| Normal family functioning is disrupted when one or both parents spend a lot of time at the hospital or leave home to be with a child who is being treated at a large burn center far away from the home community. If there are other children in the family, they are often without a mother or given to other relatives or friends to look after. These siblings are often upset by the burn injury and separation from their mother and brother or sister. They may even have nightmares or behavior problems of their own; it also common for parents to have difficulties sleeping and eating. Previous physical problems that are stress related, such as hypertension, ulcers, headaches and asthma can often be aggravated by the added stress.xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
Families often don’t know how to manage this stress, as well as the restructuring necessary for the changes brought about by the burn injury. Restructuring can be in three stages. “Recoil”, following the critical incident, where family members respond by allying themselves to meet the threat this stage has increased intimacy, trust and communication. In the second stage “reorganization,’ when the situation has stabilized, old patterns of communication and old conflicts reassert themselves. This may lead to polarization and fragmentation. En the third stage, “restabilization,” family members are unable to rebuild the relationships exactly as before. A new period of stability characterized by deteriorated or increased levels of intimacy occurs. |