Burn injuries may form scars during the healing process. Severe injuries, such as second-degree and third-degree burns, have a higher chance of creating contractures as well as scars.
Contractures occur when second or third-degree burns start healing. The surrounding skin is pulled in towards the injury, which results in a contracture. Occupational therapy can help to limit the effects of contracture, but treatment should be started as soon as possible.
Occupational therapy aims to return some measure of independence to the patient and is sometimes started while the patient is still in the hospital. In a lot of cases, the therapy can continue for some months after the patient has been discharged.
The Role of Pressure Garments in Occupational Therapy
Tissue injuries often result in swelling, which can hinder the healing process and limit movement in the joints. Occupational therapists (OTs) will employ pressure garments to help elevate and support the affected swollen joints.
The OT will also work with the patient to encourage the movement of the injured areas, which can also help with the healing process.
Prevention and Management of Scars from Burn Injuries
Occupational therapists use pressure garments to reduce the occurrence and severity of scars. As severe burns heal, there is a risk that the injured area will form a discolored, thick, and stiff scar.
Scars can be a source of pain, restricted movement, and cause psychological distress. Management of injuries is part of an occupational therapists’ duty of care. They will apply pressure garments, compression bandages and splinting to the injured areas, as well as improve the range of movement using scar massage techniques.
Pressure Garments for the Treatment of Lymphedema
The surgical removal of lymph nodes may result in the onset of lymphedema.
Lymphedema is a medical condition characterized by swelling of any part of the body such as an arm, leg, or shoulder. The skin around the affected area can create a feeling of tightness and swelling may create a feeling of heaviness. Mobility may be compromised, and there may be recurring infections.
When doctors diagnose lymphedema in a patient, they will prescribe a lymphedema compression sleeve. Other compression garments may also be used during treatment of the condition.
The pressure garments will need to be a precise fit, so compression fitters or occupational therapists will be employed to ensure the patient receives a suitable garment. The OT will also provide detailed instructions on the fitting, use, and care of the pressure garment so it will perform as expected in reducing swelling, improving mobility, and facilitating healing.
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