Treating Pressure Ulcers: Debridement
-
Remove any tissue that’s not pink or moist.
-
Consult with the physician about the need for surgical repair.
-
Promote healing and watch for complications after debridement.
-
See that the patient’s nutrition is supplemented.
|
Advanced ulcers require more aggressive treatment. In addition to cleansing and dressing them, removing (debriding) dead tissue may be necessary. After a pressure ulcer has healed, the area must be protected since it will remain a vulnerable spot.
Debridement
The goal of debridement is to clear the wound of dead tissue. This speeds healing, since new cells no longer have to migrate underneath dead tissue.
Mechanical
Mechanical debridement may be done with forceps and scissors or with a wet-to-dry gauze or whirlpool treatment. Extensive removal may require surgery. Don’t use this method for debilitated patients or for those prone to infection.
Enzymatic
Covered by a moist dressing, enzymes can be applied to a wound to dissolve dead tissue. You may need to make tiny cuts in a thick base of dead tissue before applying the enzymes. Don’t use this method for clean wounds.
Autolytic
Occlusive dressings trick the body into treating the layer below as foreign tissue. The body sends white blood cells to eat up the “foreign” dead tissue (autolytic debridement). Don’t use occlusive dressings on infected or deep wounds.
Date Last Reviewed:
7/9/2002
Date Last Modified:
7/9/2002