- Heterografts (or xenografts): skin taken from
Autografts
- Graft taken from the same person
- Graft care (goal: not to dislodge the graft)
- Immobilize graft area (use splint)
- Occlusive dressing, first dressing removed by Dr (usually after 2-5 days in there
is no infection. - Graft could be left open and stabilized with staples.
- Turn and position patient carefully
- If graft get dislodged, immerse in in normal saline.
- Elevate grafted extremity, and bed rest for 5-7 days.
- Donor site care:
- Wet saline gauze dressing.
Other care during acute phase
- Pain management
- Nutrition
- Metabolic rate is very high because of anabolism
- High caloric high protein diet.
Disorders of Wound Healing
- hypertrophic scars: characterized by an overabundant formation of matrix, especially
collagen, in wounds that heal by granulation - Keloids: A large, heaped-up mass of scar tissue, a keloid, may develop and extend
beyond the wound surface.
- Failure to Heal: due to infection, other disease process, pressure, or inadequate
nutrition
- Contractures
Rehabilitative Phase of Burn Injury
- Starts at the time of admission