The journey to recovery after a burn injury is a complex and multifaceted process, consisting of several distinct phases. The rehabilitative phase is a critical stage where the focus shifts from acute wound care to enhancing the client’s functionality, mobility, and overall quality of life. During this phase, identifying the priority nursing diagnosis is essential to provide targeted care and support for the client’s successful rehabilitation.
Understanding the Rehabilitative Phase of Burn Injury Recovery
The rehabilitative phase typically follows the acute phase of burn injury management, which involves wound care, surgical interventions, and infection control. In the rehabilitative phase, the primary goal is to promote physical and psychological healing, minimize scarring, and help the client regain independence.
Key components of the rehabilitative phase include:
- Physical Therapy: To restore mobility, range of motion, and strength.
- Occupational Therapy: To facilitate the resumption of daily activities and improve fine motor skills.
- Scar Management: To minimize scarring and improve the appearance and functionality of the affected area.
- Psychological Support: To address the emotional and psychological challenges that often accompany burn injuries.
- Pain Management: To ensure the client’s comfort and enhance participation in therapy.
Priority Nursing Diagnosis in the Rehabilitative Phase
The choice of the priority nursing diagnosis in the rehabilitative phase of burn injury recovery depends on the client’s specific needs, but one common priority nursing diagnosis is “Impaired Physical Mobility.”
Priority Nursing Diagnosis: Impaired Physical Mobility
Rationale: “Impaired Physical Mobility” is a priority nursing diagnosis because it addresses a fundamental challenge faced by clients during the rehabilitative phase of burn injury recovery. Burn injuries can result in contractures (abnormal shortening of muscles or joint structures), loss of muscle mass, and decreased range of motion, all of which contribute to impaired physical mobility.
- Limited range of motion in affected joints.
- Muscle weakness and atrophy.
- Difficulty in performing activities of daily living (ADLs).
- Pain and discomfort during movement.
- Dependence on assistive devices or caregivers for mobility.
- Altered gait or posture due to burn-related limitations.
Goals and Interventions:
- Goal: Improve mobility and range of motion in affected areas.
- Interventions: Encourage and assist the client with passive and active range-of-motion exercises as prescribed by the physical therapist. Gradually increase the intensity and frequency of exercises to prevent contractures and muscle atrophy.
- Goal: Enhance the client’s ability to perform ADLs independently.
- Interventions: Collaborate with occupational therapists to assess the client’s ADL needs and develop a customized plan. Provide necessary adaptive equipment or techniques to support independence.
- Goal: Alleviate pain and discomfort associated with movement.
- Interventions: Administer pain medications as prescribed. Implement non-pharmacological pain management techniques, such as positioning, relaxation exercises, or distraction techniques.
- Goal: Promote the use of assistive devices when necessary.
- Interventions: Evaluate the need for assistive devices, such as braces, splints, or mobility aids. Ensure proper fitting and educate the client on their safe use.
- Goal: Monitor and assess the client’s progress in physical therapy.
- Interventions: Collaborate with the physical therapist to track the client’s mobility improvements and adjust the therapy plan as needed. Communicate any concerns or barriers to progress.
- Goal: Educate the client and caregivers on the importance of continued mobility exercises and maintenance of mobility gains.
- Interventions: Provide comprehensive education on the long-term benefits of exercise and the risks of inactivity. Empower the client and caregivers to take an active role in maintaining mobility.
Evaluation: Regularly assess the client’s mobility, range of motion, and progress in achieving mobility goals. Modify the care plan as needed based on the client’s response to interventions and therapy.
In conclusion, the priority nursing diagnosis of “Impaired Physical Mobility” in the rehabilitative phase of burn injury recovery addresses a fundamental challenge faced by clients. By focusing on improving mobility, range of motion, and independence, nurses play a vital role in enhancing the client’s overall quality of life and promoting a successful rehabilitation journey. However, it’s essential to remember that the choice of nursing diagnosis should be individualized to meet the specific needs of each client during this critical phase of recovery.