Rehabilitation is the final phase of burn care. Which of the following are the goals during this phase? Select all that apply.
A. Provide emotional support.
B. Prevent hypovolemic shock.
C. Promote wound healing and proper nutrition.
D. Fluid replacement.
E. Help the client in gaining optimal physical functioning.
Correct Answer: A, C, and E.
The rehabilitation phase starts after wound closure and ends upon discharge and beyond. The goals of this phase include minimizing functional loss, promoting psychosocial support, promoting wound healing, and proper nutrition.
Option A: Patients may try to refuse treatment as they are in pain and may not fully understand the impact of not participating in their rehabilitation; they, therefore, need the support and encouragement of the burn care professionals to help them through this difficult experience with the knowledge of how different their quality of life can be.
Option B: Inflammatory and vasoactive mediators such as histamines, prostaglandins, and cytokines are released causing a systemic capillary leak, intravascular fluid loss, and large fluid shifts. These responses occur mostly over the first 24 hours peaking at around six to eight hours after injury. This can be managed with aggressive fluid resuscitation and close monitoring for adequate, but not excessive, IV fluids.
Option C: Continuous monitoring and reassessment of nutritional status with modifications in nutritional therapy as indicated can accommodate the unique yet diverse needs of this population and support their therapeutic goals for recovery.
Option D: Belong to the main goal during the resuscitative phase. Patients with burns of more than 20% – 25% of their body surface should be managed with aggressive IV fluid resuscitation to prevent “burn shock.”
Option E: A comprehensive rehabilitation program is essential to decrease a patient’s post-traumatic effects and improve functional independence. While different professionals possess expertise in their own specialties, there are some simple and effective methods that can be utilized to help the patient reach their maximum functional outcome.
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