![]() The second phase involves the removal of dead tissue and the third phase of proliferation includes epithelial regeneration and fibrous tissue formation. The first phase is inflammation, congestion,Īnd leukocyte infiltration. 1 Wound healing is a dynamic process that takes place in three phases. Skin lesions are caused due to different reasons such as burns,Īrterial diseases, surgery, and trauma. 2013.The process of wound healing is a complex biological process and promotion of tissue recovery is the main objective of medical interventions. “Assessment and management of paediatric burn injuries.” Nursing Standard 25.25 (2011): 60+. “Medical Management of Paediatric Burn Injuries: Best Practice.” Journal of Paediatrics and Child Health 48.4 (2012): 290-295. Kim, Leo K P, Hugh C O Martin, and Andrew J A Holland. “Hydrogels and Their Potential Uses in Burn Wound Management.” British Journal of Nursing 19.11 (2010): S12. A high-protein diet to facilitate tissue healing and development.Įdwards, J. Burn patients are often given nutritional supplements. Patient nutrition may become an issue during hospitalization, as caloric need of the patient may increase during the healing process. Patients with high anxiety may be given benzodiazepines during hospitalization. ![]() Itching may be aided with antihistamines, nerve stimulation techniques, or massage. For severe pain, opioids such as morphine may be administered. ![]() Simple analgesics such as acetaminophen and ibuprofen may be used. Pain ManagementĪ number of pain treatments may be used to help relieve the severe pain associated with burn injuries. Patients may require skin graft surgery, which involves transplanting tissue from an unburned area to the burned area. Topical antibiotics may include creams or ointments applied to the burn area. Antibiotics are typically administered by mouth, intravenously, or topically. Dressings may include materials such as gauze and fabric, as well as substances such as gels and creams. Dressings are used to protect the wound and aid healing. Wound Careĭressings will be applied to the burn injury during hospitalization. Specialists will also address pain management and nutrition during hospitalization. The burn management process will typically involve wound care such as antibiotics and surgery. The burn management process involves a customized healing process for each patient’s unique burn injuries. Biosurgery: the use of sterile green bottle fly maggots which only consume dead tissue also called maggot therapy.Mechanical: applying a wet dressing and removing when dry.Enzymatic: using manufactured pharmaceutical enzymes to break down dead tissue.Autolytic: using the body’s natural enzymes that break down dead tissue.Surgical: cutting away burned tissue through surgery.Debridement helps to decrease inflammation, prevent infection, and improve healing in the patient. Debridement is the process of removing contaminated, infected and dead skin tissue from the affected area. DebridementĪfter the burn patient is stabilized, specialists will debride the burn area. A bladder catheter will be used to monitor urine output, which is another indicator of fluid resuscitation. IV fluids help to restore bodily fluids lost through burned skin. Burn patients will be given intravenous (IV) fluids for resuscitation and rehydration. The patient’s circulation and vital signs will be monitored. Hospitalization for burns will include prevention and treatment for shock. Oxygen is then administered through the breathing tube. If inhalation injury occurs, a breathing tube may be passed through the patient’s mouth or nose and into the trachea. After burn injuries involving fire, smoke inhalation may cause the airways to become swollen and close up. The patient’s airways should be checked to ensure that breathing is not obstructed due to inhalation injury. When a burn victim first undergoes hospitalization, specialists will immediately work to stabilize the patient. The hospitalization treatment process for burn injuries will depend on the severity of the burn, including how much of the patient’s total body surface area (TBSA) is affected. For optimal treatment and outcome, patients with third and fourth degree burns should be admitted into a specialized burn center. In some cases, patients with a second degree burn may require medical treatment in a hospital. Hospitalization is required for severe burns.
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