Intended for healthcare professionals

Clinical Review ABC of burns

When we leave hospital: a patient's perspective of burn injury

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7464.504 (Published 26 August 2004) Cite this as: BMJ 2004;329:504
  1. Amy Acton
  1. Amy Acton is executive director of the Phoenix Society for Burn Survivors, East Grand Rapids, MI, USA.

    Introduction

    At the age of 18, I thought I had the best summer job possible, working outside at the local marina, with the prospect of going to college in a few months to become a nurse. In an instant everything changed. While moving a boat on a trailer, a group of us sustained electrical injuries when the mast hit a high tension power line. I found myself fighting for my life in a burns centre and mourning the loss of a friend. The physical healing was gruelling and at times overwhelming for me and my family, and the medical team was a great support for me. However, this article focuses on the problems I faced once I left the hospital, two and a half months later, because that was toughest part of my journey.

    My comments are both personal and from the perspective of having been a burn nurse for over 13 years. It is a shared story of healing the emotional scars of burn injuries because I have learnt so much from others. One such person is Barbara Kammerer Quayle, a fellow burn survivor and colleague I met after I became a burn nurse. She taught me how healthcare professionals could make a difference for survivors struggling to regain a place in their family and society. Many of the strategies I discuss are her life's work and are used with her permission. For some burn survivors these strategies are natural responses, but for others they have to be learnt and practised.


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    Pressure garments stimulate reactions such as stares and questions

    Facing the world

    While in the secure cocoon of the burn centre, I received extraordinary social support and acceptance from staff. After my discharge and return to my community, however, I felt surprised, shocked, and sometimes completely overwhelmed as I realised I would …

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