wounds - Information about WOUNDS PT 418 Types of...

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Information about WOUNDS PT 418
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Types of Debridement, cont Mechanical “sharp” uses scalpel, forceps, pickups, scissors whirlpool, uses agitation gauze, wet to dry Autolytic : uses body’s own mechanisms Must use an occlusive dressing Chemical : uses a commercially available enzyme (travase, elase, etc.)
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Types of Debridement Selective: Debrides only tissues that we want to get rid of, non-viable tissues such as eschar, fibrous slough Non-specific: May debride viable (granulation tissue) as well as non-viable tissue (example?)
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When to debride? When there is black eschar present To remove tough/stringy yellow yellow fibrinous slough To remove white white granular slough (don’t remove fascia, its white too!) Remember: DO NOT debride an arterial wound!!!!
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Can PT’s use sharp debridement? Training offered in the program is not enough to be fully independent and competent (**issue) A skill that may need to learn on clinicals May need additional training/courses
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