Care plan for burn patient

[kidsnurse1969]

A new student transferred to my school this week. She is 3 months post severe burns to 85% of her body. I am not sure where to look for information related to her long term care. She has had skin grafting.

For instance, can she go out for recess? Do she need to cover her skin grafts/scars? Do I need to monitor her temps in case of overheating. I remember acute care stuff from nursing school but this type of stuff was not covered (or I am too old to remember it). Does anyone have good information/websites for me?

I am not sure if her mom is a reliable resource. She has been through a lot and I'm not sure if she knows anymore than I do.

Thanks!

[Aneroo, LPN]

Bless her heart.

I'd get written permission from the mother to speak with the physician about her needs at school. I probably wouldn't have thought about the things you've already posted.

But you're right- I'd expect some delayed wound healing if she was injured in recess, and maybe inadequate cooling (sweat production?) if overheated. I'll look around!

[itsmyturn]

It depends.

If the child has healed and the graft has become firm then the child can return to physical activities. I would require a note from the Dr before you allow her on the playground.

The physician should have given the parent re-entry instructions for school. If the parent is not able to help you and you can't get info from the DR....don't see why this would be an issue, go to your local children's hospital and ask what their re-entry program is for skin grafts.