Burns

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Partial- First-degree burns are red and very sensitive to touch, and the skin will appear blanched

when light pressure


is applied. First-degree burns involve minimal tissue damage and they involve the epidermis (skin surface). These
burns affect the outer-layer of skin causing pain, redness and swelling. Sunburn is a good example of a first-degree
burn.

Superficial partial burn- Second-degree burns affect both the outer-layer (epidermis) and the under lying layer of
skin (dermis) causing redness, pain, swelling and blisters. These burns often affect sweat glands, and hair follicles.
If a deep second-degree burn is not properly treated, swelling and decreased blood flow in the tissue can result in the
burn becoming a third-degree burn.

Full thickness burns- Third-degree burns affect the epidermis, dermis and hypodermis, causing charring of skin or a
translucent white color, with coagulated vessels visible just below the skin surface. These burn areas may be numb,
but the person may complain of pain. This pain is usually because of second-degree burns. Healing from third-
degree burns is very slow due the skin tissue and structures being destroyed. Third-degree burns usually result in
extensive scarring.

Deep partial a burn that extends deeply into the subcutaneous tissue, completely destroying the skin, subcutaneous
fat, and underlying tendons, and sometimes involving muscle, fascia, or bone.

Emergent phase - This phase begins immediately at the time of injury and ends with the restoration of capillary
permeability. The main goal of this phase is to prevent hypovolemic shock and preserve vital organ functioning.
Methods used during this time are prehospital care and emergency room care.

Rehabilitative phase is the final phase of managing a burn injury. Most frequently, it overlaps the acute phase and it
goes on after hospitalization. Main goals during this phase are helping the client gain independence and achieve
maximal function.

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