Patient presented for follow up of major burn injury. A nurse is caring for a client recovering for 12 months from major burns that affected 60% total body surface area (TBSA). Which of the following complications should the nurse expect? (Select all that apply)
Explanation & Rationale
A. Symptoms of post-traumatic stress disorder (PTSD): Clients recovering from major burn injuries often experience psychological trauma due to the event and prolonged hospitalization. Flashbacks, anxiety, and nightmares are common even months after recovery. B. Fluid volume deficit: This is typically a concern during the acute/emergent phase of burn injury, not in the rehabilitation phase a year later. By 12 months post-injury, fluid balance is usually stabilized. C. Electrolyte imbalances: Electrolyte disturbances are more prominent during the acute phase of burns. At 12 months post-injury, these are generally resolved unless there is ongoing organ dysfunction. D. Depression: Long-term burn survivors often face challenges related to pain, disfigurement, and reduced function, placing them at high risk for depression during the rehabilitation and reintegration stages. E. Body image disorder: Disfigurement from burns and scarring can significantly impact self-esteem and body image. Supportive counseling and reconstructive strategies are often needed to address these issues.