Chapter 12

Burns & Wound Care

Burn depth, wound healing, infection risk, pressure injury staging, and dressing basics.

Educational use only: This lesson is for learning and review. It is not medical advice, diagnosis, treatment, emergency instruction, or a substitute for approved training or a licensed professional.

What you need to know

  • Understand burn depth and wound classification language.
  • Recognize infection and circulation warning signs.
  • Learn basic dressing and pressure-injury terms.

Plain-English introduction

Skin is a protective barrier. Burns, cuts, ulcers, and pressure injuries break that barrier and can lead to pain, fluid loss, infection, and scarring. Wound care vocabulary helps students describe what they see clearly.

This lesson does not teach people to perform advanced wound treatment. It teaches the language used to understand wound descriptions, risk, and safety concerns.

Full lesson

Burns can be described by depth and size. Superficial burns affect the outer layer and are often red and painful. Partial-thickness burns may blister. Full-thickness burns extend deeper and may damage nerves, causing less pain in the center despite severe injury.

Wounds are described by location, size, depth, drainage, odor, tissue appearance, edges, surrounding skin, pain, and signs of infection. Redness spreading outward, warmth, swelling, increasing pain, pus, fever, or red streaking can be concerning.

Pressure injuries occur when pressure reduces blood flow to skin and tissue. Bony areas like heels, sacrum, hips, and elbows are common risk points. Prevention includes repositioning, skin checks, moisture control, nutrition support, and pressure relief according to care plans.

How to think through questions

  1. Describe what you see without exaggeration.
  2. Note location, size, drainage, odor, and surrounding skin.
  3. Watch for infection, circulation issues, or worsening pain.
  4. Protect the wound from contamination and follow the care plan.

Key terms to know

Superficial burn
Burn affecting the outer skin layer.
Partial-thickness burn
Burn involving deeper skin layers, often with blistering.
Full-thickness burn
Burn extending through the skin and possibly deeper tissues.
Exudate
Fluid draining from a wound.
Debridement
Removal of dead or contaminated tissue by appropriate trained care.
Pressure injury
Skin/tissue damage from pressure or pressure with shear.
Granulation tissue
New healing tissue that often appears red or pink and moist.

Common mistakes

  • Judging burn severity only by pain level.
  • Ignoring drainage changes or spreading redness.
  • Forgetting that pressure injury prevention starts before skin breaks open.

Memory hooks

  • Skin is a shield. Break the shield, infection risk rises.
  • Less pain does not always mean less severe burn.
  • Pressure plus time can injure tissue.

Mini quiz

  1. Why can a severe full-thickness burn be less painful in the center?
    Nerve endings may be damaged.
  2. What is exudate?
    Fluid draining from a wound.
  3. Name two pressure injury risk areas.
    Sacrum, heels, hips, elbows, or other bony areas.

Quick review checklist

  • I can describe burns by depth.
  • I can name wound infection warning signs.
  • I can explain pressure injury risk.

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