Options for Debridement of Wounds


Debridement of Wounds pic

Debridement of Wounds
Image: advancedtissue.com

As a certified family nurse practitioner at Premier Physicians in Fairview Park, Ohio, Seana Rutherford provides primary care for patients of all ages. Since accepting this position in the summer of 2015, Seana Rutherford has performed a number of debridement procedures for patients with healing wounds.

In the context of wound care, debridement is defined as the removal of dead tissue. Such material often collects in a wound and can halt the healing process, as it can cause infection and interfere with the body’s ability to grow healthy new tissue. The body frequently is able to eliminate this tissue on its own, though surgical or medical removal is often necessary.

Many patients respond to autolytic debridement, which involves the application of a hydrogen or hydrocolloid dressing that breaks down the necrotic (dead) tissue. The procedure is typically painless and does not harm healthy tissue, though it can take a number of weeks to work fully. Enzymatic debridement, which destroys necrotic tissue using a special protein-based substance, may be a faster option.

Patients who require faster treatment may undergo mechanical or surgical debridement. This form forcefully removes necrotic tissue using wet-to-dry dressings, or draws it out using moving water. In general, water-based methods tend to be less painful and less damaging to healthy tissue, though the risk of infection may be higher.

Surgical debridement tends to be the fastest and most effective way of removing necrotic tissue. Performed using surgical or laser instrumentation, it is appropriate for infected as well as non-infected wounds.

Maggot debridement therapy (MDT), also known as larval debridement, is also appropriate for debridement of infected areas. This involves the placement of sterile fly larvae in the wound, where they dissolve the necrotic tissue and eliminate bacteria. Painless and safe, it may cause itchiness in the area.


The American Academy of Nurse Practitioners’ 2017 National Conference

American Academy of Nurse Practitioners pic

American Academy of Nurse Practitioners
Image: aanp.org

Seana Rutherford is a certified nurse practitioner with Premier Physicians in Fairview Park, Ohio, where she provides primary care services to a wide variety of patients. Seana Rutherford is also a member of the American Academy of Nurse Practitioners.

The American Academy of Nurse Practitioners (AANP) is the nation’s largest professional organization for nurse practitioners. Established in 1985, the AANP joined forces with the American College of Nurse Practitioners in 2013. Both organizations now work to empower nurse practitioners and advance health care under the AANP name.

In addition to providing year-round continuing education, the AANP hosts a national conference each year. The annual conference brings thousands of nurse practitioners together to network, exchange ideas, and learn from leaders in health care. The upcoming conference will feature a keynote speech by Dr. Stephen K. Klasko entitled “What We Forgot to Teach in Nursing and Medical School … and Why It Matters!”

The 2017 AANP National Conference will be held June 20-25 at the Pennsylvania Convention Center in Philadelphia.