Therapist's Management of the Burned Hand

Tufaro, Patricia A.; Bondoc, Salvador

doi:10.1016/b978-0-323-05602-1.00026-x

Cited by 4 publications

(11 citation statements)

References 122 publications

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“…20 The emergent phase comprises the first 2 to 3 days after injury. 20 The emergent phase comprises the first 2 to 3 days after injury.…”

Section: Phases Of Burn Recoverymentioning

confidence: 99%

“…3,10,20 Treatment is aimed at preventing infection, promoting healing, and minimizing complications. Nonsurgical management is an option for partial thickness burns, because they are able to regenerate epithelium.…”

Section: Non-operative Treatmentmentioning

confidence: 99%

“…20 In addition to elevation, use pressure techniques (for example, compression wraps, sleeves, or gloves) as needed, taking care to monitor circulation and skin integrity, because fragile wounds and scars break down easily. To prevent a decrease in arterial flow to the hand, elevate the hand to heart level only in the emergent phase.…”

Section: Positioningmentioning

confidence: 99%

“…20 In some cases an orthosis may be indicated for a client who is unable to actively move the hand or for a client who may move too aggressively. It is important to note that not all hand burns require orthotic intervention.…”

Section: Orthosesmentioning

confidence: 99%

“…Most superficial partial thickness burns do not require an orthosis, because healing is completed within 3 weeks. 10,16,20 For isolated burns to the palmar surface, position the wrist in neutral to slight extension, the IP joints in full extension and abduction, and the thumb in radial abduction and extension. 20 In some cases an orthosis may be indicated for a client who is unable to actively move the hand or for a client who may move too aggressively.…”

Section: Orthosesmentioning

confidence: 99%

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Burns

Deshaies¹

2014

Fundamentals of Hand Therapy

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“…20 The emergent phase comprises the first 2 to 3 days after injury. 20 The emergent phase comprises the first 2 to 3 days after injury.…”

Section: Phases Of Burn Recoverymentioning

confidence: 99%

Section: Non-operative Treatmentmentioning

confidence: 99%

Section: Positioningmentioning

confidence: 99%

Section: Orthosesmentioning

confidence: 99%

Section: Orthosesmentioning

confidence: 99%

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Deshaies¹

2014

Fundamentals of Hand Therapy

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Skin Grafts and Flaps

Ware¹

2016

Hand and Upper Extremity Rehabilitation

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A Cross-sectional Survey of Health Professionals Across Australia and New Zealand to Determine What Outcome Measures Are Important From a Clinical Perspective Post Hand Burn Injury

McKittrick

Gustafsson

2021

Journal of Burn Care &Amp; Research

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Outcome measures are used in healthcare to evaluate clinical practice, measure efficiencies and to determine the quality of health care provided. The Burns Trauma Rehabilitation: Allied Health Practice Guidelines advocates for the collection of outcome measures post burn injuries across different time points. These guidelines recommend multiple tools which can be utilised when measuring outcomes post burn injuries. The aim of this study was to gather information from specialist clinicians regarding their clinical practice and the outcome measurement tools used post hand burn injuries. This cross-sectional study used a survey design to collect data at one given point in time across a sample population. A total of 43 clinical specialists allied health professionals responded to the survey. Respondents indicated that their patients considered hand dexterity was the most important outcome. Three months post burn injury was the most common timepoint for measurement (n= 31, 72.1%) followed by six months (n=27, 62.8%). Patient report of hand function (n=42, 97.7%) and observation (n=41, 95.3%) were the most frequently reported assessment methods. The Jamar Dynamometer (n=40, 93%), goniometer (n=39, 90.7%) and pinch gauge (n=36, 83.7) were the most frequency cited assessment tools. The findings of this study suggest that clinical specialist allied health collect some outcome measures in their routine practice. Based on the respondent’s perceptions of barriers when using outcome measures and lack of reliable/ validated tools to measure hand burn outcomes, there is a need for further studies in this area.

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Therapist's Management of the Burned Hand

Cited by 4 publications

References 122 publications

Burns

Burns

Skin Grafts and Flaps

A Cross-sectional Survey of Health Professionals Across Australia and New Zealand to Determine What Outcome Measures Are Important From a Clinical Perspective Post Hand Burn Injury

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