A patient, in the rehabilitative phase of care for a burned arm, asks the nurse how long he will have to wear the pressure garment? Which of the following should the nurse respond to this patient?
1. it should be worn daily for 3 months
2. it should be worn for approximately 12 to 18 months
3. it depends upon how uncomfortable the garment is
4. If the garment is easy to put on, wear it all of the time. Otherwise, wear it as tolerated.
2
Rationale: Scar management is achieved by wearing compression garments. Patient compliance is difficult to obtain because the garments are hot, difficult to put on, and require continuous wearing except when bathing. Compression garments are worn until scars are mature as evidenced by a flat, white, and avascular appearance, which is usually achieved in 12 to 18 months. The nurse should respond that it should be worn for approximately 12 to 18 months. The other responses are incorrect and could jeopardize the patient's scar formation.
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