NBCOT - Burns
Hypertrophic scar - *Most common with deep second & third degree
*Appears 6-8 weeks after wound closure
*One or two years to mature
*Compression garments should be worn 24 hrs/day for 1-2 years or until scar is matured
*ROM, skin care, ADL, role activities, patient/family ed.
Antideformity Positions: Ankle - 5 degrees of dorsiflexion
Antideformity Positions: Axilla - shoulder abduction 90 degrees & external rotation (airplane
splint)
Antideformity Positions: Hand - MCPs 70 degrees of flexion; IP extension; thumb abduction
Antideformity Positions: Hip - 10-15 degrees of abduction
Superficial partial thickness burn (second degree) involves... - the epidermis & upper portion of
the dermis (e.g. sunburn); red, blistering, & wet; painful, but no grafting necessary; healing time 7-21
days.
Antideformity Positions: Knee - knee extension; anterior burn: mild flexion
Antideformity Positions: Neck - neutral to slight extension
Antideformity Positions: Wrist - 30-45 degrees of extension
Deep partial thickness burn (deep second degree burn) involves.... - the epidermis & deep portion
of dermis; hair follicles and sweat glands; red, white & elastic; sensation may be impaired; potential to
convert to full thickness burn due to infection; healing time 21-35 days.
Hypertrophic scar - *Most common with deep second & third degree
*Appears 6-8 weeks after wound closure
*One or two years to mature
*Compression garments should be worn 24 hrs/day for 1-2 years or until scar is matured
*ROM, skin care, ADL, role activities, patient/family ed.
Antideformity Positions: Ankle - 5 degrees of dorsiflexion
Antideformity Positions: Axilla - shoulder abduction 90 degrees & external rotation (airplane
splint)
Antideformity Positions: Hand - MCPs 70 degrees of flexion; IP extension; thumb abduction
Antideformity Positions: Hip - 10-15 degrees of abduction
Superficial partial thickness burn (second degree) involves... - the epidermis & upper portion of
the dermis (e.g. sunburn); red, blistering, & wet; painful, but no grafting necessary; healing time 7-21
days.
Antideformity Positions: Knee - knee extension; anterior burn: mild flexion
Antideformity Positions: Neck - neutral to slight extension
Antideformity Positions: Wrist - 30-45 degrees of extension
Deep partial thickness burn (deep second degree burn) involves.... - the epidermis & deep portion
of dermis; hair follicles and sweat glands; red, white & elastic; sensation may be impaired; potential to
convert to full thickness burn due to infection; healing time 21-35 days.
