| The first one to two years after the injury are the most difficult because of follow-up care, wearing of pressure garments, recurrent skin breakdown, itching. the strain of resuming normal activities and the emotional intensity of adjustment to changes.xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /> Adjustment is the ability for a burns patient to resume their pre-burn level of functioning, accepting a change in body image and a loss of certain roles. It may involve returning to a different, lower level of functioning. The patient goes through stages of shock and disbelief, grief, awareness and acceptance of loss where the child comes to terms with reality and returns to the best possible level of functioning, Each stage has to be worked through successfully before adjustment is reached. Variables that affect the child’s adjustment are the severity of the injury, compliance, and characteristics of the child and family. |