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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