A burn is damage to your bodys tissues caused by heat, chemicals, electricity, sunlight or radiation.

Scalds from hot liquids and steam, building fires and flammable liquids and gases are the most common causes of burns. Types of Burns First-degree burns damage only the outer layer of skin Second-degree burns damage the outer layer and the layer underneath Third-degree burns damage or destroy the deepest layer of skin and tissues underneath Nursing Priorities Maintain patent airway/respiratory function. Restore hemodynamic stability/circulating volume. Alleviate pain. Prevent complications. Provide emotional support for patient/significant other (SO). Provide information about condition, prognosis, and treatment. 11 Burn Injury Nursing Care Plan (NCP) Burns Nursing Care Plan (NCP) Knowledge Deficit Burns Nursing Care Plan (NCP) Disturbed Body Image Burns Nursing Care Plan (NCP) Fear/Anxiety Burns Nursing Care Plan (NCP) Impaired Skin Integrity Burns Nursing Care Plan (NCP) Imbalanced Nutrition Burns Nursing Care Plan (NCP) Ineffective Tissue Perfusion Burns Nursing Care Plan (NCP) Acute Pain Burns Nursing Care Plan (NCP) Risk for Infection Burns Nursing Care Plan (NCP) Risk for Deficient Fluid Volume Burns Nursing Care Plan (NCP) Risk for Ineffective Airway Clearance Burns Nursing Care Plan (NCP) Discharge Goals Homeostasis achieved. Pain controlled/reduced. Complications prevented/minimized. Dealing with current situation realistically. Condition/prognosis and therapeutic regimen understood. Plan in place to meet needs after discharge. Impaired Physical Mobility Nursing Interventions Rationale Maintain proper body Promotes functional alignment with supports or positioning of extremities splints, especially for burns and prevents contractures, over joints. which are more likely over joints. Note circulation, motion, Edema may compromise and sensation of digits circulation to extremities, frequently potentiating tissue necrosis/development of contractures. Initiate the rehabilitative It is easier to enlist phase on admission participation when patient is aware of the possibilities that exist for recovery.

Perform ROM exercises . Prevents progressively consistently, initially tightening scar tissue and passive, then active. contractures; enhances maintenance of muscle/joint functioning and reduces loss of calcium from the bone. Medicate for pain before activity/exercises Reduces muscle/tissue stiffness and tension, enabling patient to be more active and facilitating Schedule treatments and participation. care activities to provide periods of uninterrupted Increases patients strength rest. and tolerance for activity. Encourage family/SO support and assistance with Enables family/SO to be ROM exercises. active in patient care and provides more constant/consistent Incorporate ADLs with therapy. physical therapy, hydrotherapy, and nursing Combining activities care. produces improved results by enhancing effects of each. Encourage patient participation in all activities as individually able. Promotes independence, enhances self-esteem, and facilitates recovery process.