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TIMERS - 🧠ANSWER ✔✔Tissue management
Inflammation/infection control
Moisture balance
Edge/epithelial advancement
Regeneration/repair of tissue
Social/patient related factors
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,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
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,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)
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, 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
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STATEMENT. ALL RIGHTS RESERVED