An 80-year-old patient is admitted for 39% TBSA burns. The nurse would assess for which risk factors that apply to this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Higher sensitivity to pain
2. Delay seeking treatment
3. Thinner skin
4. Impaired vision
5. Concurrent respiratory problems
2,3,5
Rationale 1: Older patients have a decreased sense of pain.
Rationale 2: The older patient may delay seeking treatment for the burn due to a diminished sense of pain.
Rationale 3: Older patient have thinner skin, so when they experience burn injuries they often get more severe burns at lower temperatures and in less time than younger patients.
Rationale 4: Older adults with impaired hearing and not vision often do not have fire alarms that compensate for their impairment, they may not hear an alarm, and they may not be able to evacuate a burning building promptly.
Rationale 5: Older adults are more likely to have concurrent respiratory problems (COPD, asthma, or lung cancer).
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