Integumentary: Wound Care: Wound Debridement

Question 1

Wound Debridement: Autolytic

Answer 1

• Bodies own enzymes and moisture beneath a dressing.
• Non-viable tissue becomes liquified
• Dressing type frequency and absorbency are important
• Promotes fast wound healing with less pain

Question 2

Wound Debridement: Autolytic: Dressing Types

Answer 2

• Hydrocolloids
• Hydrogels
• Transparent films

Question 3

Wound Debridement: Enzymatic

Answer 3

• Involves the application of a topical agent that chemically liquefies necrotic tissue.
• May be used in conjunction with surgical and sharp debridement.
• Common in long term settings because there is less pain and can be applied daily

Question 4

Wound Debridement: Biological

Answer 4

• Involves the use of maggots covered by a dressing

Question 5

Wound Debridement: Mechanical

Answer 5

• Involves:
• Irrigation
• Hydrotherapy
• Wet to dry dressings

Question 6

Wound Debridement: Surgical Sharp Debridement

Answer 6

• Performed with surgical instruments to remove biofilm and devitalized tissue

Question 7

Wound Debridement: Heel Pressure Ulcers

Answer 7

• Do NOT decried a heel ulcer is the ulcer is dry without edema, erythema, fluctuance, or drainage.
• If complications arise then debridement may be necessary.