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Terms in this set (84)

-with the exception of the post-graft operation immobilization period, gentle AROM and PROM to the client's tolerance should be implemented as early as possible
-after post-graft operation immobilization, begin with AROM initially, and resume PROM after graft adherence has been confirmed
-close monitoring of scar contracture and deformity development through the continuum of care and making changes to splinting and positioning as often as needed are of utmost importance
-avoid applying a splint on the surface of the burned area (a volar hand splint for burns should be placed onto dorsum of hand and dorsal hand splint for burns should be placed onto volar surface of hand); unless burns are circumferential, apply standard splinting positioning (volar hand splint)
-with dorsal hand burns, take care to maintain Boutonniere precaution and avoid having the client form active or passive composite flexion of the fingers during evaluation and intervention; the integrity of the extensor hood should be confirmed before composite flexion is allowed
-with any burn deeper than a deep partial thickness burn, sensory impairment may occur; sensory testing for peripheral nerve damage should be performed as soon as wounds are closed
-for electrical burns, a gross sensory screening should be performed on the involved limb to identify the extent of the peripheral sensory nerve impairment
-for edema management in the hand, use of a volumeter should be avoided until all wounds are closed or permission is obtained from the medical doctor to submerge the hand with open wounds into water