Adult Burn Injuries: Psychosocial Issues and the Role of the Rehabilitation Psychologist

2014 ◽  
Author(s):  
Kim Roaten
Keyword(s):  
Burn Injuries ◽  
Psychosocial Issues

Management of deradicalisation in the UK: reflections of a clinical psychologist

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Feryad A. Hussain
Keyword(s):  
Clinical Psychologist ◽  
Healthcare Team ◽  
Psychosocial Issues ◽  
Muslim Community ◽  
Home Office ◽  
Terrorist Groups ◽  
Violent Action ◽  
Clinical Counselling ◽  
The Uk

Radicalisation to violent action is not just a problem in foreign lands. Research has identified numerous politico–psychosocial factors to explain why young people from the UK are now joining terrorist groups such as ISIS. Our understanding has been expanded by the accounts of “returnees” who have subsequently either self-deradicalised or joined a government deradicalisation programme in the role of an Intervention Provider (IP). These individuals are now key to the deradicalisation programme. This article presents the reflections of a clinical psychologist who worked within a social healthcare team managing psychosocial issues related to radicalisation, in conjunction with an allocated IP. The project involved individuals from the Muslim community and, as such, issues discussed are specific to this group. It is acknowledged that the process in general is universally applicable to all groups though specifics may vary (under Trust agreement, details may not be discussed). This article also aims to share basic information on the current Home Office deradicalisation programme and raises questions about the current intervention. It also offers reflections on how the work of IPs may be facilitated and supported by clinical/counselling psychologists and psychotherapists.

scholarly journals Amputation Following Burn Injury

2019 ◽  
Vol 40 (4) ◽  
pp. 430-436
Author(s):  
Colleen N Bartley ◽  
Kenisha Atwell ◽  
Laura Purcell ◽  
Bruce Cairns ◽  
Anthony Charles
Keyword(s):  
Risk Factors ◽  
Odds Ratio ◽  
Logistic Regression Model ◽  
Burn Injury ◽  
Burn Injuries ◽  
Multivariate Logistic Regression Model ◽  
Multivariate Logistic Regression ◽  
Black Race ◽  
Burn Center

AbstractAmputation following burn injury is rare. Previous studies describe the risk of amputation after electrical burn injuries. Therefore, we describe the distribution of amputations and evaluate risk factors for amputation following burn injury at a large regional burn center. We conducted a retrospective analysis of patients ≥17 years admitted from January 2002 to December 2015. Patients who did and did not undergo an amputation procedure were compared. A multivariate logistic regression model was used to determine the risk factors for amputation. Amputations were further categorized by extremity location and type (major, minor) for comparison. Of the 8313 patients included for analysis, 1.4% had at least one amputation (n = 119). Amputees were older (46.7 ± 17.4 years) than nonamputees (42.6 ± 16.8 years; P = .009). The majority of amputees were white (47.9%) followed by black (39.5%) when compared with nonamputees (white: 57.1%, black: 27.3%; P = .012). The most common burn etiology for amputees was flame (41.2%) followed by electrical (23.5%) and other (21.9%). Black race (odds ratio [OR]: 2.29; 95% confidence interval [CI]: 1.22–4.30; P = .010), electric (OR: 13.54; 95% CI: 6.23–29.45; P < .001) and increased %TBSA (OR: 1.03; 95% CI: 1.02–1.05; P < .001) were associated with amputation. Burn etiology, the presence of preexisting comorbidities, black race, and increased %TBSA increase the odds of post burn injury. The role of race on the risk of amputation requires further study.

Socioeconomic Features of Burn Injuries in Southern Iran: A Cross-sectional Study

2021 ◽  
Author(s):  
Ali Akbar Mohammadi ◽  
Mohammad Ali Hoghoughi ◽  
Mohammadreza Karoobi ◽  
Keivan Ranjbar ◽  
Reza Shahriarirad ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Burn Injuries ◽  
Cross Sectional ◽  
Susceptible Population ◽  
Southern Iran ◽  
Causative Factors ◽  
Burn Survivors ◽  
Preventive Role ◽  
Substantial Morbidity

Abstract Burn injuries are among the most traumatic incidences which could be associated with substantial morbidity and mortality. The incidence of these injuries differs based on population socioeconomic characteristics. In this study, we aim to evaluate the distribution of burn injuries based on socioeconomic and causative factors. Relative features from the targeted population were obtained and evaluated. Data were extracted in August 2019 and statistical analysis of the data was conducted from February 2020 to April 2020. This cross-sectional record-based study was conducted from 2008 to 2016 in a main referral center for burn injuries in the southern Iran. Participants included burn survivors and burn patients who were registered as outpatients or inpatients. A total of 4919 burn cases with a mean age of 31.91 ± 17.33, including 2926 (59.5%) males and 1993 (40.5%) females was reported. The majority of our cases had an educational level of under diploma (40.72%). A significant correlation between age, gender, and percentage of burn with the level of education was recorded (P &lt; .001). The most frequent cause of burn injuries was flame with 2537 (51.9%) cases. The most susceptible population to burn injuries were reported to be poorly educated individuals, which emphasizes the preventive role of education.

Severe Burn Injuries and the Role of Elastin in the Design of Dermal Substitutes

2011 ◽  
Vol 17 (2) ◽  
pp. 81-91 ◽  
Author(s):  
Jelena Rnjak ◽  
Steven G. Wise ◽  
Suzanne M. Mithieux ◽  
Anthony S. Weiss
Keyword(s):  
Burn Injuries ◽  
Severe Burn ◽  
Dermal Substitutes ◽  
Severe Burn Injuries

scholarly journals A thematic study of the role of social support in the body image of burn survivors

2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Kellie Hodder ◽  
Anna Chur-Hansen ◽  
Andrea Parker
Keyword(s):  
Social Support ◽  
Body Image ◽  
South Australia ◽  
The Body ◽  
Burn Injuries ◽  
Body Image Satisfaction ◽  
The Gaze ◽  
Burn Survivors ◽  
Burns Unit

There is evidence that social support is important for the development and mainte- nance of body image satisfaction for people who have sustained burn injuries. This qualitative study explored the specific mechanisms by which social support impacts the body image satisfaction of burn survivors, drawing on nine participants’ in depth accounts. Participants were recruited through a burns unit at a public hospital in South Australia. Interviews were conducted with nine female burn survivors aged between 24 and 65 (mean age 44.6). Participants described their perceptions about their appearance post burn and their social support experiences. Four themes were identified: acceptance, social comparison, talking about appearance concerns, and the gaze of others. Results indicate that for these participants, social support was an important factor in coming to terms with changes in appearance, specifically support that helps to minimise feelings of difference. Unhelpful aspects of social support were also identified included feeling that suffering was being dismissed and resenting the perceived expectation from supports to be positive. Social supports are important to consider in relation to body image for those working with people who have survived burn injuries.

Intensive care of children with burn injuries and the role of the multidisciplinary team

2014 ◽  
Vol 26 (9) ◽  
pp. 27-30 ◽  
Author(s):  
Augusto Biasini ◽  
Marco Biasini ◽  
Marcello Stella
Keyword(s):  
Intensive Care ◽  
Multidisciplinary Team ◽  
Burn Injuries

scholarly journals Role of Autophagy Biomarkers In Burn-Age Estimation and Progression

2019 ◽  
Vol 9 (3-4) ◽  
pp. 163-171
Author(s):  
Heba A. Yassa ◽  
Randa T. Hanna ◽  
Hala Zein El Abdin
Keyword(s):  
Normal Level ◽  
Burn Injury ◽  
Burn Injuries ◽  
Male Rats ◽  
Thermal Burn ◽  
Histopathological Effects ◽  
Skin Samples ◽  
Second Degree

Background: Determination of time passed since burn injury in the living is critical in forensic science. Autophagy biomarkers and vitronectin can play an important role in determination of the age of burn injuries through their levels in the tissue. Objective: The aim of this study was to investigate the role of autophagy biomarkers in dating burn injury and to correlate them with the histopathological effects of deep second-degree thermal burn. Method: Fifty-four male rats were used in this study after infliction of second-degree thermal burns to their skin. Samples were taken from them after 30 minutes and one, four, 24, 48, and 72 hours following burn to be examined histologically and also for autophagy biomarkers and vitronectin. Results: Significant reduction in the autophagy biomarkers (p < 0.001) over the first 24 hours then began to increase but still not reach the normal level up to 72 hours after burn. Vitronectin level increased after burn infliction 1.5-fold after first hour, then up to four-fold after four hours and after that began to decline but still did not reach the normal level up to 72 hours. Conclusion: Autophagy biomarkers can be used as a forensic tool in determination of the time passed since burn infliction in living.

scholarly journals Analgesia For Dressing Changes In Burns: A Systematic Review

2018 ◽  
Vol 5 (1) ◽  
pp. 170-187
Author(s):  
Mohamad Rachadian Ramadan ◽  
Aditya Wardhana ◽  
Adhrie Sugiarto
Keyword(s):  
Large Scale ◽  
Randomized Trials ◽  
Burn Injuries ◽  
Burn Patients ◽  
Primary Methods ◽  
Pharmacological Agents ◽  
Adjunct Treatment ◽  
Prolonged Pain ◽  
Physiological Outcomes

Background: Intense and prolonged pain often caused by burn injuries. The greatest pain is mostly experienced during dressing changes to maintain healing and banish the infection. This review is conducted to assess the effectiveness and safety of different analgesia agents or methods for dressing changes in burn patients. Method: Searches of studies conducted from 4 electronic databases, using keywords “Analgesia”, “Dressing”, “Bandages”, “Changes” and “Burns”. We included randomized and quasi-randomized trials assessing and comparing the effects of different analgesia agents, analgesia methods for dressing changes in burns patients. We excluded trials reporting only pharmacokinetic and physiological outcomes, comparing drug dosages, with exception for those using different drugs in the same class. Result: Multiple databases search retrieved 144 studies. 17 trials are eligible involving 700 patients. Analgesia using pharmacological agents in 7 trials; 5 trials elaborating primary treatments and 2 trials as the adjunct treatment complementing the major analgesia. Two primary analgesia treatments were studying the role of patient-controlled analgesia (PCA), while 3 trials using caregiver delivered. Ten trials were observing the role of non-pharmacological analgesia. Conclusion: There was inadequate evidence from comparisons tested in randomized trials to confirm the dependent effectiveness of various techniques of analgesia, individual methods, or to assess the administration of different drug adjuncts for providing analgesia during dressing changes. Given the unresolved questions about the management of these conditions, we suggest that preference should be focused on the large scale, optionally, multi-center randomized observations of the primary methods.

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