BURNS. OSTE NSG 255. Kim Nelson, Nikki Moor, Jen Moser, Brittany Orr, Steph Nadeau.
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Kim Nelson, Nikki Moor, Jen Moser, Brittany Orr, Steph Nadeau
“Each year, more than 2 million Americans suffer burn injuries. Only about 1% of these people require hospitalization for severe burns. But for theseunfortunate people, the nursing care provided in the first few hours after injury is crucial. Your interventions can help determine a patient's ability to survive a serious burn and make a functional recovery.”
(Wiebelhaus & Hansen, 2001)
Patient with Burns
Sylvia, a 44-year-old woman from a nearby farm, was brought to the emergency department with extensive full-thickness burns to her upper body. Her stove exploded while she was manually lighting the oven with firewood and kerosene. Her 10 children remain at home and her husband is in the field, unable to be reached.
Superficial burn, moist and blistered
Deeper burns are white and dry and blanche with pressure and have reduced pain
Treatment varies with degrees of involvement
Intense pain and edema is common
Painful to air and temperature
Residual scarring can vary depending on depth on injury (pigment change to risk of contracture)
Causes: Scalds – flame, oil, grease & Flame exposure
Heals in 7- 20+ days
Completely destroys epidermis and dermis
Skin is tough, waxy, brown, leathery and firm, numb to touch
Edema may be massive
Residual scarring is severe – grafting usually required
Burn never heals to original state
most severe of them all
Involves subcutaneous fat, fascia, muscle or bone
Burn frequently has a charred appearance
Reconstructive surgery is indicated
Severe disfigurement is common
Causes: Scalds from flame, steam, oil, grease, chemical, 7 high voltage electricity
(Day, Paul, Williams, Smeltzer, Bare, 2007)
(Hansen, Weibelhaus& Hill (2001)
Cancio. L. (2005). Current concepts in the pathophysiology and treatment of inhalation injury. Trauma, 7 (1), 19-35. Retrieved from CINAHL Plus Full Text database.
Day, R.A., Paul, P., Williams, B., Smeltzer, S.C., & Bare. B. (2008). Brunner & Suddarth’s textbook of medical-surgical nursing (1st ed.). Toronto: Lippincott Williams & Wilkins.
Klein, J. (2009). The Psychiatric Nurse in the Burn Unit. Perspectives in Psychiatric Care, 45(1), 71- 74. Retrieved from ProQuest Nursing & Allied Heath Source database.
Norton, J.A., Randall-Bollinger, R. (2001). Surgery: Basic Science and Clinical Evidence. New York: Springer.
Osborn, K. (2003). Nursing burn injuries. Nursing Management34(5), 49-56. Retreived from ABI/INFORM Global database.
Weibelhaus, P., Hansen, S., & Hill, H. (2001). Helping patients survive inhalation injuries. RN, 64(10), 28-32. Retrieved from CINAHL Plus with Full Text database.
Wiebelhaus, P, Hansen, L. (2001). Managing burn emergencies. Dimensions of Critical Care Nursing, 20(4), 2-8. Retrieved from CINAHL Plus Full Text database.
describe these burns?