Treatment approaches

Written by otuser on . Posted in Uncategorized

Burns Practice guidelines [2] indicate the best approach to scar management involves considering the:

  • pathophysiological changes to skin/scar over time
  • the impact scarring has on function and daily tasks
  • relationship between the psychological recovery from the injury
  • child’s perception of scar cosmesis and symptoms
  • environmental factors which may influence scar symptoms and the patients lived experiences.

Treatment approaches typically include:

  • pressure therapy
  • contact media (silicones)
  • splinting
  • moisturiser
  • massage
  • sun protection
  • make-up/camouflage therapy
  • surgical interventions (revision scar, contracture release)
  • steroid injections.

Prescribing scar management therapy interventions requires careful understanding and consideration of:

  • physiological factors of burn – depth, healing, skin integrity, scar risks and potential benefits for garment wear
  • knowledge of developmental stage and typical routines of child and family
  • pre-burn likes, motivators, sensory preferences and activity performance across meaningful occupational roles within the home/community.
key

Key Point

Much research and evidence surrounds burn scar formation and principals of best management to minimise functional and cosmetic impairment. There is, however, a lack of consensus within burns literature regarding the best types and timing for scar management interventions. For further reading and an overview of evidence, see Scar Management Guidelines: Non-Invasive and Invasive Measure article.