The Australian New Zealand Burn Association rehabilitation course: an overview of the development process and pilot course

Dr Zephanie Tyack1, Ms Angela Thynne2, Ms Andrea McKittrick3, Ms Anne Darton4, Ms Nicola Clayton5, Ms Julia Kwiet6, Ms Rachel Edmondson7, Ms Tracey Perrett8

1Centre for Children’s Burns and Trauma Research, Children’s Health Research Centre, South Brisbane, Australia, 2Occupational Therapy Private Practice, Royal Brisbane and Women’s Hospital, Professor Stuart Pegg Adult Burns Unit, Brisbane, Australia, 3Department of Occupational Therapy Services, Royal Brisbane and Women’s Hospital, Brisbane, Australia, 4Agency for Clinical Innovation, Statewide Burn Injury Service, Royal North Shore Hospital, Sydney, Australia, 5Speech Pathology Department and Burns Unit, Concord Repatriation General Hospital , Sydney, Australia, 6Department of Social Work, Royal North Shore Hospital, Sydney, Australia, 7Department of Physiotherapy, Royal North Shore Hospital, Sydney, Australia, 8National Burn Centre, Middlemore Hospital, Auckland, New Zealand

Abstract:

Whilst consensus courses exist for nursing and emergency burns management under the banner of the Australian New Zealand Burn Association, no such course for burns management exists.  The development of the ANZBA Allied Health Professional Guidelines in 2014 demonstrated a commitment and willingness by ANZBA members to support all health professionals, experienced and inexperienced, in a biopsychosocial burn rehabilitation approach.  In 2015, planning commenced for the development of an ANZBA burns rehabilitation course that was designed for inexperienced health professionals, who are often called on to manage patients with complex physical and psychosocial burn rehabilitation needs. It is envisaged that this course will be run in both metropolitan and regional areas across Australia. The development process included completion of a pre-reading learning package with input from over twenty ANZBA members, ongoing oversight by seven ANZBA members, training of four ANZBA members, and ongoing communication with the ANZBA Board and Education Committee. The structure of the one day course has similarities to the Emergency Management of Severe Burns course with lectures, case discussions and small group sessions. The pilot course will be run in Brisbane (June 2018), and was designed to pilot the content and course structure. Expressions of interest were sent to participants and other stakeholders (including survivors) to attend the course.  It is envisaged that the first formal course will be run in 2019. This paper will provide an overview of the development process, and will report on the pilot course and future directions.


Biography:

Dr Tyack is a Research Fellow with the Centre for Children’s Burns and Trauma Research.  She has worked in clinical and research positions in burn care for most of her career.  She was a board member of the Australia New Zealand Burn Association from 2015 to 2017.

Current Burn Scar Management Practices for the Face and Neck

Mr Michael Andreas Serghiou1

1Bio Med Sciences, inc., Allentown, United States

Abstract:

Introduction: The physical challenges of caring for the injured face and neck require a high degree of skill that is often missing in burn training curriculums. New rehabilitation technologies have emerged and should be incorporated into scar management training programs. A comprehensive rehabilitation training program for the face and neck has been developed and tested for its efficacy.

Methods: A review of the burn rehabilitation training literature was performed. We found no specific training programs that address the face and neck of the burn survivor. The 2-day program includes a 4-hour didactic session and an 8-hour “hands on” experience. Pre/post training data was collected from 162 Occupational and Physical therapists at 11 facilities in the US to measure the success of the program.

Results: Therapists (97%) were extremely satisfied with the course indicating that they will apply the knowledge gained into their practice (95%). Most therapists (88%) never fabricated all the appliances demonstrated in the course. Perhaps our most important finding is that therapists did not previously consider a comprehensive approach to treating the face and neck (91%). Therapists (98%) indicated that the didactic portion of the course followed by the “hands on” experience was well fitting to immediately apply learned principles into practice.

Discussion: We have identified that focused burn rehabilitation training courses are rare and that therapists welcome new educational opportunities via meaningful “hands on” training courses, that can directly impact their practice. Training courses for burn therapists must be comprehensive, incorporate updated modalities and be evidence based.


Biography:

Michael is an Occupational Therapist practicing in the area of Burn Rehabilitation for 28 years. Michael has published numerous burn rehabilitation manuscripts and authored chapters in the

journals of Burn Care and Research and Burns and in various burn care related text books. He has served on the Board of Trustees of the American Burn Association (ABA) and is currently

serving on the Board of the International Society for Burn Injuries (ISBI). As a clinician, Michael has received the ABA Barbara Knothe Outstanding Therapist Clinician Award, The ISBI Andre

Zagame Therapist Prize and the Physicians for Peace Medical Diplomat Award for his outstanding service in the international outreach area.

 

About ANZBA

ANZBA is a not for profit organisation and the peak body for health professionals responsible for the care of the burn injured in Australia and New Zealand. ANZBA encourages higher standards of care through education, performance monitoring and research.

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