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Hydrotherapy & Burn Wound Care. Bailey Burge RN, BSN Burn Intensive Care Unit April 28, 2011. Objective. Identify important aspects of hydrotherapy and wound care. Hydrotherapy Room. Procedure Room Environmental comfort Patient’s room remains “safe-haven” Water pressure - PowerPoint PPT Presentation
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Hydrotherapy & Burn Wound Care
Bailey Burge RN, BSNBurn Intensive Care Unit
April 28, 2011
ObjectiveIdentify important aspects of hydrotherapy
and wound care.
Hydrotherapy RoomProcedure Room
Environmental comfort Patient’s room remains “safe-haven”
Water pressureAvailability of specialized equipment and
productsAids in maintenance of ROM
Hydrotherapy Room
Burn Wound CareGreatest threat to survival after resuscitationGoal:
Early wound closureMaintain functionPrevent infection
Introduction of topical antibiotics has significantly reduced mortality
ProcessCultures
On admission and every Monday & Thursday Assists in treatment modality & reduces cost
Debridement On admission Get between dead and viable tissue
Pictures On admission, every Wednesday and graft T/D day
Clean PI sponges & sterile gloves per body part
Dressings Determined by cultures, degree of burn, staff experience, physician
Wrap Kerlex, surginet, ace, burn vests
Supplies
Specific AgentsSilver Dressings: Topicals:Aquacel AgSilver NitrateSilver Matrix
NeosporinMafenide acetate
(Sulfamylon)SantylBactrobanNystatinPovidone Iodine
Temporary wound coverings:Porcine xenograftHuman cadaver allograftsBiobrane
Graft & Donor SitesGraft: Graft care:Split thickness skin graft
Meshed (1:1.5, 1:2, 1:3, 1:4)
Unmeshed (sheet graft)Full thickness skin graftPermanent wound
coverageInitial dressings provide
security and compression
Splint applied if crosses joint
Protect from pressure, shear and movement
Keep initial dressing on until 3 days post-op
Take down day:% adheredRemove every other
staplePictureCultures
Graft Site
Retrieved from: http://apps.tpta.org/courses/Burn06/Graft.htm
Graft & Donor SitesDonor:
Donor Care with Glucan:
Harvested tissue sitePainfulMonitor bleedingHeals by
reepithelialization
Initial dressing remains intact for 48 hrs post-op
Take down day:Remove outer dressingObserve site
May appear yellowish and “soupy”
Remove staplesMay leave open to airTreat like a scab
Donor Site
Retrieved from: http://www.woundsinternational.com/pdf/content_196.pdf
SummaryHydrotherapy treatment continually washes
away dead skin and bacteria and decreases the risk of infection
Patient’s room can remain a safe placeBurn wound care is performed to promote
healing, maintain function and prevent infection and burn wound sepsis.
ReferencesAmerican Burn Association. 2007. Advanced Burn Life
Support Course: Provider Manual. Chicago, IL.: American Burn Association.
Beldon, P. (2007). What You Need to Know about Skin Grafts and Donor Site Wounds. Retrieved from http://www.woundsinternational.com/pdf/content_196.pdf
Herndon, D. N. (2007). Total Burn Care. Galveston, TX: Elsevier Health Sciences.
Weber, J., & McManus, A. (n.d.). Infection Control in Burn Patients. Retrieved from http://www.worldburn.org/documents/infectioncontrol.pdf
Wiegand, D. & Carlson, K. (2005). AACN Procedure Manual for Critical Care. St. Louis, MO: Elsevier Saunders
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