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TIMERS - ANSWER ✔✔Tissue management
Inflammation/infection control
Moisture balance
Edge/epithelial advancement
,Regeneration/repair of tissue
Social/patient related factors
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
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, 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