Burn Injury Case Study Essay

Burn Injury Case Study

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Patient Profile
G.M., a 52-year-old married white man, arrives at the
emergency department with burns to his face, neck,
chest, right arm and hand, and right foot. He was
burning brush on his farm when the fire went out of
control. He has an 18-gauge IV with NSS running at
100 mL/hr, and he is receiving 100% humidified O2
by mask.
Subjective Data
• Complains of blurry vision and trouble swallowing
• States his burns are painful and that he is scared
• States he is a “diabetic” and has “high blood pressure”
Objective Data
Physical Examination
• Is awake, alert, and oriented, but in some distress
• Eyes are red, irritated
• Voice is hoarse; nasal hair is singed
• Face is reddened with blisters noted on the nose and forehead

• Right arm, right hand, chest, neck, and right foot have shiny, bright red,
wet wounds
• Patient is shivering
Discussion Questions
1. Priority Decision: What are the priorities of care in the prehospital environment? How should his airway, breathing, and circulation be managed?
2. Priority Decision: What factors place G.M. at high risk for an inhalation
injury? What priority interventions can be anticipated?
3. What pain medications might be considered to relieve his pain?
4. Which of the criteria for burn center referral does G.M. meet for admission to the hospital burn unit?
5. What metabolic disturbances would be expected soon after G.M.’s
admission? Explain the physiologic basis for these changes.
6. How might G.M.’s co-morbidities affect his burn care and rehabilitation?
7. What measures should be taken to support G.M.’s caregivers?
8. Priority Decision: Based on the assessment data presented, develop
three priority nursing diagnoses. Identify any collaborative problems.
9. Evidence-Based Practice: What are the most effective wound care
strategies to manage G.M.’s burn wounds?

Grading Rubrics

Critical Elements

Distinguished

(100%)

Proficient

(85%)

Basic

(70%)

Below Expectations

(50%)

Non-Performance

(0%)

Thesis Statement

Raises the strongest objection to the thesis presented in the assignment. The objection is strongly grounded in research and logical reasoning.

Raises a plausible objection to the thesis presented in the assignment. The objection is mostly grounded in research and logical reasoning.

Raises an objection to the thesis presented in the assignment. The objection is somewhat grounded in research and logical reasoning.

Attempts to raise an objection to the thesis presented in the assignment. The objection is minimally grounded in research and logical reasoning.

The objection to the thesis is either nonexistent or lacks the components described in the assignment instructions.

Counter Argument

Provides a strong, thorough rebuttal to the objection. The rebuttal effectively demonstrates that the thesis can withstand the objection and applies the principles of charity and accuracy.

Provides a rebuttal to the objection. The rebuttal mostly demonstrates that the thesis can withstand the objection and mostly applies the principles of charity and accuracy.

Provides a limited rebuttal to the objection. The rebuttal somewhat demonstrates that the thesis can withstand the objection and somewhat applies the principles of charity and accuracy.

Attempts to provide a rebuttal to the objection; however, the rebuttal minimally demonstrates that the thesis can withstand the objection and does not apply the principles of charity and accuracy.

The rebuttal is either nonexistent or lacks the components described in the assignment instructions.

Conclusion

– Provides clear and concise closing remarks that comprehensively summarize the essay. The remarks consider the broader controversy and/or further research that could offer additional insight into the moral solution of the business problem.

Provides closing remarks that summarize the essay. The remarks mostly consider the broader controversy and/or further research that could offer additional insight into the moral solution of the business problem. The closing remarks are somewhat unclear.

Provides closing remarks that minimally summarizes the essay. The remarks minimally consider the broader controversy and/or further research that could offer additional insight into the moral solution of the business problems. The closing remarks are unclear and/or vague.

Attempts to provide closing remarks that summarize the essay, however, the remarks do not consider the broader controversy and/or further research that could offer additional insight into the moral solution of the business problem. The closing remarks are unclear and vague.

The closing remarks are either nonexistent or lack the components described in the assignment instructions.

Written Communication: Context of and Purpose for Writing

Demonstrates methodical application of organization and presentation of content. The purpose of the writing is evident and easy to understand. Summaries, quotes, and/or paraphrases fit naturally into the sentences and paragraphs. Paper flows smoothly.

Demonstrates sufficient application of organization and presentation of content. The purpose of the writing is, for the most part, clear and easy to understand. There are some problems with the blending of summaries, paraphrases, and quotes. Paper flows somewhat smoothly.

Demonstrates a limited understanding of organization and presentation of content in written work. The purpose of the writing is somewhat evident but may not be integrated throughout the assignment. There are many problems with the blending of summaries, paraphrases, and quotes. Paper does not flow smoothly in all sections.

Organization and presentation of content are extremely limited. The purpose of the writing is unclear. There is little or no blending of summaries, paraphrases, and quotes. Paper does not flow smoothly when read.