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A 2-year-old client was referred to an outpatient burn clinic for management of developing scar tightness in the left hand and wrist. The client's mother is the primary caregiver and has expressed severe guilt about the child's being burned in a kitchen fire 6 months ago. The mother is feeling very overwhelmed with the postburn management program and has been having difficulty looking at the client's hand during therapy. What should be the INITIAL program for the mother to carry out at home? A. Compression glove worn 24 hours per day with 20 minutes of deep scar massage every 2 hours during waking hours B. Compression glove worn 24 hours per day with silicone gel pads inserted at all the web spaces and regular play time with play dough and toy building blocks C. Coban™ self-adherent wrap on each individual finger during the day, deep scar massage 3 times per day, and antideformity hand splint at night D. Coban™ self-adherent wrapping of each individual finger and elasticated tubular bandage 24 hours per day, regular PROM of left fingers and wrist

Answer :

The most suitable initial program is Compression glove worn 24 hours per day with silicone gel pads inserted at all the web spaces and regular playtime with playdough and toy building blocks. Option B

The Compression glove

In the initial management of scar tightness in a 2-year-old burn patient, with a mother who is feeling overwhelmed and guilty, the recommended program should prioritize gentle scar management and the child's emotional well-being.

This program combines scar compression and the use of silicone gel pads to address scar tissue while also providing the child with therapeutic and engaging playtime activities. It considers both scar care and the child's comfort and emotional needs. More intensive scar management can be introduced as the child progresses and the caregiver becomes more comfortable.

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