Case

In-lab Case Study on Burn Injuries - Reflection

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Course
NURS3020

Institution
Trent University (TrentU )

This case study underscores the importance of a multidisciplinary approach to managing severe burn injuries. By addressing the complex needs of burn patients holistically, healthcare providers can improve outcomes and enhance the overall well-being of affected individuals.

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Uploaded on April 17, 2024
Number of pages 5
Written in 2023/2024
Type Case
Professor(s) Lab instructor
Grade A+

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Unfolding Case Study: Burn Injury

Trent University

NURS 3020 Clinical Practice Acute Care

, I attended my third unfolding case study that focused on a burn injury. I prepared for this

lab by reading the Nurse Achieve PowerPoint on burns, completing the seven Elsevier modules

listed on blackboard, and I refreshed my mind on the BSA tools including Lund Browder and the

Rule of Nines. Furthermore, I completed the interactive burn simulation on Nurse Achieve to

stimulate my critical thinking. Going into this lab, I felt confident in my ability to identify the

different types of burns, the expected physiological and metabolic changes and their treatment

options.

We first started by breaking off into two groups where one analyzed the blood work while

the other performed vitals and a head to toe assessment. This made us think on our feet a little

more as there were less people to provide their input although, I liked how it challenged us. We

identified that the patient was experiencing uncompensated metabolic acidosis and what

manifestations to look for, as well as signs of shock as they were in a state of hypovolemia. We

then practiced using the Lund Browder chart to calculate the percentage of burns. As a group, we

struggled using the chart as it was the first time that we had to try and accurately assess the body

surface area, but we realise that this is a specialty skill and those who work in burn units are

trained in using this tool. We concluded that the patient had 18% of her body covered in burns

and proceeded to calculate the amount of fluid resuscitation that was required. We reviewed the

orders and practiced inserting an IV, set up the IV pump for infusion, and carefully reviewed the

monograph regarding IV morphine. Next we were given new orders and we discussed as a group

which ones to prioritize and why. We decided that inserting the foley catheter was the number

one priority followed by wound care, and NG tube management. After discussing our rationale

we then practiced each skill with a partner.

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