Wound & Skin Care: Wound bed preparation
Cathy Thomas Hess RN, CWOCN, BSN

August 2009 
Volume 39  Number 8
Pages 57 - 57
  PDF Version Available!


PREPARING THE WOUND bed by removing necrotic or fibrinous tissue; reducing the number of abnormal cells, bacterial load, and level of exudate; and increasing granulation tissue, are key to optimizing wound healing. This multistep, organized, and holistic process sets the stage for the final phase of healing—wound closure.


Techniques for debridement include autolytic (using dressings to let the body's own enzymes slowly digest dead tissue), biosurgical (such as maggot therapy), enzymatic (topical enzymes), mechanical (for example, hydrotherapy), and surgical. The type of debridement ...

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