Burn wounds heal either by spontaneous re epithelialization or by skin grafting

Burn wounds heal either by spontaneous re

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Burn wounds heal either by __spontaneous re-epithelialization or by skin grafting__ In about 4 to 6 weeks, the area becomes raised and hyperemic If adequate ROM is not started, the new tissue will shorten, causing a contracture Mature healing is in about __12 months__ Patients with more heavily pigmented skin may take longer to regain skin color Original color may not return Scarring may be discoloration or contour Discoloration may fade, but contour may remain Pressure may help flatten contours Itching at wound is common Newly formed skin cells are extremely sensitive to trauma Blisters and skin tears easily develop Hyper/hyposensitivities to cold, heat, touch Complications Skin and joint contractures, hypertrophic scarring most common Contractures occur most commonly over __neck areas, axillae, antecubital area, fingers, groin, popliteal, knees, and ankles__ Underlying ligaments and tendons may also shorten Encourage proper positioning, splinting, and exercise Continue until around 1-year post healing Nursing and Interprofessional Management Patients may go home with unhealed wounds Return demonstrate on dressing changes Teach signs and symptoms of infection Teach about sun protection May still need PT/OT Additional surgery may be needed Gerontologic considerations Patient at greater risk for burns r/t _unsteady gait, poor eyesight, diminished hearing, and polypharmacy_ Thinning skin poses challenges for healing Complications more likely and more severe; may have more comorbidities Pneumonia common, wounds take longer to heal, may be more difficult to wean from ventilator May not be able to return to home/independent living Emotional/Psychologic Needs of Patients and Caregivers Course of treatment is often lengthy, unpredictable, and complex Nurses may have to play therapist, leading to complicated relationships with patients Patients may experience fear, anxiety, anger, guilt, depression, issues with family structure Self-esteem can be impacted May be difficult to return to normal activities Encourage communication and independence Caregivers experience challenges in supporting individuals
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Return to normal life may be unrealistic Caring for loved ones may be exhausting, caregivers may feel helpless Look for nearby support groups Psychiatric assessments may be needed
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