A young child may not be concerned about her appearance, but may reactivate the grieving process during adolescence and young adulthood.xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /> The pre-burn emotional state of the child may affect and prolong recovery, particularly if there were significant behavior problems before the injury. Each child, even the most independent, the youngest, the most outcast or the most mentally impaired, had a rich background of personal experience and a network of social relationships. Any serious emotional problems that occur during acute treatment for the burn injury, or even during the lengthiest period of post burn adjustment, rarely arise simply as a result of the burn or what follows physically. Before a traumatic event, the older child has a distinctive personality and coping skills that work for her, so adjustment to the burn injury is interplay of previous personal experience and continuing social support. Adolescent burn patients show a much poorer psychosocial adjustment when compared with younger children. Visible burns, emotional distress in the mother and multiple home moves all add to poorer psychosocial adjustment in burned adolescents. |