A client in the rehabilitative phase of a burn injury has healed graft sites and is beginning mobility exercises. Which intervention is most important to minimize scarring and promote functional recovery?

Wound healing and rehabilitative nursing require applying knowledge of collagen synthesis and hypertrophic scarring pathophysiology. Understanding how mechanical pressure influences tissue remodeling is essential for selecting the most effective intervention to promote functional recovery and aesthetic outcomes in burn survivors. Choice A rationale Daily dressing changes are generally unnecessary for fully healed graft sites and can cause mechanical irritation to fragile new epithelium. Once grafts are stable, the focus shifts from wound coverage to skin hydration and scar management techniques. Choice B rationale Continuous compression garments apply consistent pressure that realigns collagen fibers and reduces myofibroblast activity. This prevents the development of hypertrophic scars and contractures, which are major complications that can severely limit range of motion and functional recovery. Choice C rationale While high protein intake is vital during the acute healing phase to support tissue repair, it does not directly prevent scarring once the grafts have already healed. Compression therapy is more specific for managing scar tissue maturation. Choice D rationale Limiting movement promotes the development of joint contractures and muscle atrophy. Controlled mobility and stretching exercises are critical during the rehabilitative phase to maintain flexibility and ensure that the maturing scar tissue does not permanently restrict movement.