Burns
1) Using the Rule of Nines, estimate the percentage of burns for a person with second degree burns to both arms and chest.
2) List the three phases of psychological intervention planning you would implement for a patient recovering from severe burns.
1, Rule of nine
Second degree burns to both arms and chest
estimation:
Each arm 9%( front 4.5% and back 4.5%)
Both arms 9X 2= 18%
chest =9%
Total = 27%
These burns damage the second layer of skin, there will be loss of
skin function.
2, Three phases of psychological intervention:
Critical phase:
A patient will be in ICU in this phase with a lot of physical and
psychological symptoms. They have to continue changes and
psychological reactions due to infection, metabolic changes and
complications. the patient should be encouraged to cope with the
fear, denial, and regression. a supportive psychological
intervention like sleep, pain control, coping strategies, hypnosis,
relaxation will be effective. education and provide support to
family members to handle the patient.
Acute phase:
It is focused on the recovery phase. the patient will have painful
treatment. Patients have a more physical and psychological impact
on injury. symptoms of depression and anxiety, post-traumatic
stress disorder will be common.they have guilt about the event and
depressed and seek social support. provide sleep it can be managed
with drug treatment. The patient griefing process can be prevented
from counseling and drugs.
Treat patient premorbid psychopathology by a community treatment
program. for pain intervention opioid analgesics will be effective
and anxiolytic, cognitive-behavioral therapy and hypnosis can
reduce the pain and discomfort.
Long term stage or recovery:
After discharge from the hospital, the patient begins to interact
with society. it needs outpatient physical rehabilitation with a
continuing procedure like dressing change and surgery. patient face
lot of problem during this phase due to complication like scarring,
family strains, change of body images. psychotherapy in an
outpatient clinic and hospital-based programs to deal with patient
facial disfigurement. support group and peer counseling by burn
survivors can help the patient recovery process with severe
burns.
Burns 1) Using the Rule of Nines, estimate the percentage of burns for a person with second...
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