Mechanical Debridement Essay

Mechanical debridement is the oldest form of wound debridement. It is best suited to wounds with large amounts of necrotic debris. Monofilament fiber pad has been a recent advancement in mechanical wound debridement. The pad was designed to bind with slough, hyperkeratotic debris and dried exudate. There are some disadvantages which consist of some removal of healthy tissue, could be painful, a high risk of infection, and time-consuming due to the fact that the dressings have to be changed often. On the other hand, there are advantages which are that it is cost effective because of the material and that the dressings which are being changed are simple enough for the patients to be able to change themselves (Swezey, 2015).
Mechanical debridement is a form for wound debridement for large amount of necrotic debris but there are several other ones such as enzymatic debridement which is very similar. It utilizes a chemical agent that breaks down necrotic tissues. Enzymatic debridement also has its advantages and disadvantages. Some disadvantages are that it could be fairly expensive, a

Initial debridement is referred to as the first debridement performed on a wound following the initial evaluation by the clinician (McCallon, 2015). Maintenance debridement refers to ongoing interventions intended to not only remove nonviable damaged or infected tissues, but also to maintain an optimal wound bed for the completion of the healing process (McCallon, 2015). Removal of the nonviable tissue from the wound bed will shorten the inflammatory stage of healing by removing the devitalized tissue that was conductive to the growth of bacteria which can impair the formation of granulation. Another which can prevent development of abnormal phenotypic changes is the removal of cellular burden nonviable and senescent cells (McCallon,