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Classifications of the Burn Wound Hard, leather-like eschar, purple fluid, no sensation (insensate) Dermis and underlying tissue and possibly fascia , bone , or muscle Third- or Fourth-degree Full thickness Whiter appearance Deep (reticular) dermis Second-degree Partial thickness — deep Blisters, clear fluid, and pain Superficial (papillary) dermis Second-degree Partial thickness — superficial Erythema , minor pain, lack of blisters Epidermis involvement First-degree Superficial thickness Clinical Findings Depth Traditional Nomenclature Nomenclature
There still may be areas of granulating tissue and regeneration requiring continuation of topical wound care.
The goals at this phase are oral pain management control, adequate oral nutritional intake, prevention of wound infection, prevention of graft loss, rehabilitation training/pressure garments, transition to home and educating the patient and family.