WEB WOC OSTOMY CARE QUIZ REVIEW
WITH COMPLETE QUESTIONS AND
SOLUTIONS
●● Framework used to provide an optimal physiologic wound
environment that is conducive to healing
Answer: TIMERS
●● Goal of tissue management
Answer: to remove non-viable, necrotic tissue as well as non-functional
tissue such as hypergranulation
●● goal of inflammation or infection control
Answer: eliminate infection and control bioburden
●● goal of moisture balance
Answer: not too wet and not too dry
provide moist wound therapy, absorb excess drainage, control odor, fill
dead space, control swelling, protect periwound
●● goal of epithelial/edge advancement
,Answer: keep wound edged open, address epibole and undermining,
remove callous, protect periwound skin
●● goal of regeneration/repair of tissue
Answer: cellular products, tissue based products, advanced therapies
such as hyperbaric treatment of NPWT
●● goal of social/patient related factors
Answer: develop a patient-centers POC, patient engagement, holistic
assessment
●● why use debridement?
Answer: to remove necrotic tissue or debris, remove and reduce biofilm,
remove infected tissues, in palliative care to control odor, to facilitate
wound visualization, in chronic wounds to convert to acute wound to
promote healing
●● autolytic debridement
Answer: a type of non-instrumental debridement that uses the body's
own WBCs, enzymes, and moisture to re-hydrate, soften, and liquify
hard eschar and slough
●● benefits of autolytic debridement
,Answer: painless, easily done with moisture retentive dressings, aides in
combination debridement methods
●● disadvantages of autolytic debridement
Answer: takes times, may be aesthetically displeasing to the patient if
using a transparent dressing
●● contraindications to autolytic debridement
Answer: neutropenic patients, those with diabetes mellitus (higher risk
for infection)
●● surfactant debridement
Answer: a type of non-instrumental debridement that uses concentrated
nonionic surfactant dressings (CSDs) which can soften and loosen
wound debris, breakdown biofilms, and prevent redevelopment of
biofilms
●● indications for surfactant debridement
Answer: stagnant wounds, local wound infections, burns
●● benefits of surfactant debridement
Answer: cleanses wound without the use of cytogenic agents, reduces
inflammation, reduces biofilm, allows for daily visualization of wound
, ●● disadvantages of surfactant debridement
Answer: can be expensive, dressing must be changed daily
●● contraindications for surfactant debridement
Answer: sensitivity to chemical properties
●● enzymatic debridement
Answer: a type of non-instrumental debridement that uses collagenase to
dissolve collagen anchors between necrotic tissue and the wound bed
●● benefits of enzymatic debridement
Answer: faster than autolysis, good option for those at high risk for
bleeding, safe in infected wounds
●● disadvantages of enzymatic debridement
Answer: costly, daily application, can sting, takes longer than sharp or
mechanical debridement
●● contraindications of enzymatic debridement
Answer: not compatible with metal products, some antiseptic cleansers
reduce its activity/effectiveness
●● chemical debridement by sodium hypochlorite
WITH COMPLETE QUESTIONS AND
SOLUTIONS
●● Framework used to provide an optimal physiologic wound
environment that is conducive to healing
Answer: TIMERS
●● Goal of tissue management
Answer: to remove non-viable, necrotic tissue as well as non-functional
tissue such as hypergranulation
●● goal of inflammation or infection control
Answer: eliminate infection and control bioburden
●● goal of moisture balance
Answer: not too wet and not too dry
provide moist wound therapy, absorb excess drainage, control odor, fill
dead space, control swelling, protect periwound
●● goal of epithelial/edge advancement
,Answer: keep wound edged open, address epibole and undermining,
remove callous, protect periwound skin
●● goal of regeneration/repair of tissue
Answer: cellular products, tissue based products, advanced therapies
such as hyperbaric treatment of NPWT
●● goal of social/patient related factors
Answer: develop a patient-centers POC, patient engagement, holistic
assessment
●● why use debridement?
Answer: to remove necrotic tissue or debris, remove and reduce biofilm,
remove infected tissues, in palliative care to control odor, to facilitate
wound visualization, in chronic wounds to convert to acute wound to
promote healing
●● autolytic debridement
Answer: a type of non-instrumental debridement that uses the body's
own WBCs, enzymes, and moisture to re-hydrate, soften, and liquify
hard eschar and slough
●● benefits of autolytic debridement
,Answer: painless, easily done with moisture retentive dressings, aides in
combination debridement methods
●● disadvantages of autolytic debridement
Answer: takes times, may be aesthetically displeasing to the patient if
using a transparent dressing
●● contraindications to autolytic debridement
Answer: neutropenic patients, those with diabetes mellitus (higher risk
for infection)
●● surfactant debridement
Answer: a type of non-instrumental debridement that uses concentrated
nonionic surfactant dressings (CSDs) which can soften and loosen
wound debris, breakdown biofilms, and prevent redevelopment of
biofilms
●● indications for surfactant debridement
Answer: stagnant wounds, local wound infections, burns
●● benefits of surfactant debridement
Answer: cleanses wound without the use of cytogenic agents, reduces
inflammation, reduces biofilm, allows for daily visualization of wound
, ●● disadvantages of surfactant debridement
Answer: can be expensive, dressing must be changed daily
●● contraindications for surfactant debridement
Answer: sensitivity to chemical properties
●● enzymatic debridement
Answer: a type of non-instrumental debridement that uses collagenase to
dissolve collagen anchors between necrotic tissue and the wound bed
●● benefits of enzymatic debridement
Answer: faster than autolysis, good option for those at high risk for
bleeding, safe in infected wounds
●● disadvantages of enzymatic debridement
Answer: costly, daily application, can sting, takes longer than sharp or
mechanical debridement
●● contraindications of enzymatic debridement
Answer: not compatible with metal products, some antiseptic cleansers
reduce its activity/effectiveness
●● chemical debridement by sodium hypochlorite
