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Table 5 Multidisciplinary wellness program used to achieve comprehensive rehabilitative outcomes in burned children

From: Nutrition and metabolism in the rehabilitative phase of recovery in burn children: a review of clinical and research findings in a speciality pediatric burn hospital

Wellness discipline

Desired outcome

Specific intervention

Frequency and duration

Measurements/measurement outcome

Physical therapy

To increase lean body mass and muscle strength

Exercise and strength training

2–3 times weekly for 6 weeks

Comparisons to standardized scores

• Biceps curl

• Aerobic/endurance test (6-min walk)

To improve endurance to aerobic exercise

• Fine motor skill (manual dexterity)

Nutrition therapy

To improve nutritional status and reverse malnutrition

Nutritional education and supplementation

Weekly for 6 weeks

DXA

• High protein

Weekly weights

• High calcium

To provide education in nutrition and general health

• General healthy diet

Patient knowledge of goals

• Nutrition wellness activities (games, cooking, snacks)

 

• Wellness garden

Recreational and music therapy

To provide relaxation and stress management techniques

Music therapy

1–2 times weekly for 6 weeks

Patient outcome surveys

Therapeutic dance

Wellness garden

Parent education

Psychological/social support

To promote self-esteem and social competence

Therapeutic outings

Bimonthly or as able

Patient outcome surveys

Community reintegration

To identify and establish community resources for continued wellness

  1. The wellness program is provided to patients as an outpatient services. Each discipline is responsible for intervention strategies defined and the required frequency and duration.