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Dear Deep BURN,

I hope this letter finds you feeling stronger and more comfortable as you continue your journey to recovery. As you have now been discharged from the hospital, I would like to provide you with comprehensive instructions for the daily change of your burn wound dressing. It is crucial to follow these guidelines to promote healing and prevent infection.

Dressing Change Process:

1. Preparation:
   • Wash your hands thoroughly with soap and water before touching the dressing or wound.
   • Gather all the necessary supplies before beginning (e.g., clean gloves, prescribed dressings, cleansing solution, sterile scissors, waste bag).
2. Removal of Old Dressing:
   • Carefully loosen and remove the old dressing. If the dressing sticks to the wound, moisten it with saline or prescribed cleansing solution to ease removal.
   • Dispose of the old dressing in a plastic bag and seal it before throwing it away.
   • Observe the wound for any changes in color, odor, size, or discharge, and report any concerns to your healthcare provider.
3. Wound Cleansing:
   • Gently clean the wound with the prescribed cleansing solution. Use a non-fiber shedding gauze or a soft cloth to apply the solution.
   • Pat the wound dry with clean gauze, being careful not to rub or irritate the wound.
4. Application of New Dressing:
   • Apply any topical medications as directed by your healthcare provider.
   • Place the clean dressing on the wound, ensuring it covers the entire area without gaps.
   • Secure the dressing with medical tape or a wrap, as appropriate, being careful not to apply it too tightly.
5. Aftercare:
   • Wash your hands again after completing the dressing change.
   • Keep the dressed wound clean and dry. Protect it from friction and avoid exposing it to direct sunlight.

Pain Management: It is normal to experience some discomfort during a dressing change. Take any prescribed pain medication about 30-45 minutes before starting the process to help alleviate discomfort.

Monitoring:
– Check the wound daily for signs of infection, such as increased redness, warmth, swelling, or a foul odor. Contact your healthcare provider immediately if you notice any of these signs or if you develop a fever.

Emotional Support:
– Please remember that healing from a burn injury can be both a physical and emotional challenge. It is important to reach out for support from family, friends, or support groups when needed.

Follow-up Appointments:
– Keep all scheduled follow-up appointments with your healthcare provider to monitor your progress. These check-ups are essential to ensure proper healing and to adjust your treatment plan as necessary.

Additional Tips:
– Stay hydrated and maintain a balanced diet to support your body’s healing process.
– Follow any additional instructions from your healthcare provider regarding activity restrictions or rehabilitation exercises.

Contact Information:
– Should you have any questions or concerns, please do not hesitate to contact our team. You can reach us at Team BURNCARE, Ordination Dr. Michael Truppe, Tel 01 4089500 66.

Deep, please remember that your resilience and adherence to these guidelines are key elements in your recovery process. We are here to support you every step of the way. Do not hesitate to reach out for any assistance or clarification.

We wish you a smooth and swift healing journey.

Warm regards,

Team BURNCARE
Ordination Dr. Michael Truppe
Tel 01 4089500 66

2024-01-27 15:10 Telekonsultation

Dear Deep BURN,

Upon examination of your injury and considering your medical history, we have determined that you have sustained what appears to be a deep partial-thickness burn on your right forearm. Such burns can be quite serious, and it is essential that we manage them effectively to minimize complications and promote optimal healing. I will outline a comprehensive management plan tailored to your specific needs.

Initial Assessment
Initially, we will conduct a thorough assessment to determine the extent of your burn. This includes evaluating the depth and size of the burn, as well as assessing for any signs of infection. Due to your history of Type 2 Diabetes, you are at increased risk for slower wound healing and infection, and therefore close monitoring is paramount.

Pain Management
Given your considerable pain, we will start with effective pain management. Options may include both systemic analgesics, like acetaminophen or NSAIDs, and possibly opioids if necessary. We will also consider topical analgesics for localized pain relief.

Wound Care
Next, we will proceed with wound care. The wet surface of the burn indicates that the skin barrier is compromised, which can lead to fluid loss and infection. We will clean the wound gently with a mild antiseptic solution to reduce the risk of infection. We will also debride any dead tissue in a controlled environment, if necessary, to promote granulation and re-epithelialization.

Dressing
We will use a specialized dressing that maintains a moist wound environment, which is crucial for burn healing. Options include hydrocolloid dressings, silicone net dressings, or silver-impregnated dressings, which can help prevent infection due to their antimicrobial properties.

Glycemic Control
As you have Type 2 Diabetes, maintaining strict glycemic control is key to your healing process. Hyperglycemia can impair wound healing and increase the risk of infection, so we will monitor your blood sugar levels closely and adjust your medication as needed.

Nutrition
Proper nutrition is essential for wound healing. You may need a diet high in protein, vitamins, and minerals, especially vitamin C and zinc, to support the healing process. We may consult with a nutritionist to ensure that your dietary needs are met.

Pulmonary Care
Given your COPD, we will implement measures to optimize your pulmonary function, which is critical for your overall health and can impact healing. This may include bronchodilators, corticosteroids, and supplemental oxygen if your blood oxygen levels are low.

Rehabilitation
As part of a holistic approach, we will engage in early rehabilitation to maintain the range of motion and function of the injured forearm. Occupational therapy will be an integral part of your recovery to prevent contractures and to regain as much functionality as possible.

Infection Prevention
Infection is a serious risk in burn wounds. We will monitor for signs of infection such as increased redness, swelling, and purulent discharge. If an infection is suspected, we will conduct a wound culture and start appropriate antibiotic therapy.

Psychological Support
Burn injuries can also lead to significant psychological distress. We will ensure that you have access to psychological support to help you cope with the trauma and the stress of recovery.

Follow-up Care
You will require regular follow-up visits to monitor the healing process, adjust treatments, and manage any complications promptly. We will also address any scarring or functional impairment you may experience as the wound heals.

In conclusion, Deep, your care will be multidisciplinary and patient-centered, focusing on all aspects of your health and well-being. If you have any questions or concerns, please do not hesitate to reach out to my office.

Wishing you a prompt and thorough recovery.

Dr. med. univ. Michael Truppe
Facharzt für Zahn-, Mund- und Kieferheilkunde
(mit KI erstellt, nicht vidiert)

Termin vereinbaren

Ordination Dr. Michael Truppe
Albertgasse 3/6 1080 Wien

Telefon 01 408 95 00 66
Email ordination@smile.wien

Ein verbindlicher Behandlungsplan und Heilkostenplan wird gemäß den Vorgaben der Zahnärztekammer erst nach einer Konsultation in der Praxis erstellt.

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