I do not consider myself an expert, but am willing to tell you what I know. And, no...you are not a "pain"...that's what this site is here for...for all of us to share information and experiences. I thank you for taking the time to share with us.
Burns patients OFTEN experience PTSD both in the hospital and/or later. Nightmares are common, and sometimes a fear of being alone. PTSD can also occur or intensify from the daily painful treatments (wound care, debridement, surgery). Also, ICU psychosis, or some variant of that, can occur. Depression and/or anxiety often develop. Psychiatric care and monitoring, during and after hospitalization are very important.
I have not seen problems weaning from the MSO4 drip, as it is gradually withdrawn. I have seen, however, patients who ask for PRN morphine around the clock. I even had a patient tell me he really wasn't in pain but "enjoyed the buzz". Lying in that bed day after day, month after month can be very boring. Generally, all patients receive app. 5mg MSO4 prior to dressing changes, whether on a continuous drip or not. (If on a continuous drip, we bolus them the 5 mg.).
Yes, bucking the vent means resisting it, and/or trying to breathe over it. ABG's become crappy and the vent is constantly alarming when this happens.
Re: the seizure activity. Yes, physical and emotional trauma such as this can increase or even initiate seizure activity where there previously was none. Oftentimes, Dylantin will need to be monitored and titrated. Every patient is unique.
Emotional support can be provided in many ways. Cards and letters of encouragement are always appropriate, both to the patient and the family. Longterm patient's walls are often covered with cards and letters, pictures and children's artwork. Pictures taped to the tv are comforting. While the patient is "family only", it would most likely be helpful to contact the family simply expressing concern and more importantly, giving them a chance to vent their fears and feelings to an objective person. Being a good listener, and "therapeutic communication" is so helpful. When the patient is able to receive visitors, ask the family to check with the patient whether he is ready to receive them. Family and friends at the bedside keeps the patient feeling connected and cared for. With our longterm patients, family and friends often just " hang out" in the patient's room, even while they sleep, and they find it very comforting. Again, this is all up to the individual patient and family.
Please let us know how it goes. Take care...