Clinical guide
To help the student understand how the assessments work, these diagnostic guides outline the path that the assessments take that lead to relevant treatment...
To help the student understand how the assessments work, these diagnostic guides outline the path that the assessments take that lead to relevant treatment...
1: Did burn happen less than 3 hours ago? No = go 2
2: Is the wound healed? Yes = go to 6
6: Has it happened less than 2 yrs ago? Yes = go to 7
7: Is it on the upper limb? Yes = go to 8
8: Is it on the shoulder? Yes = go to 9
9: Is there full range of movement of the joint? No = Contracture
OR
9: Is there full range of movement of the joint? Yes = go to 10
10: Is it in the red risk zone? Yes = At risk
10: Is it in the red risk zone? No = Scar management and education
1: Did burn happen less than 3 hours ago? No = go 2
2: Is the wound healed? Yes = go to 6
6: Has it happened less than 2 yrs ago? Yes = go to 7
7: Is it on the upper limb? Yes = go to 8
8: Is it on the shoulder? No = go to 12
12: Is it on the elbow? Yes = go to 13
13: Is there full range of movement at the joint? No = go to 14
OR
13: Is there full range of movement at the joint? Yes = go to 15
14: Is it scar restricting? Yes = Elbow scar restrictions
14: Is it scar restricting? No = unrestricted (where next?)
(see elbow module)15: Is it on the red zone of the elbow? Yes = Increased risk of elbow contractures
15: Is it on the red zone of the elbow? No = Low risk (where next?)
Elbow module1: Did burn happen less than 3 hours ago? No = go 2
2: Is the wound healed? Yes = go to 6
6: Has it happened less than 2 yrs ago? Yes = go to 7
7: Is it on the upper limb? Yes = go to 8
8: Is it on the shoulder? No = go to 12
12: Is it on the elbow? Yes = go to 13
13: Is there full range of movement at the joint? Yes = go to 15
15: Is it on the red zone of the elbow? Yes = Increased risk of elbow contractures
15: Is it on the red zone of the elbow? No = Low risk elbow contractures
1: Did burn happen less than 3 hours ago? No = go 2
2: Is the wound healed? Yes = go to 6
6: Has it happened less than 2 yrs ago? Yes = go to 7
7: Is it on the upper limb? Yes = go to 8
8: Is it on the shoulder? No = go to 12
12: Is it on the elbow? No = go to 16
16: Is it on the wrist? Yes = go to 17
17: Is there full range of movement at the joint? No = go to 18
OR
17: Is there full range of movement at the joint? Yes = go to 19
18: Is it scar restricting? Yes = Wrist scar restrictions
18: Is it scar restricting? No = unrestricted (where next?)
Hand/wrist module19: Is it in the red zone of the wrist? Yes = Increased risk of contractures
19: Is it in the red zone of the wrist? No = Low risk of contractures (where next?)
Low risk of contractures
1: Did burn happen less than 3 hours ago? No = go 2
2: Is the wound healed? Yes = go to 6
6: Has it happened less than 2 yrs ago? Yes = go to 7
7: Is it on the upper limb? Yes = go to 8
8: Is it on the shoulder? No = go to 12
12: Is it on the elbow? No = go to 16
16: Is it on the wrist? No = go to 20
20: Is it on the hand/fingers? Yes = go to 21
21: Is there full range of movement at the joints? Yes = go to 23
OR
21: Is there full range of movement at the joints? Yes = go to 22
22: Is it scar restricting? Yes = Hand/wrist scar restrictions
22: Is it scar restricting? No = unrestricted see Hand module
Hand/wrist module23: Is it in the red zone of the hand/wrist? Yes = Increased risk of contractures
23: Is it in the red zone of the hand/wrist? No = Low risk of contractures (where next?)
see hand module1: Did burn happen less than 3 hours ago? No = go 2
2: Is the wound healed? Yes = go to 6
6: Has it happened less than 2 yrs ago? Yes = go to 7
7: Is it on the upper limb? Yes = go to 8
8: Is it on the shoulder? No = go to 12
12: Is it on the elbow? No = go to 16
16: Is it on the wrist? No = go to 20
20: Is it on the hand/fingers? No = go to 24
24: Is it on the neck? Yes = go to 25
25: Is there full range of movement? Yes = go to 27
OR
25: Is there full range of movement? Yes = go to 26
26: Is it scar restricting? Yes = Neck scar restrictions
26: Is it scar restricting? No = unrestricted see Neck module
Neck module27: Is it in the red zone of the neck? Yes = Increased risk of contractures
27: Is it in the red zone of the neck? No = Low risk of contractures see Neck module
see Neck module
1: Did burn happen less than 3 hours ago? No = go 2
2: Is the wound healed? Yes = go to 6
6: Has it happened less than 2 yrs ago? Yes = go to 7
7: Is it on the upper limb? No = go to 24
24: Is it on the neck? No = go to 28
28: Is it on the face? Yes = go to 29
29: Is it limiting any neck/facial movement? Yes = Scar restrictions
29: Is it limiting any neck/facial movement? No = High risk contractures (where next?)
Face contractures
1: Did burn happen less than 3 hours ago? No = go 2
2: Is the wound healed? Yes = go to 6
6: Has it happened less than 2 yrs ago? Yes = go to 7
7: Is it on the upper limb? No = go to 24
24: Is it on the neck? No = go to 28
28: Is it on the face? No = go to 30
30: Is it on the trunk? Yes = go to 31
31: Is there full movement at the trunk? Yes = High risk of contractures
31: Is there full movement at the trunk? No = Go to 32
32: Is it scar restricting? Yes = Scar restricting
32: Is it scar restricting? No = Unrestricted
1: Did burn happen less than 3 hours ago? No = go 2
2: Is the wound healed? Yes = go to 6
6: Has it happened less than 2 yrs ago? Yes = go to 7
7: Is it on the upper limb? No = go to 24
24: Is it on the neck? No = go to 28
28: Is it on the face? No = go to 30
30: Is it on the trunk? No = go to 33
33: Is it on the lower limb? Yes = go to 34
34: Is it on the hips/pelvis? Yes = go to 35
35: Is there full range of hip movement? Yes = go to 37
OR
35: Is there full range of hip movement? No = go to 36
36: Is it scar restricting? Yes = Scar restricting
36: Is it scar restricting? No = Unrestricted
37: Is it in the red zone of the hip/pelvis? Yes = Increased risk of contractures
37: Is it in the red zone of the hip/pelvis? No = Low risk of contractures
1: Did burn happen less than 3 hours ago? No = go 2
2: Is the wound healed? Yes = go to 6
6: Has it happened less than 2 yrs ago? Yes = go to 7
7: Is it on the upper limb? No = go to 24
24: Is it on the neck? No = go to 28
28: Is it on the face? No = go to 30
30: Is it on the trunk? No = go to 33
33: Is it on the lower limb? Yes = go to 34
34: Is it on the hips/pelvis? No = go to 38
38: Is it on the knee? No = go to 42
42: Is it on the ankle? Yes = go to 43
43: Is there full range of movement at the ankle? Yes = go to 45
OR
43: Is there full range of movement at the ankle? No = go to 44
44: Is it scar restricting? Yes = Scar restriction
44: Is it scar restricting? No = Unrestricted
45: Is it in the red zone of the ankle? Yes = Increased risk of contractures
45: Is it in the red zone of the ankle? No = Low risk of contractures
1: Did burn happen less than 3 hours ago? No = go 2
2: Is the wound healed? Yes = go to 6
6: Has it happened less than 2 yrs ago? Yes = go to 7
7: Is it on the upper limb? No = go to 24
24: Is it on the neck? No = go to 28
28: Is it on the face? No = go to 30
30: Is it on the trunk? No = go to 33
33: Is it on the lower limb? Yes = go to 34
34: Is it on the hips/pelvis? No = go to 38
38: Is it on the knee? No = go to 42
42: Is it on the ankle? No = go to 46
46: Is it on the foot/toes? Yes = go to 47
47: Is there full movement at the toes/foot? Yes = Increased risk of contractures
47: Is there full movement at the toes/foot? No = Go to 48
48: Is it scar restricting? Yes = Scar restriction
48: Is it scar restricting? No = Unrestricted