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This Concept Map, created with IHMC CmapTools, has information related to: Burn.Rehab.Rachel, smoke inhalation can lead to bronchospasm, Body Functions and Structures from Core outcomes for adult burn survivors Falder, 2008 Burns relevent systems neuromuscular, type by cause scald, epidemiology from Burn Rehab: State of Science Esselman, 2006 Am J Phys Med Rehabil incidence/prevalence 23 - 42% work related, epidemiology from Burn Rehab: State of Science Esselman, 2006 Am J Phys Med Rehabil incidence/prevalence and mortality decreased since 1950, neuromuscular important domains muscle strength, wound healing takes time Stages 1 - 3: epithelial continuity, 3 wks post injury (OP) should include communication with: - vocational rehab counselor - OT - psychologist - MD/surgeon, scarring measured by objective/subjective: - skin color - scar thickness - surface texture - perfusion - scar pliability, positioning to promote - hand (wrist neutral, MCP slight flex) - arm (in elbow ext, shoulder abd) - hip (full ext, abd 15-20 deg) (Evans, Total Burn Care), complications from Burns Sheridan, 2002 Crit Care Med in long term peripheral neuropathy, complications from Burns Sheridan, 2002 Crit Care Med in short term burn shock, 3 days post injury (Whitehead, 2009) (Evans, Total Burn Care) should include compression, Psychosocial (Environmental and Personal Factors) from Core outcomes for adult burn survivors Falder, 2008 Burns could include depression, medical interventions from Burns Sheridan, 2002 Crit Care Med initially dry wound dressing, Participation from Barriers to return to work after burn injuries Esselman, 2007 Arch Phys med Rehabil includes Return to work (RTW), hand and upper limb function measured by - Michigan Hand Outcome Questionnaire - DASH/QuickDASH - Jebsen Hand Function Test - Sollerman's Hand Function Test - Digital limb measurement: (goniometry, grip/pinch strength, limb WB pressure by force-plate), edema management by limb elevation, scarring measured by Scales: - Vancouver Scar Scale - Modified Vancouver Scar Scale - Seattle Scale - Matching assessment of scars and phorographs - Hamilton Scale - Patient and Observer Scar Assessment Scale, 3 days post injury (Whitehead, 2009) (Evans, Total Burn Care) should include Ambulation