Question

What is the leading cause of impairment following a burn injury? What interventions will help avoid or reduce complications?

Answer 1

Ans) Impairment rating is regularly reported for trauma and other conditions but rarely for burns.

- Bacterial infection, which may lead to a bloodstream infection (sepsis)

- Fluid loss, including low blood volume (hypovolemia)
- Dangerously low body temperature (hypothermia)
- Breathing problems from the intake of hot air or smoke.

Intervention to avoid or reduce complications:

- Contractures occur when the burn scar matures, thickens, and tightens, preventing movement. A contracture is a serious complication of a burn. If your child gets a contracture, he/she will not be able to move the scarred area normally.

For example, your child may have difficulty doing normal things like dressing, walking, eating, or playing -- depending on where the scar contracture is located. It is important that you let your child do things for himself/herself regardless of how long it might take or how hard it might be for them. This will help prevent contractures and help your child become independent and confident.

Most second- and third-degree burns do cause some degree of scarring, but there are several things that can be done to minimize scarring and to reduce contractures, including the following:

- Wearing a splint:
Sometimes, after a child has been burned, he/she will need to wear a splint on the joint to keep it straight and to help prevent a contracture. Splints should be worn on top of the pressure garment.

- Practicing range of motion exercises:
Range of motion (ROM) exercises help keep the muscles and joints of the burned limbs flexible. A physical therapist (PT) will teach you and your child how to do ROM, so you can help in the healing process.

- Exercising:
Do the special exercises given by your child's physical therapist with your child faithfully. Exercises are very important to keep the scar area stretched and prevent a thick, hard, tight contracture. Exercises must be done even if your child does not like them. You may want to reward your child for doing a good job at the end of the exercises.

- Promoting independence:
Have your child do daily activities for himself or herself as much as possible. For example, let your child eat, brush teeth, brush hair, and dress. Even if it is a little difficult for your child, let him/her do these activities and overcome the temptation to help. The movement that occurs during daily activities will help keep the scar area stretched. Your child should perform daily range of motion exercises as directed by the physical therapist or your child's doctor