Conclusion and References
Conclusion:
Wound debridement involves removing necrotic tissue that may present as yellow, moist slough or black, dry eschar. Confirming adequate vascular supply and obtaining patient consent are important steps prior to wound debridement.
Selecting a method of wound debridement for each unique patient’s treatment of care is determined by: the patient’s pain level, available equipment (including analgesia), the clinician’s level of education, scope of practice and supporting policies depending on the clinical setting. Reviewing the risks versus the harm related to each method of debridement should be considered in advance.
Key Takeaways
- Obtaining and documenting patient consent is important prior to wound debridement for liability
- The need and speed of debridement can determine the type of debridement method chosen
- Clinicians should accurately confirm the wound’s tissue type prior to debridement
- Removing necrotic tissue in a wound bed can facilitate granulation tissue formation and promote faster wound healing
References:
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Bates-Jensen, B. M., & Serena, T. E. (2012). Management of necrotic and nonviable tissue. In C. Sussman & B. Bates-Jensen. (4th ed.). Wolters Luwer | Lippincott Williams & Wilkins.
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