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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
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% Document Info
\author{ts3414}
\pdfinfo{
  /Title (burn-rehab.pdf)
  /Creator (Cheatography)
  /Author (ts3414)
  /Subject (burn rehab Cheat Sheet)
}

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% Header and Footer
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{burn rehab Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{ts3414} via \textcolor{DarkBackground}{\uline{cheatography.com/195341/cs/40921/}}}
\end{tabulary}
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\noindent
\begin{multicols}{3}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}ts3414 \\
  \uline{cheatography.com/ts3414} \\
  \end{tabulary}
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\columnbreak
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  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 19th October, 2023.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\end{multicols}}




\begin{document}
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% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{classification}}  \tn
% Row 0
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first degree & superficial, minimal pain, healing is 3-7 days \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
second degree - superficial partial thickness & – extend through the first half of the dermis. -pink, painful, moist skin under the blisters -heal in 7-21 days -no to minimal scarring or impairment \tn 
% Row Count 11 (+ 8)
% Row 2
\SetRowColor{LightBackground}
second degree - deep partial thickness & – extend into the second half of the dermis. -cause skin color to change, scarring -heal in 3-5 weeks -may acquire scar management \tn 
% Row Count 18 (+ 7)
% Row 3
\SetRowColor{white}
third degree - full thickness & The burn extends all the way through all layers of skin. -white, brown, black or cherry red in appearance -may or may not have blisters -require specialized treatment and possibly surgery \tn 
% Row Count 28 (+ 10)
% Row 4
\SetRowColor{LightBackground}
fourth degree - subdermal & Burns that extend into the fat tissue, muscle and bone. -Charred in appearance. -Often requires amputation of the affected limb. -Survival rate is low. \tn 
% Row Count 36 (+ 8)
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% Row 0
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wallace rule of nines & Head and neck = 9\% Each upper extremity = 9\% Each lower extremity = 18\% Front of trunk = 18\% Back of trunk = 18\% Perineum = 1\% \tn 
% Row Count 5 (+ 5)
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\begin{tabularx}{5.377cm}{x{1.59264 cm} x{3.38436 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{phases of healing}}  \tn
% Row 0
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\seqsplit{inflammatory} phase & From onset of burn to 3-10 days after onset; edema develops \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\seqsplit{proliferation} phase & From about the 3rd day after injury until burn is healed.; rigid scars \tn 
% Row Count 6 (+ 3)
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maturation phase & From about the 3rd week after onset to 2+ years after onset or reconstructive surgery. \tn 
% Row Count 10 (+ 4)
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\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{types of scars}}  \tn
% Row 0
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type & description & tx \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\seqsplit{hypertrophic} & Thick, rigid scars that are red in color and appear 6 to 8 weeks after the wound closes. Hypertrophic scars are confined to the burned area. Most second degree deep \seqsplit{partial-thickness} burns and third degree burns develop this type of scarring. & -Splinting -Pressure wraps or garments -Massage when tissue has healed, positioning with the scar in extension to stretch tissue \tn 
% Row Count 17 (+ 16)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{keloid} - \seqsplit{bubbly} & Very thick, raised scars that extend beyond the burned area and are red or pink in color. These scars are caused by an overgrowth of scar tissue and usually start forming about 3 months after the burn onset. & pressure wraps, cryotherapy, surgery \tn 
% Row Count 30 (+ 13)
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\vfill
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\begin{tabularx}{5.377cm}{p{0.73232 cm} x{1.92234 cm} x{1.92234 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{types of scars (cont)}}  \tn
% Row 3
\SetRowColor{LightBackground}
\seqsplit{contracture} & Scar tissue that forms near or across a joint, causing the skin to tighten and pull. This scarring can limit the range of motion in the affected joint. & Positioning with the joint in extension -Splinting -Pressure wraps or garments -Passive and active range of motion. Treatment for heterotopic ossification – active range of motion within pain tolerance, passive range of motion according to physician's instructions. Home active range of motion program. \tn 
% Row Count 20 (+ 20)
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{OT intervention/tx general}}  \tn
% Row 0
\SetRowColor{LightBackground}
occupational history and roles & 1. Develop long term goals to achieve the patient's desired outcomes related to occupational performance. 2. Modify goals based on any potential limitations or unrealistic expectations, based on observations and family/caregiver input. \tn 
% Row Count 11 (+ 11)
% Row 1
\SetRowColor{white}
ROM & 1. Edema control -elevation and positioning -coban wrap or compression garment when wound closed. 2. Wound care-sterile whirlpool -wound debridement if necessary to promote development of healthy tissue -dressing changes 3. Active and passive range of motion. Exercises as patient will tolerate. 4. Splinting to stretch and remodel scar tissue if necessary. \tn 
% Row Count 28 (+ 17)
% Row 2
\SetRowColor{LightBackground}
sensation & 1. Complete stimulation activities to affected area when wound is healed. 2. Fluidotherapy at lower temperatures if wound is on hand or lower arm. 3. Immersion in textures as patient will tolerate. 4. Brushing, vibration as patient will tolerate if wound is not on the hand or lower arm. 5. Massage to affected area when wound is healed. 6. Stereognosis activities if wound is on the hand. \tn 
% Row Count 46 (+ 18)
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\begin{tabularx}{5.377cm}{x{2.14011 cm} x{2.83689 cm} }
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strength & when wound is healed if necessary – superficial burns may not impair strength. 2. Graded exercises as patient will tolerate. \tn 
% Row Count 6 (+ 6)
% Row 4
\SetRowColor{white}
ADLs and IADLs & Begin ADL treatment as soon after onset of injury or surgery as possible. 2. Introduce IADLs as patient will tolerate. 3. Work and driving assessments if necessary. \tn 
% Row Count 14 (+ 8)
% Row 5
\SetRowColor{LightBackground}
postoperative intervention & 72 hours: dressing changes, splint at all times; five to seven days begin AROM, light ADLs \tn 
% Row Count 19 (+ 5)
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\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}