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A Guide for Patients: Burn Injuries

Facts About Your Skin

University of Iowa Hospitals and Clinics
Department of Nursing
Critical Care Nursing Division

Peer Review Status: Internally Peer Reviewed
Creation Date: April 1992
Last Revision Date: March 2006

The skin, the largest organ of the body, consists of two layers-the epidermis and dermis. The depth or degree of burn depends on which layers of skin are damaged or destroyed. The epidermis is the outer layer that forms the protective covering. The thicker or inner layer of the dermis contains blood vessels, hair follicles, nerve endings, sweat and sebaceous glands. When the dermis is destroyed, so are the nerve endings that allow a person to feel pain, temperature, and tactile sensation.

Diagram of the skin

The most important function of the skin is to act as a barrier against infection. The skin prevents loss of body fluids, thus preventing dehydration. The skin also regulates the body temperature by controlling the amount of evaporation of fluids from the sweat glands. The skin serves a cosmetic effect by giving the body shape.

FUNCTIONS OF THE SKIN

  1. Acts as a barrier against infection.
  2. Prevents loss of body fluids.

  3. Regulates the body temprature.

  4. Serves as a cosmetic effect.

When the skin is burned these functions are impaired or lost completely. The severity of the skin injury depends upon the size of the injury, depth of the wound, part of the body injured, age of the patient, and past medical history. Because of the importance of the skin, it becomes clear that injury can be traumatic and lifethreatening. Recovery from burn injury involves four major aspects: burn wound management, physical and occupational therapy, nutrition, and emotional support.

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Last modification date: Mon Aug 7 13:12:57 2006
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