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Burns and the Role of the physiotherapist (physiology (Inhalation Injury #…
Burns and the Role of the physiotherapist
physiology
dermal layer
epidermal layer
nociceptive nerves
involvement of lymphatic system
secretory system
Inhalation Injury
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#
above larynx
below larynx
systemic intoxication
Chemical Burn
Non chemical burn
theory/facts
burn classification
1st degree burn
2nd degree burn
3rd degree burn
Rule of nines
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Early rehabilitation improves outcomes
Younger mails = most common. Spike in older population
post burn therapy
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post burn mobilisation
In line with Dr's orders - the sooner the better
post burn non-mobilisation related therapy
ranging
strength work to offset protein loss
core activation
cardiovascular fitness
Chest care: immune system compromise
Immediate first aid
20mins running water
Do not wrap in glad wrap
seek medical attention immediately
ensure adequate hydration
immediate infection control
Assessment
Amount of burn
colour of burns
dressings involved
observation of Dr's orders
Pain relief medication
paracetamol
pregablin
tramadol
endone rarely used
stronger pain relief when unconscious
Don't associate pain relief with physiotherapy
Outcome measures
ICF framework
standard mobilisation outcome measures
Important to clarify patient goals - SMART
SPECIFIC post operative therapy
post operative mobilisation
mobilise as soon as safe
must consider shearing forces and compromise of surgery. Need to allow wounds to take - different for each type of graft
post operative non-mobilisation related therapy
Must consider infection risk