Because the skin is the bodies’ first line of defense against infection burn wounds create a portal of entry for bacteria to colonize and multiply. Causes of burn wound infection are related to the impaired tissue integrity and thrombosis of the subcutaneous blood vessels. This avascular wound bed creates a medium that supports the growth of bacteria. The burn wound will be colonized with organisms until the wound heals therefor systemic antimicrobials are not given. Routine administration may even promote emergence of resistant organisms. Instead topical antibiotics and antimicrobials are used (Weber, 2013). All patients are given Tetanus toxoid, 0.5mL intramuscularly to protect them from the growth of Clostridium tetani. The healthcare team must take precautions when providing wound care to prevent cross-contamination.
Pain caused by burns is a result of direct tissue damage and the inflammatory response that follows. This pain can cause patients considerable suffering and distress. Proper pain management can reduce anxiety in the patient, decrease anticipatory pain and promote patient participation in daily care regimen (Fletcher, Managing wound pain during application and removal of dressings, 2010).
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...ngs. British Journal of Nursing, 19(20), 4-6. Retrieved March 15, 2014
Fletcher, J. (2012, April). Assessing discomft during dressing changes. Nursing & Residential Care, 14(4), 189-190.
Hollywood, E., & O'Neil, T. (2014, March 1). Nursing Children And Young People. Assessment and managment of scalds and burns in children, 26(2), 28-33. Retrieved March 5, 2014
Rowley-Conwy, ,. (.-5.-2.-8. (2010). Infection prevention and treatment in patients with major burns. Nursing Standard, 51-60.
Watkins, J. (2011, February). Looking at the assessment and managment of burns. British Journal of School Nursing, 6(1), 18-21.
Weber, J. (2013). Infection Prevention in Burn Patients. Retrieved from World Burn: www.worldburn.org/documents/infectioncontrole.pdf
Williams, C. (2009, April 15). Successful assessment and management of burn injuries. Nursing Standard, 23(32), 53-62.
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