Skip to main content
SpringerLink
Log in
Book cover

Burn Care for General Surgeons and General Practitioners pp 261–271Cite as

Psychosocial Recovery

  • Chapter
  • First Online:

  • 1441 Accesses

Abstract

This chapter examines the psychosocial needs of the burn-injured patient during each phase of recovery (intensive and acute care, and rehabilitation). Recommendations for how and when to screen for common psychiatric issues and suggestions for when to intervene are provided. Aftercare begins at the time of injury and each phase of burn recovery has the ultimate goal of returning the patient as close as possible to a pre-injury way of life. The multidisciplinary team, in partnership with advocacy organizations, such as the Phoenix Society can work together to help a patient and family not just survive, but thrive following their injury.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Muangman P, Sullivan SR, Wiechman S, Bauer G, Honari S, Heimbach DM, Engrav LH, Gibran NS. Social support correlates with survival in patients with massive burn injury. J Burn Care Rehabil. 2005;26(4):352–6.

    Article  PubMed  Google Scholar 

  2. Corry NH, Klick B, Fauerbach JA. Posttraumatic stress disorder and pain impact functioning and disability after major burn injury. J Burn Care Res. 2010;31(1):13–25.

    Article  PubMed  Google Scholar 

  3. Smith MT, Klick B, Kozachik S, Edwards RE, Holavanahalli R, Wiechman S, Blakeney P, Lezotte D, Fauerbach JA. Sleep onset insomnia symptoms during hospitalization for major burn injury predict chronic pain. Pain. 2008;138(3):497–506.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Wiechman Askay S, Patterson DR. What are the psychiatric sequelae of burn pain? Curr Pain Headache Rep. 2008;12(2):94–7.

    Article  PubMed  Google Scholar 

  5. Edwards RR, Magyar-Russell G, Thombs B, Smith MT, Holavanahalli RK, Patterson DR, Blakeney P, Lezotte DC, Haythornthwaite JA, Fauerbach JA. Acute pain at discharge from hospitalization is a prospective predictor of long-term suicidal ideation after burn injury. Arch Phys Med Rehabil. 2007;88(12 Suppl 2):S36–42.

    Article  PubMed  Google Scholar 

  6. Needham DM, et al. Improving the long-term outcomes after discharge from intensive care unit: report from a stakeholders’ conference. Crit Care Med. 2012;40(2):502–9.

    Article  PubMed  Google Scholar 

  7. Inouye SK. Delirium in hospitalized older patients: recognition and risk factors. J Geriatr Psychiatry Neurol. 1998;11:118–25.

    Article  CAS  PubMed  Google Scholar 

  8. Fauerbach JA, Pruzinsky T, Saxe GN. Psychological health and function after burn injury: setting research priorities. J Burn Care Res. 2007;28(4):587–92.

    Article  PubMed  Google Scholar 

  9. Kammerer-Quayle B. Behavioral skills and image enhancement training for burn survivors. Essential interventions for improving quality of life and community integration. In: Sood R, editor. Auchauer and Sood’s burn surgery, reconstruction, and rehabilitation. Philadelphia: Saunders; 2006.

    Google Scholar 

  10. Feller I, Jones CA. Introduction: statement of the problem. In: Fisher SV, Helm PA, editors. Comprehensive rehabilitation of burns. Baltimore/London: Williams & Wilkins; 1984.

    Google Scholar 

  11. Acton RA, Mounsey E, Gilyard C. The burn survivor perspective. J Burn Care Res. 2007;28(4):615–20.

    Article  PubMed  Google Scholar 

  12. Blakeney P, Partridge J, Rumsey N. Community integration. J Burn Care Res. 2007;28(4):598–601.

    Article  PubMed  Google Scholar 

  13. Thompson R, Boyle D, Teel C, Wambach K, Cramer A. A qualitative analysis of family member needs and concerns in the population of patients with burns. J Burn Care Rehabil. 1999;20:487–96.

    Article  CAS  PubMed  Google Scholar 

  14. Arnoldo BD, Hunt JL, Burris A, Wilkerson L, Purdue GF. Adult burn patients: the role of religion in recovery – should we be doing more? J Burn Care Res. 2006;27(6):923–4.

    Article  PubMed  Google Scholar 

  15. Edwards RR, Smith MT, Klick B, Magyar-Russell G, Haythornthwaite JA, Holavanahalli R, Patterson DR, Blakeney P, Lezotte D, McKibben J, Fauerbach JA. Symptoms of depression and anxiety as unique predictors of pain-related outcomes following burn injury. Ann Behav Med. 2007;34(3):313–22.

    Article  PubMed  Google Scholar 

  16. Thombs BD, Bresnick MG, Magyar-Russell G, Lawrence JW, McCann UD, Fauerbach JA. Symptoms of depression predict change in physical health after burn injury. Burns. 2007;33(3):292–8.

    Article  PubMed  Google Scholar 

  17. McKibben JB, Bresnick MG, WiechmanAskay S, Fauerbach JA. Acute stress disorder and posttraumatic stress disorder: a prospective study of prevalence, course, and predictors in a sample with major burn injuries. J Burn Care Res. 2008;29:22–35.

    PubMed  Google Scholar 

  18. Lawrence JW, Fauerbach JA. Personality, coping, chronic stress, social support and PTSD symptoms among adult burn survivors. J Burn Care Rehabil. 2003;24:63–72.

    Article  PubMed  Google Scholar 

  19. Mahar PD, Wasiak J, et al. Frequency and use of pain assessment tools implemented in randomized controlled trials in the adult burns population: a systematic review. Burns. 2012;38(2):147–52.

    Article  PubMed  Google Scholar 

  20. Wibbenmeyer L, Sevier A, Liao J, Williams I, Latenser B, Lewis II R, Kealey P, Rosenquist R. Evaluation of the usefulness of two established pain assessment tools in a burn population. J Burn Care Res. 2011;32:52–60.

    Article  PubMed  Google Scholar 

  21. Adamis D, Sharma N, Whelan PJ, et al. Delirium scales: a review of current evidence. Aging Ment Health. 2010;14:543–55.

    Article  PubMed  Google Scholar 

  22. Inouye SK, van Dyck CH, Alessi CA, et al. Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Ann Intern Med. 1990;113:941–8.

    Article  CAS  PubMed  Google Scholar 

  23. Ely EW, Inouye SK, Bernard GR, et al. Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). JAMA. 2001;286: 2703–10.

    Article  CAS  PubMed  Google Scholar 

  24. Trzepacz PT, Mittal D, Torres R, et al. Validation of the Delirium Rating Scale-revised-98: comparison with the delirium rating scale and the cognitive test for delirium. J Neuropsychiatry Clin Neurosci. 2001;13:229–42.

    Article  CAS  PubMed  Google Scholar 

  25. Patterson DR, Tininenko JR, Schmidt AE, et al. Virtual reality hypnosis: a case report. Int J Clin Exp Hypn. 2004;52(1):27–38.

    Article  PubMed  Google Scholar 

  26. Wiechman AS, Patterson D. A randomized controlled trial of hypnosis for burn wound care. Rehabil Psychol. 2007;52(3):247–53.

    Article  Google Scholar 

  27. Wiechman S, Meyer W, Edelman L, Fauerbach J, Gibbons L, Holavanahalli R, et al. Psychological outcomes. Summary article – American Burn Association Consensus Statements. J Burn Care Res. 2013;34(4): 363–8.

    Google Scholar 

  28. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–13.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Jaffe SE, Patterson DR. Treating sleep problems in patients with burn injuries: practical considerations. J Burn Care Rehabil. 2004;25(3):294–305.

    Article  PubMed  Google Scholar 

  30. Ehde DM, Patterson DR, Fordyce WE. The quota system in burn rehabilitation. J Burn Care Rehabil. 1998;19(5):436–40.

    Article  CAS  PubMed  Google Scholar 

  31. Martel CR, Dimidjian S, Herman-Dunn R. Behavioral activation for depression. New York, NY: Guilford Press; 2010.

    Google Scholar 

  32. Patient Stress Questionnaire – compliments of the Center for Integrated Primary Care, University of Massachusetts Medical School.

    Google Scholar 

  33. Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxiety disorder. Arch Intern Med. 2006;166:1092–7.

    Article  PubMed  Google Scholar 

  34. Prins A, Ouimette P, Kimerling R, Cameron RP, Hugelshofer DS, Shaw-Hegwer J, Thrailkill A, Gusman FD, Sheikh JI. The primary care PTSD screen (PC-PTSD): development and operating characteristics. Prim Care Psychiatr. 2003;9:9–14.

    Article  Google Scholar 

  35. Saunders JB, Aasland OG, Babor TF, et al. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction. 1993;88:791–803.

    Article  CAS  PubMed  Google Scholar 

  36. Lawrence JW, Fauerbach JA. Thombs BD A test of the moderating role of importance of appearance in the relationship between perceived scar severity and body-esteem among adult burn survivors. Body Image. 2006;3(2):101–11. Epub 2006 Mar 29.

    Article  PubMed  Google Scholar 

  37. Angold A, Costello EJ, Messer SC, Pickles A, Winder F, Silver D. The development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. Int J Meth Psychiatr Res. 1995;5:237–49.

    Google Scholar 

  38. Foa EB, Riggs DS, Dancu CV, Rothbaum BO. Reliability and validity of a brief instrument for assessing posttraumatic stress disorder. J Trauma Stress. 1993;6:459–73.

    Article  Google Scholar 

  39. Lawrence JW, Heinberg LJ, Roca R, Munster A, Spence R, Fauerbach JA. Development and validation of the satisfaction with appearance scale: assessing body image among burn-injured patients. Psychol Assess. 1998;10(1):64–70.

    Article  Google Scholar 

  40. Thombs BD, Notes LD, Lawrence JW, Magyar-Russell G, Bresnick MG, Fauerbach JA. From survival to socialization: a longitudinal study of body image in survivors of severe burn injury. J Psychosom Res. 2008;64(2):205–12.

    Article  PubMed  Google Scholar 

  41. Acton A. ABC of burns. When we leave hospital: a patient’s perspective of burn injury. BMJ. 2004;329: 504–6.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Ehde DM, Patterson DR, Wiechman SA, Wilson LG. Post-traumatic stress symptoms and distress following acute burn injury. Burns. 1999;25(7): 587–92.

    Article  CAS  PubMed  Google Scholar 

  43. Mason ST, Esselman P, Fraser R, Schomer K, Truitt A, Johnson K. Return to work after burn injury: a systematic review. J Burn Care Res. 2012;33(1): 101–9.

    Article  PubMed  Google Scholar 

  44. Badger K, Royse D. Describing compassionate care: the burn survivor’s perspective. J Burn Care Res. 2012;33:772–80.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390-9136, USA

    Radha K. Holavanahalli Ph.D.

  2. Phoenix Society for Burn Survivors, 1835 RW Berends Dr. SW, Grand Rapids, MI, 49519-4955, USA

    Amy Acton R.N., B.S.N.

  3. Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA, USA

    Shelley Wiechman Ph.D., A.B.P.P.

Authors
  1. Radha K. Holavanahalli Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Amy Acton R.N., B.S.N.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shelley Wiechman Ph.D., A.B.P.P.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Radha K. Holavanahalli Ph.D. .

Editor information

Editors and Affiliations

  1. Univ. of California, Davis Med. Center, Shriners Hosp for Children N California, Sacramento, California, USA

    David G. Greenhalgh

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Holavanahalli, R.K., Acton, A., Wiechman, S. (2016). Psychosocial Recovery. In: Greenhalgh, D. (eds) Burn Care for General Surgeons and General Practitioners . Springer, Cham. https://doi.org/10.1007/978-3-319-29161-1_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-29161-1_21

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-29159-8

  • Online ISBN: 978-3-319-29161-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation