Change creates stress for the family and sometimes these changes can be for the better, by drawing closer together. Often the crisis brings the opposite reaction as families become fragmented and are unable to re-establish closeness.xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /> The familys first reaction on arriving at the hospital is that of relief because the patient has not died or been burned more severely. Rationalizations that it could have been worse provide an affirmative basis from which to begin coping with the stress that they face. Soon after admission, severely burned patients experience confusion and disorientation and sometimes can be abusive orally or physically. Relatives find this stressful and frightening and find it hard deciding whether this behavior represents the patients true feelings, or whether it is a result of delirium or sudden mental illness. |