The aim of intervention
The primary aim of intervention is to minimise itch, alltered sensation and pain by:
- Understanding the child’s pattern of distress/itch including exacerbating/reducing factors, frequency and intensity. The Brisbane Burn Scar Impact Profile will help determine this impact
- Keeping cool (fan, air-conditioner, cool clothing, taking cool bath or shower, wearing protective clothing, keeping tea-towel or creams in fridge).
- Moisturising the skin (assists with maintaining moisture and hydration of the skin) with non-scented/fragranced cream.
- Wearing compression garments and wean slowly when no longer indicated.
- Patting/pressing or “squeezing” skin with flat palm or gentle scar massage [2].
- Using distraction, relaxation and desensitisation[3].
- Ensuring laundry detergent is not contributing to skin sensitivity or itch.
- Discussing with medical team/pharmacist re: medication options
- Education regarding safety considerations if has loss/lack of sensation.
- Education re: pain cycle and impact on activity participation, attention and concentration.
- An "itch toolkit" can be useful for home/school; or a functionally based desensitisation program incorporating activities suitable for the child's developmental stage/interests.
