Module 11- Debridement Flashcards
Do PTs have to have a physician order to treat the wound?
yes
What does DIMES stand for?
Debridement
Infection/inflammation
Moisture Balance
Edges
Support Services
Purpose and goal of debridement
remove necrotic tissue
remove bacteria to prevent infection
increase ability to assess wound bed
100% granulation tissue
what should be discussed before beginning debridement
pain medication
wet-to dry
irrigation
hydrotherapy.
abraded techniques
are all what types of debridement
non-selective/mechanical
autolytic
enzymatic
biosurgical
sharp/surgical
selective
Autolytic assist body cells in _____ necrotic tissue
digesting
are PTA allowed to do sharp debridement
NO
What are pros and cons to autolytic debridement
pro:
safe when sharp not an option
decreased pain
less expensive
con:
slow results
non occlusive dressing to be used with infection
What are pros and cons to sharp debridement
pro:
fastest
bleeding can increase healing
con:
can be painful
can require surgery
risk of vessel, nerve, tendon damage
what are the pros and cons to maggots (biosurgical)
pro:
highly selective
fast
con:
expensive
limited resources
reputation
what are the pros and cons to enzymatic
pro:
effective for eschar
decreased pain
con:
very expensive
slow results
why do we want to remove the slough?
it limits the wounds ability to heal
Stable heel eschar, gangrene and unidentified structures are all examples of what
contraindications for debriedment
terminally ill
ABI <0.8
coagulopathy are additional examples of what
contraindications for debriedment
