Follow-Up Care for Burns
Follow-up care involves surveying patients with burns for signs of infection, scarring and contracture. To minimize further
Patients with burns who are being managed as outpatients should be seen again on the day after injury. At this visit, the level of pain can be assessed, pain medication can be adjusted if necessary, and competence in managing
If wound epithelialization has not begun after two weeks or if subsequent evaluations reveal the presence of a full-thickness burn more than 2 cm in diameter, the patient should be referred to a surgeon with expertise in burn care. Tiny opalescent islands of epithelium throughout the wound indicate epithelialization, with the wound typically healing completely in seven to 10 days.
After epithelialization has occurred, patients are seen every four to six weeks to assess for evidence of hypertrophic scar formation and to monitor coping mechanisms.
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