Classification of Burns

Deep partial-thickness (deep second-degree) burn

Burn has high risk of turning into a full thickness burn because of infection Client may have impairment of sensation Potential for hypotrophic scar is high Healing time varies from 3-5 weeks

Subdermal burn

Full-thickness burn with damage to underlying tissue such as fat, muscle, and bone. Charring is present, may have exposed fat, tendons, or muscles If the burn is electrical, destruction nerve along the pathway is present Peripheral nerve damage is significant Require surgical intervention for wound closure or amputation Potential for hypertrophic scar is extremely high

Full-thickness (third-degree) burn

Involves the epidermis and dermis. hair follicles, sweat glands, and nerve endings Burn is pain free, no sensation to light touch Burn is pale and nonblanching Requires skin graft Potential for hypertrophic scar is extremely high

Deep partial-thickness (deep second-degree) burn

Involves the epidermis and the deep dermis layers, hair follicles, and sweat glands Pain is severe, even to light touch Erythema is present, with or without blisters

Superficial partial-thickness (superficial second-degree) burn

Involves the epidermis and upper dermis layers Pain is significant, wet blistering and erythema present Healing Time is 1-3 weeks

Superficial (first degree) burn

Involves the superficial epidermis Pain is minimal to moderate; no blistering or erythema Healing Time is 3-7 days