My Sunshine Diary: Day 2

2015.08.04

The treatment of burns and scalds, before I started working in the Sunshine Foundation, my common sense was only "flooding the bubble cap and sending it". Only after the newbie training did I know that the treatment of burns and scalds was not easy at all!

1. Rinse off the "Chong" sent by the bubble cap...

When a burn or scald occurs, not only take off the clothes or cut off the clothes to prevent the fabric from sticking to the wound; also remove the items worn by the injured person (earrings, bracelets, rings, watches, etc.), especially It's a jade bracelet~ If you can't take it off, smash it!! Because if you don't remove it, once the body becomes edema, you can't take it off, which may cause tissue necrosis and must be amputated.

And this "rush" must also last for more than 20 minutes in flowing water. It is strictly forbidden to use ice water. You think it is cooling, but in fact, it may cause frostbite on the wound. The stimulation to the wound is very strong, so it is necessary to use running water , but if there is no flowing water beside you, soaking in water is another way to get rid of it. Let the heat of the skin cool down and avoid burning all the way to the dermis.

2. Influence of scars: hyperplasia of scars or joint deformation and contracture

Hyperplasia -> The scar becomes thick, hard, red and swollen

Deformation -> Distortion (the palm shrinks, the person bends and becomes like a ball)

Twin contractions -> Recalling the experience of my knee injury, the scabbed wound bites the nearby skin, I stumble when walking, the feeling of tightness of the nearby skin... The pulling of the contracture scar, It's several times the pull...

If the area of the burn is from the face to the chest, the pulling force can pull the lower eyelid so far that it cannot be closed.

(Does this explain that there is a picture in the mind?!)

3. The golden period of rehabilitation

a. You can get out of bed when you are out of the danger period and start wearing a pressure garment when the wound heals and new skin grows. (Pressure clothing can suppress the scar to avoid hyperplasia and deformation)

b. Rehabilitation is to move, it is extremely painful but must move, especially at the joints. This is a pulling competition with scar contracture. Scar does not need to sleep, but people need rest, so rehabilitation is a small amount of meals.

4. Pay attention and pay attention again!!

a. Rehabilitation department can be noted during hospitalization, and rehabilitation can be started while in the hospital bed. If you can't move, you can also use instruments to help you have a natural position to avoid scar contracture~~~

People are usually very good to themselves, so they will let themselves lie down in a comfortable position, just like our sitting and standing posture. After the spine is bent, it will become more and more curved, and it will become more and more serious... because the more comfortable it is. The posture is actually worse for the body.

Therefore, the more comfortable posture when getting burned is that the whole person will be rolled up. After rolling up....it is very difficult to open it. (Stroke is also true, so stroke requires rehabilitation)

b. The newly grown skin looks normal, smooth and tender. I thought it was the same as normal wound care, I thought he was about to heal, pretty pink, but ~ If the wound heals for more than 14 days, it is a deep second degree burn, and to be on the safe side, wear three pressure garments Months, to avoid ~ ~ lightly causing scarring.

If the scar hyperplasia is serious, it is necessary to perform skin grafting again. If such pain is possible, you really don’t want to do it again.

5. Many people will recommend home remedies~~~

Listen to the doctor's words, or ask the Sunshine Foundation, don't use home remedies, because everyone's physique is different, the worst result is that the wound will rot... Everything has to be done all over again ><

The above is about the level of physiological care, followed by the learning and reflection of the social work level

1. What is the difference between you being a social worker and a Tzu Chi caring committee member?

The difference is that you have professional knowledge, you understand the skills of negotiation, you can give empathy and support, your words draw the heart of the client, and you can lead the client and their family to the hopeful side and find the motivation to recover.

2. To understand the medical information, not to record, but to evaluate what resources and assistance the case needs

If it is a case of inability to take care of yourself, you need to ask a nurse to help you take care of it, how much is the cost of a day of nursing, how much subsidy to apply for, and how long to apply for subsidy, ask the therapist what the treatment plan is, and the first step is rehabilitation What is it, how long does it take, the above information is not for record!!

3. Assist patients and their families in medical and medical communication

The escort is not standing by the side to accompany the patient to see the doctor, but can assist the patient to ask the doctor about the recovery and treatment related questions, and answer the questions in their hearts. The patient has the right to know, but also respect the professional.

4. Don't give up hope and set no limit to the future.

(Please refer to the book: Cool! I have steel feet!!)

5. This is a road to recovery from blood and tears.

(Blood and tears of wounded friends, family members, social workers, therapists)

The class was very tiring, and I learned a lot, which was very different from what I learned in the past. The more I study, the more I see the importance of the role of a social worker, and the difficulty of every injured friend.

I'm still trying to learn to absorb ~GoGo Fighting.