Severity is determined by (1) depth of burn, (2) extent of burn calculated in percent of total body surface area (TBSA), (3) location of burn, and (4) patient risk factors (e.g., age, past medical history). The American Burn Association (ABA) has established referral criteria to determine which burn injuries should be treated in burn centers with specialized facilities. The majority of patients with minor burn injuries can be managed in community hospitals. MANAGEMENT Burn management can be organized chronologically into three phases: emergent (resuscitative), acute (wound healing), and rehabilitative (restorative). Overlap in care does exist. Planning for rehab- ilitation begins on the day of the burn injury or admission to the burn center. Formal rehabilitation begins as soon as functional assessments can be performed. Wound care is the primary focus of the acute phase, but wound care also takes place in both the emergent and rehabilitation phases.
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  • Spring '17
  • Acevedo
  • Suffering, breakthrough pain, pain relief, Burn Injury, CareMap Burns

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