Topic 11 TISSUE INTEGRITY Ch 62 Burns Pathophysiology.ppt - SCR 290 Medical Surgical Nursing II Topic TISSUE INTEGRITY Chapter 62 Management of Patients

Topic 11 TISSUE INTEGRITY Ch 62 Burns Pathophysiology.ppt -...

This preview shows page 1 - 9 out of 150 pages.

Topic TISSUE INTEGRITY Chapter 62 Management of Patients With Burn Injury SCR 290 Medical Surgical Nursing II
Image of page 1
On completion of this chapter, the learner will be able to: Discuss the incidence of burn injury in the United States. Describe the factors that affect the severity of burn injury. Describe the local and systemic effects of a major burn injury. Identify priorities of care and potential complications for each phase of burns. Identify fluid replacement requirements during the emergent/resuscitative and acute phases of a burn injury. Discuss the nurse’s role in burn wound management during the acute/intermediate phase of burn care. Use the nursing process as a framework of care for the patient with burns during the emergent/resuscitative and rehabilitation phases of burn care. Describe the psychosocial challenges associated with burn injuries and identify strategies for intervention. Learning Objectives 2
Image of page 2
Burn injuries are painful, costly, disfiguring, require intensive and extensive rehabilitation therapy, and may be associated with long-term disability. Larger burns are associated with morbidity and mortality disproportionate to their initial appearance. A burn injury can affect people of all ages and socioeconomic groups. An estimated 450,000 people are treated for burns annually. 68% had injuries that occurred at home, 10% had industry-related injuries, 5% had recreationally related injuries, and 17% had injuries from other sources. Overview of Burn Injury 3
Image of page 3
Of all these injuries, approximately 44% were flame related, 33% were scald injuries, 9% were from direct source contact, 4% were electrical, 3% were chemical, 1% were inhalation only, and the remaining were from unspecified or miscellaneous categories Patients with burns have particularly prolonged lengths of hospital stay. Men have more than twice the incidence of burn injury than women; for both men and women, the most frequent age group for burns is between 20 and 30 years. Overview of Burn Injury 4
Image of page 4
5
Image of page 5
Overview of Burn Injury 6
Image of page 6
Many factors contribute to a lengthy length of stay. For example, many of these patients require surgical interventions, extensive pain control, immobilization and rehabilitation, and prolonged intravenous (IV) medication regimens, especially with antibiotics and opioids. In addition, patients with smoke inhalation and electrical injuries require particularly lengthy care regimens The strongest predictors for mortality in burn injuries included increased percent of TBSA burned, presence of inhalation injury, and increased age. Overview of Burn Injury 7
Image of page 7
Burns are classified according to the depth of tissue destruction. First-degree burns are superficial injuries that involve only the outermost layer of skin.
Image of page 8
Image of page 9

You've reached the end of your free preview.

Want to read all 150 pages?

  • Fall '18
  • Burn Injury

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture