Carol Mitchell, aged 64 was admitted to the burns unit after sustaining burns to the front and…

Carol Mitchell, aged 64 was admitted to the burns unit after sustaining

burns to the front and back of her left lower leg and foot. Carol had been cooking in her kitchen, when she accidently knocked a saucepan full of hot oil over herself. Carol’s husband drove her to the nearest medical centre where Carol’s burn was treated and then she was transported by ambulance to the hospital for further assessment. In the emergency room, Carol was conscious and in evident distress. Her admission notes were: areas of variable depth of injury over her lower leg and foot; dark pink discoloration with sluggish capillary refill, blistering is evident; an area on her inner left ankle has an area of blotchy red/white with sluggish to absent capillary refill, patient is complaining of pain on her lower leg, but states that her ankle is somewhat pain free.
After consultation with the Burns team, the burns are to be surgically debrided and a small skin graft will be applied to her inner ankle injury.
Q. Skin Assessment – outline the steps of the skin assessment for Carols Burns that would be carried out immediately on admission to the emergency department.

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