Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher

Exercise 30

CASE STUDY: Burn Patient in Rehabilitation Phase Patient Profile D.K. is a 30-year-old woman who has been in the burn center for 3 weeks. She sustained partial- and full-thickness burns to both hands and forearms while cooking. She has undergone three surgeries for escharotomy and split-thickness skin grafting. She is married and has three young children at home. Her health care providers feel she is nearly ready for discharge but she has been tearful and noncompliant with therapy. D.K. and her husband refuse to look at her hand grafts, which continue to require light dressings. She has not seen her children since admission
-D.K.complains of tightness in her hands, which restricts her motion.She uses this excuse to avoid exercise and independent performance of her activities of daily living.What activities and teaching would be beneficial to address this issue?