The importance of mental health considerations for critical care burns patients

Cleary, Michelle; Visentin, Denis; West, Sancia; Kornhaber, Rachel

doi:10.1111/jan.13515

Cited by 13 publications

(10 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It has also been demonstrated that prevalence rates of psychological distress and anxiety are high in hospitalized patients and that these symptoms tend to persist after discharge [122]. Compounding the problem of psychiatric issues in burn patients is the high incidence of pre-existing psychiatric conditions, alcoholism, and substance abuse [123][124][125][126], which in some cases may be the inciting agents of the burn [127]. Patients with pre-existing psychiatric conditions have been found to have higher rates of complications and require longer hospitalizations after a burn injury, as well as more difficulties in rehabilitation and readjustment postburn [128][129][130][131][132].…”

Section: Mental Healthmentioning

confidence: 99%

“…Pain is strongly linked with stress, anxiety, and sleep disorders in burn patients; inversely, patients with these psychological symptoms also become less tolerant to pain and may even have decreased wound healing [134,135]. Pain is a strong predictor of both acute and long-term psychological sequelae, and both pain and psychiatric disorders are strong predictors of long-term functioning in burn patients [123,[136][137][138][139]. Anxiety and depression caused by excessive pain are decreased with adequate pain management [135].…”

Section: Mental Healthmentioning

confidence: 99%

See 1 more Smart Citation

Contemporary Aspects of Burn Care

Khatib

Jeschke

2021

Medicina

View full text Add to dashboard Cite

The past one hundred years have seen tremendous improvements in burn care, allowing for decreased morbidity and mortality of this pathology. The more prominent advancements occurred in the period spanning 1930–1980; notably burn resuscitation, early tangential excision, and use of topical antibiotic dressings; and are well documented in burn literature. This article explores the advancements of the past 40 years and the areas of burn management that are presently topics of active discussion and research.

show abstract

Section: Mental Healthmentioning

confidence: 99%

Section: Mental Healthmentioning

confidence: 99%

Contemporary Aspects of Burn Care

Khatib

Jeschke

2021

Medicina

View full text Add to dashboard Cite

show abstract

“…There is a demonstrated causative connection between burn injuries and depression, anxiety, posttraumatic stress disorder, poor body image, sleep disorders, substance abuse, psychotic episodes, etc. [ 185 ].…”

Section: Current Clinical Strategies In Managing Metabolism Status/glmentioning

confidence: 99%

Glucose Metabolism in Burns—What Happens?

Bădoiu

Miricescu

Stănescu-Spînu

et al. 2021

IJMS

View full text Add to dashboard Cite

Severe burns represent an important challenge for patients and medical teams. They lead to profound metabolic alterations, trigger a systemic inflammatory response, crush the immune defense, impair the function of the heart, lungs, kidneys, liver, etc. The metabolism is shifted towards a hypermetabolic state, and this situation might persist for years after the burn, having deleterious consequences for the patient’s health. Severely burned patients lack energy substrates and react in order to produce and maintain augmented levels of glucose, which is the fuel “ready to use” by cells. In this paper, we discuss biological substances that induce a hyperglycemic response, concur to insulin resistance, and determine cell disturbance after a severe burn. We also focus on the most effective agents that provide pharmacological modulations of the changes in glucose metabolism.

show abstract

“…Mental health outcomes are further mediated by factors associated with the patient experience, their perception of the level of trauma associated with the injury, as well as the circumstances of when the burn was sustained, and the subsequent treatment process (Cleary et al . ). Specifically, these factors can also include the fear or helplessness experienced at the time of injury, the level of pain experienced during hospital procedures, and the resilience of the patient when dealing with the consequences of the injury and possible subsequent disfigurement (O'Donnell et al .…”

Section: Introductionmentioning

confidence: 97%

Bringing research to the bedside: Knowledge translation in the mental health care of burns patients

Cleary

Visentin

West

et al. 2018

Int J Mental Health Nurs

Self Cite

View full text Add to dashboard Cite

Advances in surgical techniques and wound management have improved outcomes for burn patients; however, the psychological impacts on burn survivors have had less attention. There is a higher rate of mental health disorders amongst burns victims, with those with pre-existing mental health conditions likely to have worse outcomes. To implement effective burns care and rehabilitation, knowledge and understanding of mental health issues is required. This position paper discusses the extent to which clinicians currently translate knowledge around mental health and burns into practice to identify enables and inhibitors. Successful knowledge translation requires dissemination and accessibility of information with the capacity and readiness for change. Clinicians and researchers need to identify how translating research to practice can meet the needs of burn survivors. There is a gap in the utilization of evidence concerning mental health and the needs of burns survivors, and we need to understand what we know as compared to what we do. Clinicians are well placed to determine how and why knowledge does not necessarily translate to practice and how they can better accommodate the needs of burn survivors.

show abstract

The importance of mental health considerations for critical care burns patients

Cited by 13 publications

References 19 publications

Contemporary Aspects of Burn Care

Contemporary Aspects of Burn Care

Glucose Metabolism in Burns—What Happens?

Bringing research to the bedside: Knowledge translation in the mental health care of burns patients

Contact Info

Product

Resources

About