Page 2443 - Saunders Comprehensive Review For NCLEX-RN
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softeners and harsh detergents in the
                                                                laundry.
                                                             g. Instruct the client to lubricate the
                                                                healing skin with prescribed agents.
                                                             h. Instruct the client to protect the affected
                                                                area from sunlight.
                                                             i. Instruct the client to use splints and
                                                                support garments as prescribed.

                                                      8. Care of the donor site

                                                             a. Method of care varies, depending on
                                                                the PHCP’s preference.
                                                             b. A nonadherent gauze dressing may be
                                                                applied at the time of the surgery to
                                                                maintain pressure and stop any
                                                                oozing; covering the site decreases
                                                                discomfort from exposed nerve
                                                                endings; always check the surgeon’s
                                                                preference.
                                                             c. The PHCP may prescribe site treatment
                                                                with gauze impregnated with
                                                                petrolatum or with a biosynthetic
                                                                dressing.
                                                             d. Keep the donor site clean, dry, and free
                                                                from pressure.
                                                             e. Prevent the client from scratching the
                                                                donor site.
                                                             f. Apply lubricating lotions to soften the
                                                                area and reduce the itching after the
                                                                donor site is healed.
                                                             g. Donor site can be reused once healing
                                                                has occurred (heals spontaneously
                                                                within 7 to 14 days with proper care).
                                L. Rehabilitative phase (see Table 69-7)
                                             1. Description: Rehabilitation is the final phase of burn
                                                care.

                                                      2. Goals

                                                             a. Promote wound healing.
                                                             b. Minimize deformities.
                                                             c. Increase strength and function.
                                                             d. Provide emotional support.
                                M. Physical therapy
                                             1. An individualized program of splinting, positioning,
                                                exercises, ambulation, and activities of daily living is
                                                implemented early in the acute phase of recovery to
                                                maximize functional and cosmetic outcomes.




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