Nursing care for critical burn patients: 2 case study

Abstract

The purpose was to study nursing care for burn patients in critical situations and the role of nursing for burn patients in critical care. They used a case study method conducted in the Burn Unit at Roi Et Hospital between September - October 2023. The sample group consists of 2 patients 1) an adult patient with second-degree burn with 12% TBSA in both legs and 2) a child burn patient who was diagnosed with 2-degree burn with 20% TBSA on the face, neck, chest and left arm, diagnosed with 2-degree burn at leg 12% TBSA. The tools were case study comparison records and data collection using interviews, observations, conversations, and document studies. The results included general information: adult patients living with their older sister's family, no primary caregiver. In the case of children living with their parents and caregivers, the cause of the burns was heat in both cases. While receiving treatment in the burn unit, the same problems were found: burns and loss of skin integrity, loss of water and electrolytes, burning pain, eye irritation, need for nutrients, and anxiety when returning home. The difference between the two case studies was that the child had problems breathing on his own in the first 48 hours, he had to be put on the endotracheal tube with a ventilator, after which he could breathe on his own, and allergic rashes on the body. Medical treatment results: Two patients were improved, In the case of an adult who stayed in hospital for 8 days, the medical expenses were 45,000 baht. For a child to stay in hospital for 15 days, the medical expenses are 75,000 baht. The role of nurses in caring for burns includes nursing administration, nursing practice, and determining and monitoring nursing quality indicators. Therefore, nursing competencies should be developed to provide quality patient care.