BURNS PREVENTION & CARE

FOCUS ON THE EVIDENCE

ANZBA ASM 2008 ● 16 - 19 September 2008 ● Sofitel, Melbourne, Australia

Workshops - Friday Afternoon

The 2008 ANZBA ASM will wrap up with a workshop series on Friday afternoon. These 5 concurrent workshops are designed as relaxed interactive sessions moderated by experts in the field. They  will provide opportunities to exchange ideas, address issues, search for solutions and network with peers regarding selected subject matter. Come prepared with information about your own unit, or questions that have surfaced during practice. Registration for the workshops is essential and suggested pre-reading is recommended so you can hit the ground running.

 

Managing challenging behaviour

Medically complex, multiple social issues, psychiatric problems, physically and verbally aggressive, passively aggressive, manipulative and obstructive.  Dealing with these difficult patient types has significant consequences for each member of the Burns Unit Team with regard to their health and the optimal care they are able to provide and the outcomes they can expect of their patients.  The National Patient Charter of Rights and Principles contain details about what patients are entitled to and can expect from a health care facility but there is little focus on the rights of the health care provider or institution.   So what are our rights as health care providers and what strategies can we adopt to best deal with these patients to elicit the best possible outcome for all? 

Alwena Willis from Royal Perth Hospital will present her “Traffic Light” project on this issue and an overview of what constitutes a “difficult patient” will be presented by Blair Hobbs (Psych Liaison Nurse) and Anna Wellington-Boyd (Social Work).  Participants will then break off into 3 groups to discuss management strategies based on a case scenario. 

This workshop is intended to be interactive and generate discussion about this complex patient group.  Participants should come prepared to discuss their unit’s strategies and any experiences that may be relevant. 

Pre reading suggestions are included.

- Preventing occupational violence in Victorian health services - A policy framework and resource kit

- Strategies Used by Clinical Nurse Specialists in ‘‘Difficult’’ Clinician-Patient Situations

- www3.interscience.wiley.com/cgi-bin/fulltext/118850752/HTMLSTART

- www3.interscience.wiley.com/cgi-bin/fulltext/118850753/HTMLSTART

- Countering Workplace Aggression

- Zero tolerance: A policy in conflict with current opinion on aggression and violence management in health care

- Scoping workplace aggression in nursing: findings from an Australian study

 

 

Burns pain assessment and management for nurses

Acute burn injury pain can be excruciating and is also linked to chronic pain and stress related disorders. For the patient, it is an ever changing journey along an unknown road of intensity, severity, variability and complexity. The nurse’s role is integral in the experience and management of burns pain.  The nurse is responsible for the assessment of the patient’s pain, makes decisions regarding the interventions to manage it, is responsible for administering the interventions to relieve it and is accountable to assess the efficacy of these interventions. Furthermore the nurse is an advocate for the patient to ensure pain is adequately managed.

This interactive workshop designed for nurses will begin with rumination on current validated pain measurement tools and their suitability and/or limitations when applied in the management of burn injury.

This will be followed by benchmarking of pain assessment and management practices from the various participating burns units.

The session will conclude with a think tank opportunity to discuss the feasibility of developing nursing specific pain management guidelines for ANZBA. The vision for these guidelines is a multi layered – multiyear plan. It could include but not be limited to, the selection or development of a pain assessment tool for ANZBA and the development of protocols which will define the scope of practice that allows nurses to practice safely and confidently when managing burn pain in the ward setting.

“The road to excellence is always under construction”

 

Participants must register for this workshop. Suggested pre-reading:

Summer, GJ, Puntillo KA. Miaskowski C. Green PG. Levine JD. Burn Injury Pain: The Continuing Challenge Journal of Pain. 8(7):533-48, 2007 Jul.

Latarjet, J. The Management Of Pain Associated With Dressing Changes In Patients With Burns. EWMA Journal 2002 Vol 2 No. 2

The burns service juggling act, splints, dressings and oedema - the ongoing dilema

This workshop will explore a variety of approaches taken by experts in the field to co-ordinate wound dressings, splint wearing regimes and oedema management in the acute burns population. Within all Burns Units, the application of these therapies remains challenging for the nursing and allied health team whilst trying to encourage maximum functioning of the patient.

The workshop will be an interactive sessions moderated by experts in the field. It is an opportunity for therapists and nurses to come with ideas, examples and techniques of their own treatment regimes, as well as questions that may have arisen in clinical practice.

Pre-reading material and resources will be available on the website closer to the event. Please click on the links below for further details of the workshop and presenters.

Acute Burn Oedema

Dale Edgar, Senior Physiotherapist, Royal Perth Hospital, Burn Service of Western Australia

A Dressing Technique for Superficial and Partial Thickness Paediatric Hand burns

Simone West (OT), Britta Saunders (RN) and Sharon Trevorrow (RN)

The Burn Edema Process: Current Concepts

Robert H. Demling, MD

 

Psychosocial aspects of care: Peer support and reintegration

This workshop will examine the needs of burns survivors in the rehabilitation and social re-integration phase of recovery. Issue to be examined include: Roles of peer-support groups, and hospital and rehabilitation personnel and services during this phase Education, training and accreditation for involved staff, families and carers Strategies to promote and support the provision of appropriate supports and services for affected individuals, their families and communities   Short presentations to define issues and illustrate some models of service and support provision will be presented. Participants will be invited to share their knowledge and experience. The workshop aims to begin the process to establish a psychosocial standard of post acute care for Australian burn survivors, along with guidelines for promoting relationships with community and peer support groups.

 

Starting a hospital based group program for adolescent burn patients
Bronwyn Wigg

Third Degree: A local, hospital-run, burns peer support network
Tanja Healey*, Andrea Parker, John Greenwood

Understanding how burn survivors view their re-engagement in life roles
Anna Tan Chew Na, Jacqueline Salway*

 

Pre-reading

Psychological Health and Function After Burn Injury: Setting Research Priorities
J.A. Fauerbach, Pruzinsky, T & Saxe, G.N. (2007) Journal of Burn Care & Research July/August pp. 587 - 592

Community Integration After Burn Injuries
Esselman, P.C. et al (2001) Journal of Burn Care and Rehabilitation, 13 (1), 221 - 227.

Efficacy of a Short-Term, Intensive Social Skills Training Program for Burned Adolescents
Blakeney, P et al (2005), Journal of Burn Care & Rehabilitation. Vol. 26 (6) pp. 546 - 555.

 

Evidence Based Burn Care

This 90 minute workshop is aimed at clinicians who want to gain knowledge of evidence-based health care using variuos models designed by the Joanna Briggs Institute and The Cochrane Collaboration. The workshop is intended to discuss the relevance and application of evidence-based practice (EBP) to burn care.

Workshop Themes

The workshop will consist of small plenaries and small group exercises and contain the following elements:

  1. Knowledge and understanding of the principles of evidence based practice

  2. Background to EBP organisations such as Joanna Briggs and Cochrane Collaboration

  3. Examples of EBP initiatives in burn care

  4. How to develop EBP skills – formulation of the research question (PICO)

 

Workshop Format

Plenary sessions will present and discuss general issues in planning, executing, and evaluating EBP. Research question development will be conducted in small groups.

Workshop preparation

Participants will be asked to read a number of articles before the workshop. In addition you will benefit from the workshop if you bring relevant own clinical questions from your own practice.

Workshop facilitators

Workshop facilitators have been practicing and teaching EBP at sites across the Australasia.  Teaching staff include:

 

Additional EBM information

For my information on the Joanna Briggs Institue and Cochrane Collaboration please go to http://www.joannabriggs.edu.au and  http://www.cochrane.org.au/