What should be included in the care plan for a patient with third-degree burns?

In the care plan for a patient with third-degree burns, fluid resuscitation and nutritional support are critical components due to the extensive damage and physiological stress that these burns cause. Third-degree burns, also known as full-thickness burns, not only destroy the epidermis and dermis but also affect underlying tissues, leading to significant fluid loss and metabolic changes.

Fluid resuscitation is essential to restore intravascular volume and prevent shock. The body loses large amounts of fluid through the burned area, which can lead to hypovolemia and possibly organ failure if not addressed promptly and adequately. The Parkland formula, commonly used for burn patients, guides the volume of fluids required based on the percentage of burnt body surface area.

Nutritional support is equally vital in the care of burn patients because of the hypermetabolic state induced by severe burns. These patients require higher caloric intakes to support healing and to meet the increased energy demands of their bodies as they recover. Proper nutrition helps in promoting wound healing, maintaining skin integrity, and preventing infections, which are common complications in burn patients.

While pain management, psychoeducational support, and wound dressing changes are important aspects of holistic care for burn patients, they do not address the primary life-threatening