The Client has lost approximately 27% of his skin surface area according to Wallace Rule of Nine,which leads to severe systematic effect,the epidermis,dermis and subcutaneous layer and the associated structures has been destroyed.Sensory function is lost,loss of epidermis (and so loss of keratin and Langerhans cells) makes the client susceptible to microbial invasion. Lack of keratinized structures and lamellar granules allows for extreme loss of water,plasma and plasma proteins,which causes shock leading to dehydration,reduced blood volume and circulation, decreased urine output and diminished immune responses.
