Life After Burn Injury: Striving for Regained Freedom

2008 ◽  
Vol 18 (12) ◽  
pp. 1621-1630 ◽  
Author(s):  
Asgjerd Litleré Moi ◽  
Eva Gjengedal
Keyword(s):  
Life Stories ◽  
Burn Injury ◽  
Personal Goals ◽  
Extreme Situation ◽  
Meaningful Life ◽  
Burn Care ◽  
Major Burn ◽  
Significant Effort ◽  
Optimal Quality

Focusing beyond survival, the priority of modern burn care is optimal quality of life. Our aim with this study, which was informed by phenomenology, was to describe and identify invariant meanings in the experience of life after major burn injury. Fourteen adults having sustained a major burn were interviewed, on average, 14 months postinjury, and asked about their experience of important aspects of life. The accident meant facing an extreme situation that demanded vigilance, appropriate action, and the need for assistance. The aftermath of the burn injury and treatment included having to put significant effort into creating coherence in their disrupted personal life stories. Continuing life meant accepting the unchangeable, including going through recurrent processes of enduring, grief, fatalism, comparisons with others, and new feelings of gratefulness. Furthermore, a continuous struggle to change what was changeable, to achieve personal goals, independence, relationships with others, and a meaningful life, were all efforts to regain freedom, aiming for a life as it was before—and sometimes even better.

scholarly journals A Review of Burn Patients Requiring Extracorporeal Membrane Oxygenation at a Burns Facility

2021 ◽  
Vol 2 (4) ◽  
pp. 293-300
Author(s):  
Stephen Frost ◽  
Liz Davies ◽  
Claire Porter ◽  
Avinash Deodhar ◽  
Reena Agarwal
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Burn Injury ◽  
Burn Injuries ◽  
Burn Patients ◽  
Review Of The Literature ◽  
Respiratory Compromise ◽  
Burn Care ◽  
Membrane Oxygenation ◽  
Regular Time ◽  
Major Burn

Respiratory compromise is a recognised sequelae of major burn injuries, and in rare instances requires extracorporeal membrane oxygenation (ECMO). Over a ten-year period, our hospital trust, an ECMO centre and burns facility, had five major burn patients requiring ECMO, whose burn injuries would normally be managed at trusts with higher levels of burn care. Three patients (60%) survived to hospital discharge, one (20%) died at our trust, and one patient died after repatriation. All patients required regular, time-intensive dressing changes from our specialist nursing team, beyond their regular duties. This review presents these patients, as well as a review of the literature on the use of ECMO in burn injury patients. A formal review of the overlap between the networks that cater to ECMO and burn patients is recommended.

Outcome and Quality of Life of Massive Burn Injury: The Impact of Modern Burn Care

2002 ◽  
Vol 23 ◽  
pp. S95 ◽  
Author(s):  
E. E. Tredget ◽  
A. Anzarut ◽  
H. Shankowsky ◽  
S. Logsetty
Keyword(s):  
Quality Of Life ◽  
Burn Injury ◽  
Burn Care ◽  
The Impact

scholarly journals Guidelines for burn rehabilitation in China

2015 ◽  
Vol 3 ◽  
pp. 1-10 ◽  
Author(s):  
◽  
Ying Cen ◽  
Jiake Chai ◽  
Huade Chen ◽  
Jian Chen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Burn Injury ◽  
Medical Science ◽  
Current Medical ◽  
Team Work ◽  
Burn Patients ◽  
Burn Treatment ◽  
Burn Care ◽  
Chinese Association

Abstract Quality of life and functional recovery after burn injury is the final goal of burn care, especially as most of burn patients survive the injury due to advanced medical science. However, dysfunction, disfigurement, contractures, psychological problems and other discomforts due to burns and the consequent scars are common, and physical therapy and occupational therapy provide alternative treatments for these problems of burn patients. This guideline, organized by the Chinese Burn Association and Chinese Association of Burn Surgeons aims to emphasize the importance of team work in burn care and provide a brief introduction of the outlines of physical and occupational therapies during burn treatment, which is suitable for the current medical circumstances of China. It can be used as the start of the tools for burn rehabilitation.

scholarly journals Advantages of immediate excision of burn eschar

2020 ◽  
Vol 48 (2) ◽  
pp. 89-92
Author(s):  
John E Greenwood
Keyword(s):  
Gold Standard ◽  
Burn Injury ◽  
Smoke Inhalation ◽  
Survival Outcomes ◽  
Post Injury ◽  
Burn Care ◽  
Major Burn ◽  
The Hours

Early excision of deep burn eschar and the expeditious closure of the resultant wounds have become established as gold standard burn care. However, early burn excision has been accepted as up to four days post injury based on a series of misconceptions, not least that the patient is too unwell to undergo surgery and tolerate anaesthesia too soon after injury. There are several reasons why immediate burn excision yields superior survival outcomes, and these are expounded in this article. The systemic pathophysiology following major burn injury, especially when complicated by the respiratory pathophysiology accompanying smoke inhalation, evolves. The hours immediately after burn injury offer several windows of surgical opportunity, windows closed by the pathophysiological events that peak 24 hours later and make surgery and anaesthesia at that time both dangerous and ill-advised.

Outcome measures for burns

2019 ◽  
pp. 225-230
Author(s):  
Nigel Tapiwa Mabvuure ◽  
Ali Arham ◽  
David N. Herndon ◽  
Celeste C. Finnerty
Keyword(s):  
Quality Of Life ◽  
Mortality Rate ◽  
Outcome Measures ◽  
Burn Injury ◽  
Single Variable ◽  
Burn Care ◽  
Short And Long Term ◽  
Length Of Hospitalization

Advances in burn care have greatly reduced mortality, necessitating standardized outcome measures for function and quality of life. This chapter discusses outcome measures that are most commonly used or that have been validated. Outcome measures are presented according to time after burn injury (short- and long term). Measures are also presented for biological/physical outcomes, psychosocial outcomes, paediatric-specific outcomes, and limb-related outcomes. The chapter concludes with a description of common single variable outcomes such as mortality rate, pain, and length of hospitalization.

scholarly journals Physiotherapy after Burns Injury, Acute and Surgical Burn Care Stages: Literature Review

2020 ◽  
Vol 19 (3-4) ◽  
pp. 92-100
Author(s):  
Brigita Siparytė-Sinkevičienė ◽  
Rytis Rimdeika
Keyword(s):  
Literature Review ◽  
Scientific Literature ◽  
Burn Injury ◽  
Burn Treatment ◽  
Joint Mobilization ◽  
Burn Care ◽  
Equal Importance ◽  
Wide Range ◽  
Burn Survivors

People recovering from burn injury experience a wide range of challenges throughout their recovery. Currently, the survival is not the only important issue in the treatment of burns. As the advancement and amelioration in burn treatment have improved significantly, the patients’ recovery and abilities to return to their pre-burn functional status are of equal importance as well. The results of recent scientific literature review (Kazis et al.) demonstrate that 28% of burn survivors never return to any form of employment and only 37% of burn survivors regain the fullness of previous employment. Physical therapy is a critical, though painful, component of burn rehabilitation therapy and includes a variety of physiotherapy treatment methods such as exercise therapy, cardiopulmonary training, joint mobilization, positioning, splint adjustment, etc. The application of physiotherapy after burn injury was found to improve physical capacity, muscle strength, body composition, and quality of life. The use of early physiotherapy is also recommended in patients treated in the intensive care unit.

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