Which statement indicates that a client with facial burns understands the need to wear a facial pressure garment?
A. "My facial scars should be less severe with the use of this mask."
B. "The mask will help protect my skin from sun damage."
C. "This treatment will help prevent infection."
D. "Using this mask will prevent scars from being permanent."
Correct Answer: A. “My facial scars should be less severe with the use of this mask.”
The purpose of wearing the pressure garment over burn injuries for up to 1 year is to prevent hypertrophic scarring and contractures from forming. Hypertrophic burn scars pose a challenge for burn survivors and providers. In many cases, they can severely limit a burn survivor’s level of function, including work and recreational activities.
Option B: Although the mask does provide protection of sensitive, newly healed skin and grafts from sun exposure, this is not the purpose of wearing the mask. A widespread modality of prevention and treatment of hypertrophic scarring is the utilization of pressure garment therapy (PGT).
Option C: The pressure garment will not alter the risk of infection. At present, PGT is the standard first-line therapy for hypertrophic burn scars in many centers due to its non-invasive characteristics and presumed desirable treatment effects with few associated complications.
Option D: Scars will still be present. This treatment modality continues to be a clinically accepted practice. It is the most common therapy used for the treatment and prevention of abnormal scars after burn injury particularly in North America, Europe, and Scandinavia where it is considered routine practice and regarded as the preferred conservative management with reported thinning and better pliability ranging from 60% to 85%.
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