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Medical Care

One needs to take care of the skin after the wounds heal post surgery so that the scarred tissues settle well.
Following three simple techniques have shown good results.

a) Regular Massage – with Contratubex and coconut oil, two times each daily.

b) Gell sheet- to be applied on affected area at least for 12 hrs a days.

c) Pressure Garment- to wear for at least 10-12 hrs a day.

Making the patients financially independents is a very effective in re installing confidence in them. With proper occupational training they can work and earn money for them and their families. This increases their self esteem and motivates them to look ahead in life.

Several acid burn patients come from very weaker section of the society and they may not have proper education. Providing educational support opens new options for them and makes their chance of rehabilitation better.

Counseling

 
Patients should be provided good counseling support as the long course of treatment, pain, social stigma has a very detrimental effect on their self esteem. In most cases they loose hope to live and be back again in the society. There are several instances when the acid burn patients have bounced back in life. Citing such examples help the patients to regain faith and look ahead for their log battle with life.
 

Social Reintegration Support

In many cases acid burn patients are disowned by their kins due to social stigma attached to the patients. The expensive cost of treatment is another reason. Without proper social re integration support patients tend to alienate them selves from the society. They should be persuaded to step outside and participate in all the day to day activities that they can. Following are few important ways to enable social reintegration of the patients.
 

Shelter

Patients may need to travel to various cities(usually metros) and hospitals due to various surgery needs. In many cases they cannot afford shelter for themselves and theirs family members at these locations. They should be provided shelter during the treatment course and also after that.
 

Occupational Training

 

Education support

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Eye donation is a noble act with an added responsibility. Nothing is more devotional than the valour act of gifting your middles to someone you don’t know. Organ donation is one of the way through which one can stay alive forever in people’s heart. Eye donation makes your eyes immortal.

Scientific discipline has made possible for a human being to donate eyes on his/her will for transplantation for those who really need the light of vision in their world of darkness. Everything in this world is perishable, but science has made this a boon for those who want to see the brightness of earth and for those who want to stay blessed and alive every day. Eye donation is an act of donating one’s eyes after his/her death. Only corneal blinds can be benefitted through this process not other blinds. It is an act of charity, purely for the benefit of the society and is totally voluntary. It is done after death. The eye donation of the deceased can be authorized by the next of kith & kin even if the deceased did not pledge to donate his / her eyes before death.

Almost anyone from the ages of 1 to 75 can be an eye donor, even if you wear glasses or have poor vision. Any donations that are unsuitable for transplant can be used for medical research and education. Eye donation is approved by every major religion. Generally, eye donations do not delay funeral arrangements or prohibit open caskets. Eyes are one of the wonderful gifts one can give and one can get. Aishwarya Rai has already pledged for her eye donation. An unfortunate person will get the gift of eyesight and he/she will be able to see the world through our eyes. Even though we die, our eyes will live on and see the world!

One of the real life story for eye donation- Late Sh. Himmat Rai
Age:- 78/M
Resident - Gurgaon, Haryana
Late Mr. Himmat Rai, a resident, Gurgaon was undoubtedly a man true to his name! The 54 year old Himmat Rai came from a small family of four, a wife and 2 children. Only a month before his death he pledged his eyes for donation an eye donation camp organized by Niramaya Charitable Trust in his neighbourhood. Himmat Rai may have passed away, but his eyes are still able to see the world through someone else. Today, his benevolence has given vision and a new life to the two blind senior-citizens, who can\\\\\\\'t thank him enough for his generosity.

It is the most humanitarian of acts that we can commit during our lifetime. So why wait? Let’s do that and go to the nearest eye donation centre and pledge our eyes as a gift to mankind!

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What is Acid Attack

Acid Attack, also called an acid throwing or vitriolage, is a form of violent assault. It is defined as the premeditated act of throwing acid onto the body of a person \"with the intention to disfigure, maim, torture, or kill.\" Perpetrators of these attacks throw acid at their victims, usually at their faces, burning them, and damaging skin tissue, often exposing and sometimes dissolving the bones. The most common types of acid used in these attacks are sulfuric, nitric, or hydrochloric acid. The long term consequences of these attacks include blindness and permanent scarring of the face and body, along with far-reaching social, psychological, and economic difficulties.
These attacks are most prevalent in Cambodia, Afghanistan, India, Bangladesh, Pakistan and other nearby countries.

Acid Attacks in India

The Thomson Reuters Foundation survey says that India is the fourth most dangerous place in the world for women to live in as women belonging to any class, caste or creed and religion can be victims of this cruel form of violence and disfigurement, a premeditated crime intended to kill or maim her permanently and act as a lesson to \"put her in her place\". In India, acid attacks on women who dared to refuse a man\'s proposal of marriage or asked for a divorce are a form of revenge. The number of acid attacks have been rising in India and there have been 68 reported acid attacks in the state of Karnataka since 1999. Tom O\'Neill of National Geographic reported that acid attacks are also used to enforce the caste system in modern India.

 

Acid attacks in India, like Bangladesh and Pakistan, has a gendered aspect to it: analyses of news reports revealed at least 72% of reported attacks involved women. However, unlike Bangladesh, India\'s incidence rate of chemical assault has been increasing in the past decade, with a high 50 reported cases in 2013. Altogether, from January 2002 to October 2010, 153 cases of acid assault were reported in Indian print media while 174 judicial cases were reported for the year of 2000. However, scholars think that this is an underestimation, given that not all attacks are reported in the news, nor do all victims report the crime to officials.
 

Reasons for Acid Attacks

Motivation for acid attacks in India mirrors those in other countries like Bangladesh and Pakistan: 34% of the analyzed print media in India cited rejection of marriage or refusal by women of sexual advances as the cause of the attack and dowry disagreements have been shown to spur acid attacks. Land, property, and/or business disputes accounted for 20% of acid assaults in India from 2002 to 2010. One such incident would be Sonali Mukherjee\'s case where the perpetrators were granted bail after being sentenced to nine years of Jail. Thereafter, when her family approached High Court, all the legislators, and MPs in search of justice, all she got in return was assurances and \"nothing else\". The perpetrators got away scot-free. Without media attention, an acid attack victim languishes in pain and poverty, their families often unable to bear the medical expenses.
Another reason for rise in acid attacks is its easy availability of the self. Any one can purchase a bottleofacid for has low as Rs 20 tosettle his/her score with the victim. And since there is no tracibility the preprator often get away withit. 
In a recent landmark judgement, The Supreme Court of India has passed an order on July 18th 2013 to ban Sale of Acid in retail market without collecting proof of Identity of the buyer. However the implementation of the order lie with individual State Government. How efectinve this new law will be is to be seen.
 

Effects of Acid Attacks

The results of acid attac on human body is terifying. Corrosive acid like Nitric or Sulphuric Acid has a catastrophic effect on the human flesh. It causes the skin tissue to melt, often exposing the bones below the flesh, sometimes even dissolving the bone. When acid attacks the eyes, it damages these vital organs permanently. Many acid attack survivors have lost the use of one or both eyes. The victim is traumatized physically, psychologically and socially.
 
An acid attack on your body would dramatically change your life. Most survivors of an acid attack are forced to give up their education, their occupation and other important activities in their lives. This is because recovering from the trauma takes up most of their time and because the disfigurement they have to bear debilitates and handicaps them in every conceivable way.
 
 

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Acid burn usually takes two to three months time to heal.During treatments of wounds in a hospital, kin of acid burn patients should understand the importance of following listed points. Usually the doctors/nurse treating the patients should take care but it is good for the attendants of burn patient to be doubly sure. And in case there is any negligence, bring the issue to correct authority notice.

 

1. Hygiene

The most common cause of death for acid burn patients is Infection. The burn skin is very sensitive and can be very easily infected if not taken care and cleaned properly. Hence throughout the course of treatment, a strict hygiene has to be maintained until the wounds are completely healed. The room and washroom used by patients should be thoroughly cleaned with disinfectant 2-3 times a day. Food containers used for carrying patients food should be properly sterilized before use. Outside food is strict no.

 

2. Proper Dressing

Utmost care has to be maintained while doing dressing for movable body parts. It has to be ensured that burnt skin do not come in contact with each other, otherwise they would stick with each other leading to handicap.

 

3. Physiotherapy

Due to acid burn nerves under skin get permanently damaged leading to inability in the movement of body parts. If ignored it can lead to physical handicap. Hence regular sessions of physiotherapy is important to ensure that nerves are trained properly and body part remain movable

4. Skin Grafting

 

The surgery perform to cover the open flesh with a skin, taken from the other part of the body like thigh or lower back where there is no burn.

 

 

 

5. Protein Rich Food

 

Burned patient needs lot of protein and carbohydrates for damaged tissues to heel. Consult the hospital nutritionist to arrange for proper deit for the patient throughout the course of treatment.

 

6. Hemoglobin Check

 

Since lot of blood is lost due to burn injury, it results in very low hemoglobin level. Doctors cannot perform any surgery if hemoglobin is low. Hence patients should take diet which aids in building hemoglobin level and in some case blood transfusion should also be considered.

 

7. Corrective Surgery

 

After the burn would heal a series of corrective surgery are required for correcting the contracted skin, reconstructing the burnt body parts like eyebrow, nosetrils, ear holes etc depending on feasibility. A good plastic surgeon should be consulted for planning out the sequence of operation.

 

AtijeevanFoundation also works actively to provide free medical treatment to acid vicitms. Please get in touch with them if you see any such victim

 

Disclaimer: The details mentioned here are based on experience of Pragya Singh. Treatment course may differ for different patients. Please refer a specialist for best possible treatment.
 
 

 

 

 

 

 

 

 

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