- Nursing assessment of burn (severity, TBSA, etc.).
- Position pt in burn position.
- Order P.T./O.T., S.L.P. as needed.
- P.T./O.T. assist with further positioning / splinting option / suggestions.
- Begin PROM to all body parts through full range with patient sedated.
- Progress to A/AAROM as LOC increases.
- Issue A.E.
- Issue self-exercise program.
- Begin bed mobility for lung hygiene.
- Begin ADLs.
- Begin EOB/OOB sitting.
- Begin amb when appropriate (when extubated).
- SLP monitor swallow, voice, and cognition.
- SLP follow for cognition if suspicion of hypoxia/anoxia.
- Progress to OOB/ADLs.
- Begin resistive therex.
- Issue HEP.
- Issue adaptive equipment, when appropriate, for home use.
- Issue MPA as needed.
- Patient should be independent with ADLs/HEP/amb >150 feet by D/C.
- Refer to Rehab/O.P. Therapy/Burn Support Group.
|