After suffering full-thickness burns, what is the first action an occupational therapist should take if a patient exhibits decreasing ROM and increased pain in the elbow?

The correct course of action for an occupational therapist dealing with a patient who exhibits decreasing range of motion (ROM) and increased pain in the elbow after suffering full-thickness burns is to contact the physician. This is vital because the presenting symptoms of decreased ROM and increased pain may indicate potential complications, such as infection, contracture development, or other issues that may require medical intervention.

By contacting the physician, the occupational therapist ensures that the patient receives a comprehensive assessment, which could include further diagnostic testing or adjustments to the treatment plan. This collaboration is crucial in managing the patient’s overall health and recovery process, especially after a significant injury like full-thickness burns, where the skin and underlying tissues are severely affected.

Other actions, such as performing manual therapy, increasing therapy session frequency, or introducing a new pain management protocol, may be beneficial later on but should follow a proper medical evaluation to ensure they are safe and appropriate. Addressing potential medical issues is critical before proceeding with any rehabilitative strategies.