271 Support for Burn Survivors: Influential Factors in the Recovery Process

Abstract Navigating the recovery journey following a burn injury can be challenging. Survivor stories can help define recovery constructs that can be incorporated into support programs. We undertook this study to determine themes of recovery in a predominately rural state. Eleven purposefully selected burn survivors were interviewed using a semi-structured format. Consensus coding of verbatim transcriptions was used to determine themes of successful recovery. Four support-specific themes were identified. These included: using active coping strategies, expressing altruism through helping others, finding meaning and acceptance, and the active seeking and use of support. These themes could be incorporated into support programming and would help guide future survivors through the recovery period.

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“More than Scabs and Stitches”: An Interview Study of Burn Survivors’ Perspectives on Treatment and Recovery

Journal of Burn Care & Research ◽

10.1093/jbcr/irab062 ◽

2021 ◽

Author(s):

Kimberly Dukes ◽

Stephanie Baldwin ◽

Joshua Hagedorn ◽

Emily Ruba ◽

Katherine Christel ◽

...

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Burn Injury ◽

Wound Care ◽

Recovery Process ◽

Well Being ◽

Care Quality ◽

Clear Understanding ◽

Structured Interviews ◽

Burn Survivors

Abstract Sustaining a burn injury often results in a life-long recovery process. Survivors are impacted by changes in their mobility, appearance, and ability to carry out activities of daily living. In this study, we examined survivors’ accounts of their treatment and recovery in order to identify specific factors that have had significant impacts on their well-being. With this knowledge, we may be better equipped to optimize the care of burn patients. We conducted inductive, thematic analysis on transcripts of in-depth, semi-structured interviews with 11 burn survivors. Participants were purposefully selected for variability in age, gender, injury size and mechanism, participation in peer support, and rurality. Survivors reported varied perceptions of care quality and provider relationships. Ongoing issues with skin and mobility continued to impact their activities of daily living. Many survivors reported that they did not have a clear understanding or realistic expectations of the recovery process. Wound care was often described as overwhelming and provoked fear for many. Even years later, trauma from burn injury can continue to evolve, creating fears and impediments to daily living for survivors. To help patients understand the realistic course of recovery, providers should focus on communicating the nature of injury and anticipated recovery, developing protocols to better identify survivors facing barriers to care, and referring survivors for further support.

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The Use of Public Health Indicators to Assess Individual Happiness in Post-Disaster Recovery

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16214101 ◽

2019 ◽

Vol 16 (21) ◽

pp. 4101

Author(s):

Yingying Sun ◽

Tingting Yan

Keyword(s):

Disaster Recovery ◽

Linear Regression Analysis ◽

Tohoku Earthquake ◽

Health Indicators ◽

Recovery Process ◽

Multiple Linear Regression Analysis ◽

Influential Factors ◽

Chi Square ◽

The 2011 Tohoku Earthquake ◽

Property Loss

Purpose: Very few studies have examined the influential factors of survivors’ feelings of happiness in the context of nuclear accidents. This paper aims to fill this gap with reference to the recovery process in Fukushima City following the 2011 Tohoku Earthquake Tsunami in Japan. Methods: Open access data were sourced from the 2015 Social Survey on Living and Disaster Recovery (SSLDR) (N = 1439) of Fukushima citizens. Pearson’s Chi-square Test and the t-test were employed to examine gender differences with regard to happiness and exploratory variables. Following this, a multiple linear regression analysis was conducted to investigate the determinants of happiness. Results: The results showed that, compared to females, male respondents were unhappier and reported more property loss and less neighborhood connectedness. Individuals’ mental and physical health and neighborhood connectedness were found to be significantly correlated with their happiness. However, the disaster-related variables of people’s evaluation of recovery achievement, concerns around the health impacts of radiation, property loss in the disaster, and experiences of casualty, had no effects on happiness. Conclusion: These findings indicate that policies and countermeasures dealing with disaster recovery over the long term should continuously focus on health issues and social relationships.

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562 “A Long process:” a Qualitative Analysis of Burn Survivors’ Treatment and Recovery Process

Journal of Burn Care & Research ◽

10.1093/jbcr/iraa024.190 ◽

2020 ◽

Vol 41 (Supplement_1) ◽

pp. S122-S122

Author(s):

Stephanie Baldwin ◽

Dukes Kimberly ◽

Katherine N Christel ◽

Joshua Hagedorn ◽

Emily Ruba ◽

...

Keyword(s):

Daily Living ◽

Burn Injury ◽

Wound Care ◽

Recovery Process ◽

Care Quality ◽

Emotional Wellbeing ◽

Structured Interviews ◽

Burn Survivors ◽

Initial Hospital

Abstract Introduction The treatment and recovery from a burn injury is a long process that can affect a survivor’s appearance, mobility, daily function, and emotional wellbeing. In this study, we sought to identify various factors in survivors’ treatment and recovery process. Methods We conducted thematic analysis on transcripts of in-depth, semi-structured interviews with 11 burn survivors who had been treated at a Midwest tertiary facility. Survivors were purposefully selected for variability in age, gender, injury size, injury mechanism and quality of life responses. All transcripts were coded by at least two authors. We managed coded results in MAXQda, a qualitative data management software program. Results The mean age of interviewees was 51 years (35–63 years) and time from the injury was 5.4 years (2 months to 26 years). Their burn sizes ranged from < 10% in 4 people to 70–79% in one. Participants reported varied perceptions of care quality and provider relationships from the initial hospital stay. Some recalled communication issues from the hospital throughout the long recovery process. Many used graphic terms for the unfamiliar treatment methods. Survivors reported ongoing issues with their skin and mobility that continued to impact activities of daily living even years later. Many did not have clear or realistic expectations or understanding of the recovery process. Wound care was overwhelming and provoked fear for many survivors even with formal instruction. Most participants developed different ways to treat their injuries at home. Barriers to recovery included finances, comorbidities, and environmental characteristics, including rurality. Conclusions Even years later, the burn injury can continue to evolve, create fears, and affect daily living for survivors. To help patients understand the realistic course of recovery, providers could focus on clear communication about the injury and recovery. Providers should recognize survivors with barriers who may need referrals for further support. Applicability of Research to Practice Reflecting on the subjective accounts of survivors will help identify opportunities to improve patient experiences during treatment and throughout the recovery process.

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Servicing the Senior Swallow: A Family-Centered Private Practice Model of Service Delivery

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2020_persp-20-00134 ◽

2020 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Yvette M. McCoy

Keyword(s):

Older Adults ◽

Medical Model ◽

Recovery Process ◽

Swallowing Disorders ◽

Current Evidence ◽

Care Needs ◽

Skilled Nursing ◽

Person Centered Care ◽

Centered Care ◽

Traditional Medical Model

Purpose Person-centered care shifts the focus of treatment away from the traditional medical model and moves toward personal choice and autonomy for people receiving health services. Older adults remain a priority for person-centered care because they are more likely to have complex care needs than younger individuals. Even more specifically, the assessment and treatment of swallowing disorders are often thought of in terms of setting-specific (i.e., acute care, skilled nursing, home health, etc.), but the management of dysphagia in older adults should be considered as a continuum of care from the intensive care unit to the outpatient multidisciplinary clinic. In order to establish a framework for the management of swallowing in older adults, clinicians must work collaboratively with a multidisciplinary team using current evidence to guide clinical practice. Private practitioners must think critically not only about the interplay between the components of the evidence-based practice treatment triad but also about the broader impact of dysphagia on caregivers and families. The physical health and quality of life of both the caregiver and the person receiving care are interdependent. Conclusion Effective treatment includes consideration of not only the patient but also others, as caregivers play an important role in the recovery process of the patient with swallowing disorders.

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How to Evaluate Remote Tower Metrics in Connection With Weather Observations

Aviation Psychology and Applied Human Factors ◽

10.1027/2192-0923/a000142 ◽

2018 ◽

Vol 8 (2) ◽

pp. 100-111 ◽

Cited By ~ 1

Author(s):

Maik Friedrich ◽

Christoph Möhlenbrink

Keyword(s):

Traffic Control ◽

Air Traffic Control ◽

Influential Factors ◽

Air Traffic ◽

Weather Event ◽

Evaluation Of Performance ◽

Weather Events ◽

Weather Observations ◽

Validation Experiment ◽

Remote Controller

Abstract. Owing to the different approaches for remote tower operation, a standardized set of indicators is needed to evaluate the technical implementations at a task performance level. One of the most influential factors for air traffic control is weather. This article describes the influence of weather metrics on remote tower operations and how to validate them against each other. Weather metrics are essential to the evaluation of different remote controller working positions. Therefore, weather metrics were identified as part of a validation at the Erfurt-Weimar Airport. Air traffic control officers observed weather events at the tower control working position and the remote control working position. The eight participating air traffic control officers answered time-synchronized questionnaires at both workplaces. The questionnaires addressed operationally relevant weather events in the aerodrome. The validation experiment targeted the air traffic control officer’s ability to categorize and judge the same weather event at different workplaces. The results show the potential of standardized indicators for the evaluation of performance and the importance of weather metrics in relation to other evaluation metrics.

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