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The first Shriners Burns Hospital for Children opened its doors in 1966 in Galveston, Texas. Dr. Truman Blocker and Mr. Harvey Beffa worked with the Shrine philanthropy to establish hospitals to treat burned children and support burn related research. Shriners Hospitals for Children also had many hospitals that cared for children with orthopedic disabilities. With their four burn hospitals, Shriners cares for children with burn injuries from the time of acute injury through rehabilitation and individual reconstructive needs throughout their childhood. Shriners Hospitals for Children at Galveston is a 30 bed hospital. It has an ICU with 15 acute beds, a reconstruction and plastic surgery unit with 15 reconstructive beds, three operating rooms, a multi-bed recovery room, clinics and a large outpatient population. The Galveston Shriners Hospital has treated patients from around the country and around the world. Shriners Hospital for Children at Galveston received their first certification from the Joint Commission for the Accreditation of Hospital Organizations in 19?? and received their most recent certification in 2004. Shriners Hospital in Galveston became Verified as a Burn Center from the American College of Surgery first in 19?? and most recently in 2001. We have recently received certification from the ACGME as a Burn and Critical Care Fellowship provider in 2003. Shriners Hospitals for Children at Galveston is well suited as a model system of comprehensive burn care and rehabilitation. For more than 27 years, through the philanthropy of the Shriners of North America and in affiliation with the University of Texas Medical Branch, the faculty and staff of this institute have successfully endeavored to develop methods and techniques to improve the outcomes of burned children. Rehabilitation after severe burn injury remains problematic both in terms of maximizing function and providing psychosocial adaptation. This situation becomes even more complex in the setting of pediatric injury where consideration must be given to the growth and development of the patients, cognitive development and differing motivations at each period, and the longer life span over which rehabilitation interventions are likely to affect outcome. Mechanisms are currently in place for the interdisciplinary comprehensive rehabilitation and follow up of the over 250 acutely burned children referred to our institute each year. Patients are cared for in our system from the time of injury until age 18; consequently our comprehensive treatment plans are directed toward long-term outcomes. Existing programs include longitudinal outcome assessments, outreach clinics to rural areas and investigations into techniques to improve functional outcomes. This institute is well suited to evaluate the benefits, costs and outcomes of rehabilitation therapies for burned children because of our collected experience, patient load and expertise in evaluating data as evidenced by our preliminary data and by our publications. We are particularly adapted to assess the costs of these varying techniques because all our care is free through philanthropy of the Shriners of North America, and thus only true costs are incurred. Probably because the staff and faculty are responsible for the burn care and burn sequelae over such a long span of each patient's life, there has historically been a great concern for the long-term success of the patients. The interdisciplinary team who follow the children through their physical growth and psychological development are continuously striving to meet the challenges of complex burn-related problems for the growing child and developing adolescent, as well as for the families of children so injured.
* TEAM WORK IS VITAL FOR GOOD PATIENT CARE *
Objectives:
Responsibilities of Child Life Staff: Communications:
Customer Service Area:
Medical Photography: Other
In-House Services:
Medical Illustrations:
Department Services: Educational:
Occupational/Physical Therapy
Evaluations/Assessments:
Parent/Patient Education:
Communication:
Rehabilitation Referrals:
Outpatient/Outreach Clinics:
School Re-entries:
Shriners Burns Hospital has a staff of mental health experts who follow every child and family from the time of admission to eventual discharge from the Shriners system - i.e. through the acute admission, as outpatients during clinic visits, and through subsequent admissions until the child is 21 years old or no longer needs our services.
Clinical Services We also have 1 or more psychology residents at any given time. A full-time school teacher provides schooling for every school-aged child as soon as they are able to participate, either at bedside or in the classroom on the 4th floor. Additionally, a professional counselor works mostly with clinical research, but will occasionally be involved clinically with a patient or family.
Much consideration must be given to a program of rehabilitation for the burn patient, and every patient needs an individually tailored plan of care. There are 4 principles for the rehabilitation of the burn patient:
SITE SEARCH DISCUSSION FORUM |
Staff: Clinical
Psychologist
The program should start
early, preferably the day of injury.  |
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