Question

Sahasra received third-degree burns on both hands, and the scar tissue causes limited
ROM in her fingers and wrists. She is unable to pick up or manipulate small objects, so
she is unable to return to any work that requires fine hand manipulation.

Medical diagnosis (pathology):

Impairment:

Functional Limitation:

Disability:

Answer 1

Burns: A physical injury caused by heat, cold or electricity , radiation or caustic chemicals.

Third - degree burns: Epidermis and dermis involved in third- degree burns. It may go upto the subcutaneous tissue.

Ms. Sahasra's Medical diagnosis and pathology:

Medical diagnosis: Scar Contractures

Scar is a permanent mark on the skin sometimes caused by the healing of wound. Scar tissue is a type of tissue found in animals containing a higher than normal amount of the protein , collagen , formed in a place where an injury has healed.

Scar contractures: Scar contracture as a result of burns is characterised by the tightening of the skin, a deformity ; it happens due to the pulling together of the surrounding skin when the skin is burned.

Pathology: As a result of burns, along with the process of inflammation, an active biological process of contraction also occurs to decrease the size of the wound. This may leads to the lessor deposition of connective tissue an Epithelialisation. This may lead to scar contractures. Contraction process is mediated by myofibroblasts, fibroblasts and collagen deposition .

Impairment : It is a problem in body structure or function. Sahasra has the impairment of :

* limited Range of Motion (ROM) of fingers

* limited ROM in wrists

Functional limitation : It is a term reffering to the difficulties in accomplishing a task. Sahasra has functional limitations such as:

* Inability to pick and manipulate small objects

Disability: It is the state of being disabled. Absence of competent physical,intellectual or moral power, means, fitness and the like. Not all the individual with impairment or functional limitations are having disability.  

Disability of Sahasra: she is unable to go for work that requires fine hand manipulation.

Sahasra can overcome her disability by adapting to the situation and finding a job that doesn't need a fine hand manipulation such as call center works, reception position, motivational speakers, Counsellor etc.