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(DOWNLOAD) "In the Developing World Few Patients with Burns of More Than 40% of Their Body Area Survive, But Those Who Do are Faced with Major Challenges (Psychosocial Factors That Influence the Outcome of Burn Treatment) (Report)" by CME: Your SA Journal of CPD ~ eBook PDF Kindle ePub Free

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In the Developing World Few Patients with Burns of More Than 40% of Their Body Area Survive, But Those Who Do are Faced with Major Challenges (Psychosocial Factors That Influence the Outcome of Burn Treatment) (Report)

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eBook details

  • Title: In the Developing World Few Patients with Burns of More Than 40% of Their Body Area Survive, But Those Who Do are Faced with Major Challenges (Psychosocial Factors That Influence the Outcome of Burn Treatment) (Report)
  • Author : CME: Your SA Journal of CPD
  • Release Date : January 01, 2008
  • Genre: Health & Fitness,Books,Health, Mind & Body,
  • Pages : * pages
  • Size : 104 KB

Description

Traditionally mortality has been the most important outcome measure in burn care. This is fitting, as the overriding concern in medical care is the preservation of life. In developed countries the LD50 (body surface area burned that kills 50% of people) in children and young adults is over 90% of total body surface area (TBSA) full-thickness burns, and in the elderly it is more than 40%. However, in developing countries survival of patients with burns over 40% TBSA is minimal. (1) Because of the advancement in medical care, many patients survive burn injuries. Therefore the focus of outcome measurement has shifted to the quality of life of these patients. Useful measuring instruments in burn care are the Burn Specific Health Scale (2) and the Short Form Health Survey. (3) Burn injury survivors are faced with extraordinary challenges. Adult patients may present with clinical syndromes such as delirium, post-traumatic stress disorder, suicidal thoughts, depression and adjustment disorders. In children burn injuries can lead to a delay in developmental milestones, sleep disturbances, regression, delayed educational development, depression and anxiety. Anxiety and depression are two of the most prominent psychiatric complications associated with paediatric burn injuries. Anxiety is often observed as a response to scary or painful procedures.


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