Andrea Mc Kittrick

Royal Brisbane Hospital | RBWH · Department of Occupational Therapy Services

Purpose Measurement of postburn injury is important to assess impact of interventions, monitor symptoms, and direct treatment. Outcome measures are important to enable patients’ views to be incorporated into their clinical care and direct healthcare. To date, there are few patient-reported outcome measures specific for the burn’s population, only o...

Introduction The Canadian Occupational Performance Measure (COPM) was implemented at a state‐wide burns service to ensure compliance with current best evidence as outlined by the Australian and New Zealand Burns Association ‘burn trauma rehabilitation: allied health practice guidelines’‐ Chapter 7 Measuring Post‐Burn Recovery, as a standard outcome...

BACKGROUND Virtual reality (VR) is a type of extended reality (XR) technology increasingly used by rehabilitation practitioners to support rehabilitation following illness or injury that affect the upper limbs. There is robust evidence articulating how consumer-grade VR presents significant cyber security implications, such as security and privacy...

Background Virtual reality (VR) is a type of extended reality (XR) technology that is seeing increasing adoption in health care. There is robust evidence articulating how consumer-grade VR presents significant cybersecurity and privacy risks due to the often ubiquitous and wide range of data collection and user monitoring, as well as the unique use...

Benefits of immersive virtual reality rehabilitation (VRR) include increased motivation and improved transfer of skills to real-world tasks. The introduction of Oculus hand-tracking technology allowed for the development of VRR games that do not need virtual reality (VR) hand controllers. This is beneficial as participants with upper limb impairmen...

Introduction Burns to one or both hands can impact how a person interacts with the world around them. Research regarding the specific impact of hand burn injuries and the experiences of individuals who have sustained hand burn injuries remains limited. Objective The aim of this study was to explore the lived experiences of people with severe hand...

Background: Retrospective auditing identified the need to implement a client centered tool to measure occupational performance and re engagement in activities after burn injury. The Canadian Occupational Performance Measure (COPM) was chosen as it has a broad focus on occupational performance across the lifespan. However, given the time constraint...

Introduction With limited resources for rehabilitation, burn therapists throughout the world rely on local resources, professional creativity and community relationships to create solutions to help their patients recover. The demands of helping a burn survivor achieve an optimal outcome drive the burn therapist to create tools and strategies that e...

Outcome measures are used in healthcare to evaluate clinical practice, measure efficiencies and to determine the quality of health care provided. The Burns Trauma Rehabilitation: Allied Health Practice Guidelines advocates for the collection of outcome measures post burn injuries across different time points. These guidelines recommend multiple too...

Background Severe burn injuries to the hand impact multiple domains of function and participation. Measurement of outcomes post hand burn injuries is multifaceted and is influenced by several variables. Objective The aim of this systematic review was to review outcome measures reported in studies used to measure outcomes post severe hand burn inju...

To determine incidence of SCC and BCC post burn injury and to determine the efficacy of utilising sunscreen with a sun protection factor (SPF) of 30+ or higher

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The aims of this study were: To review the surgical management of all patients presenting to the Professor Stuart Pegg Adult Burns Centre at RBWH for a 10-year period who sustained a severe burn injury greater than 30% TBSA to one or both upper limbs. To review the Occupational Therapy interventions provided to this patient group To review the lon...

This study enabled us to use the expertise of AACM in makeup techniques to enhance image and minimise disfiguring aspects. This video could be accessed by patients during and after their admission, allowing them to practice and tailor the makeup application techniques to their own preferences.

To create an educational video for patients Improve patient’s experiences Help emotional recovery by normalising patient’s experience Provide autonomy to enable patients to practice and tailor the makeup application techniques

The aim of this systematic review is to review outcome measures reported in studies used to measure hand function post severe hand burn injuries.

Polyneuropathy is a debilitating condition which may be associated with large burns. The aim of this integrative review is to identify factors that contribute to the development of critical care polyneuropathy in patients admitted to an intensive care unit with a severe burn injury. PubMed, Scopus, CINHAL and EMBASE were searched up until July 2016...

NSW has an established cross-site burn physiotherapy and occupational therapy professional interest group. Assessing patient improvement through therapy intervention is challenging due to the diversity of non-burn and burn-specific Outcome Measures (OM), especially when identifying suitable measures that need to integrate into everyday practice. Th...

Deep dermal/full-thickness burns to the axilla are complex and challenging to manage. With the advancement of surgical techniques and technology over the last number of years, management of these burns have evolved1,2. Burns to the axilla are difficult to manage as patients prefer to rest in the position of comfort with the, shoulder adducted and i...

Use of the Dermal Regeneration Template Integra applied serially in multiple layers has been described in the literature, but its use in burn surgery on calvaria (dura not involved) has not been mentioned except in single layers. We report a case of a 40yo male with severe burns to the face resulting in necrosis to the frontal bone where multiple l...

Objective: The Impact of Critical Care Neuropathy on Hand Grip Strength in the Burn Population Design: A Systematic Review Method: AMED (The Allied and Complementary Medicine data base), CINHAL, Medline, OT Seeker, PEDro, PubMed, Joanna Briggs Institute (JBI) and the Cochrane Collaboration were searched for studies to determine the impact of critic...

Rehabilitation for severe burn injury survivors is arduous and they require prolonged therapy which subsequently extends into long term supported care requirements. It is well documented that delirium exists in critically ill patients and these patients have a higher associated risk of poorer functional outcomes. Inattention and changing mental sta...

For AHPs, areas of common practice exist in all aspects of burn patient management. These practices are integral components of patient care. The areas of common knowledge and practice include; epidemiology, burn prevention and first aid, burn assessment and referral, teamwork, patient/care giver education and continuing professional development. Al...

Burn patient rehabilitation is an intensive exercise for most patients. By the time they are discharged from the acute setting it is hoped that most wounds would be healed, and that their functional rehabilitation is well underway. On discharge major burns require ongoing follow up and management to ensure they return to pre-injury level of occupat...

Working collaboratively to achieve gold standard outcomes

The Bigger Issue with Obesity in Burn Victims The rates of obesity are rising as per the World Health Organisation (WHO) to 1 in every 10 adults therefore the numbers of people presenting with a burn injury who have a co morbidity of obesity are also rising. Any person with a BMI of greater than 30 is classified as obese. These patients often have...

Severe burn injury patients spend prolonged periods in hospital. Daily occupations are compromised due to pain therefore lack of performance in daily activities and lack of social interactions act as a barrier to reengagement in occupation. Occupation by definition is participation in daily tasks that satisfy a person’s perceptions, expectations an...