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