Term
| What are the 7 major goals of PT rehab of burns? |
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Definition
| Promote wound closure, prevent infection, reduce edema, manage pain, prevent loss of ROM, promote functional independence, and educate the pt. |
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Term
| What must the PT be careful of with burn pts and hydrotherapy? |
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Definition
| That they are very gentle, the agitators are not turned on, that the water temp is at body temp. |
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Term
| What are the benefits of hydrotherapy with a burn pt? |
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Definition
| It can aid in dressing removal, they can do exercises while in the tank more effectively because the bandages are removed, and they are less painful in the tank. |
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Term
| What is important to remember when applying topical agents to a burn wound? |
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Definition
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Term
| How is massage done in the burn pt when trying to decr. edema? (the technique) |
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Definition
| Massage in proximal to distal segments, but the direction of the massage segments is distal to proximal. ie: massage from upper arm to shoulder in a proximal diretion. Then massage from the elbow to the upper arm and shoulder. then from mid forearm to upper arm, etc... |
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Term
| How useful is TENS in decr. pain in the burn pt? |
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Definition
| It isn't. Their pain is too high for this to have an effect. |
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Term
| How should ROM exercises be performed with the acute burn pt? |
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Definition
| It should be AROM only. No stretching! |
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Term
| What is the collegen:elastin ratio of scar tissue? What is the impact of this in relation to normal skin? |
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Definition
| it is high. (so there's more collagen than elastin) this makes the scar tissue more stiff, and less elastic than normal skin tissue. |
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Term
| How do you facilitation proper alignment of collagen fibers in the proliferative phase of burn wound healing? |
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Definition
| Gently stretch surrounding skin so the direction of force is in the direction of optimal alignment. |
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Term
| How would you splint a burn pt w/ an axilla burn during the proliferative phase of wound healing? |
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Definition
| Spint in abd to prevent add contracture. |
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Term
| What happens if during the maturation phase of burn healing, the synthesis of tissue is faster than the lysis of tissue? |
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Definition
| The pt will develop a keloid or hypertrophic scar. |
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Term
| What is scar maturation dependent on? (8) |
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Definition
| Race, genetic predisposition, burn depth, type of graft, burn size, age and location. |
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Term
| How can you prevent web space contractures in the pt w/ a hand burn? |
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Definition
| Wrap fingers individually and use foam wedges. |
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Term
| How can the pigmentation of the skin affect scar formation? |
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Definition
| Very fair and very dark skinned are at higher risk for keloid scar formation. |
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Term
| What are your 6 major goals for rehab of the burn pt? |
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Definition
| Gain ROM, Decr edema, Incr strength, Decr risk of undesirable functional and cosmetic scar hypertrophies, Maintain functional independence, Independence donning and offing of all devices. |
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Term
| What are some important points of pt education to protect their skin? (3) |
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Definition
| White, scent-free lotion should be used on the skin, they must test bathwater and shower temp until 1.5yrs, they should avoid exposure to cold and heat. |
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Term
| How can PTs help prevent excessive scarring? (2 major ways) |
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Definition
| Massage, compression garments |
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Term
| How long should a compression garment be worn by the burn pt? |
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Definition
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