【Learning  Points】
  1.  After the second to third degree burn wound has healed, in order to prevent scar hyperplasia and prevent joint contracture, pressure garments should be used in accordance with the doctor's instructions.
  2. When the wound is mostly healed and the doctor determines that it is necessary to wear a pressure garment, please ask the pressure manufacturer to measure it, try it on, and modify it until it is completely suitable.
  3. Pressure garments that are too tight or too loose will not be able to achieve the desired effect. If they are too tight, they will feel uncomfortable and may cause numbness, purple or blackening in the extremities of the limbs such as fingers and feet. If they are too loose, they will slip. You should ask the manufacturer to modify or re- Quantity.
I. Why should you wear pressure garments
  1. Wearing pressure garments can provide a continuous pressure during the proliferative phase of scar tissue (generally 24-40mmHg per cm2 ). Wearing pressure garments for several months will rearrange the collagen structure of scar tissue and make the scar tissue soft, smooth, and become stable quicker.
  2. At the same time, pressure garments can make the scar color lighter, cool down the temperature, and alleviate local edema of scar tissue. Therefore, after wounds healing from second-degree or third-degree burn injury, the patient should follow the doctor’s instruction to wear pressure garments to prevent the proliferation of the scar tissue.
II.When do you need to wear pressure garments
  1. When wound healed almost and the doctor confirms the necessity of wearing pressure garments, the patient could ask a professional manufacturer to make customized pressure garments. After fitting and altering, be sure to make pressure garments fit completely. 
  2. Patients need to wear pressure garments correctly as per instruction. When you find pressure garments are out of shape, too tight or their elasticity has changed, you must have pressure garments altered immediately in order to maintain the proper pressure, and wearing them continuously until scars mature.
III.How long should you wear pressure garments
The pressure garments must be worn all day except when bathing and performing skin care. Even if changing time is deducted, pressure garments should be worn for at least 23 hours a day. Each time to take off the pressure garments can't more than 30 minutes for the principle. Wearing it until the doctor confirms the scar tissue has stabilized, which usually takes at least 12 months.
 
IV.Cautions to be noted when you wear pressure garments
  1. While wearing pressure garments, the patient still needs to rehabilitate and keep the skin clean and moistured (using baby oil or sheep oil). If the patient’s family could provide encouragement and support continuously, the patient can get used to the pressure garment sooner even if he or she feels uncomfortable to wear it.
  2. The pressure garments must be fitting and provide even pressure on the skin; and to avoid crushing or rubbing against the body which may form bullas or wounds (Wear silk stocking previously for protection if necessary.)
  3. If the pressure garment is too tight or too loose, it can’t provide proper curative effect. When pressure garment is too tight, the patient will feel uncomfortable or numbness; and purple or black color may be seen at distal ends of limbs; when pressure garment is too loose, it will slip. And you need to ask the manufacturer to tighten it or make a new one. 
  4. While wearing pressure garments, the body weight must be controlled. Besides, for growing children, it is necessary to adjust pressure garments according to the growth of the body.
V.Possible problems with skin burn
Possible problems include pain, itch, swelling, bulla, wound inflammation, moistness, heat and suffocation, and limitation of movement. When the skin is broken or bulla develops, you can apply local treatment with sterilization, and dress the wound in order to facilitate the wound healing. If these problems can’t be solved , ask for instructions from nurses or doctors, and wear pressure garments again after proper therapy.
 
VI.Maintenance of pressure garments
Every patient needs 2 sets of pressure garments at least for daily change and wash. Because wearing the same one for a long time will make it lose its elasticity, enough pressure and curative effect. 
 
VII.Cleansing 
Use neutral detergent (i.e. neutral soap) to soak pressure garments for 10-15 minutes, then hand-wash it gently with cool water (don’t use brushes or a washing machine).
 
VIII.Drying out
Use towels to dry a pressure garment, and put it in a well-ventilated place. Don’t use hair driers or sun light to dry it, in order to prevent it from deformation or loosing its elasticity.
 
IX.Maintenance 
  1. Avoid tainting by greasy dirt, clean it immediately if any. 
  2. You can wear normal clothes outside of it.
  3. Don’t over-drag it or hook it to avoid damaging it. 
  4. Don’t alter it without the doctor’s instruction. 
  5. Check its elasticity and pressure every 3 months.
    
 
    Notice for wearing pressure garments
    Let's take the quiz to make sure you understand
    評語
    統計結果不開放
    請登入後才可以評分
    位置
    資料夾名稱
    English
    發表人
    陳芬芳
    單位
    中榮護理衛教
    英文名稱
    Notice for wearing pressure garments
    分類
    治療
    科別
    整形外科
    癌症照護
    建立
    2024-01-23 22:39:14
    制訂日期
    2010-02-01
    最近修訂
    2024-03-19 11:52:00
    更多