A patient with 28% partial-thickness and 30% or more full-thickness injury should be classified as which type of burn injury?

In the classification of burn injuries, a major burn is defined by the extent of the body surface area affected and the depth of the burns. A partial-thickness burn involves the epidermis and part of the dermis, while a full-thickness burn extends through the dermis and affects deeper tissues.

In this case, the patient has 28% of their body affected by partial-thickness burns, along with full-thickness burns that amount to 30% or more of their total body surface area. According to established guidelines, burns that involve 25% or more of the total body surface area in adults are categorized as major burns. Therefore, the combination of a significant percentage of both partial-thickness and full-thickness injuries categorically places this patient in the major burn classification, which is crucial for determining treatment protocols, fluid resuscitation needs, and potential for complications.

This classification system helps to streamline patient management and ensures that those with more severe injuries receive appropriate care in a burn unit or specialized facility. Understanding these classifications is essential for safe nursing practice and effective patient assessment.