When selecting the most appropriate method of debridement, the following should be taken into consideration:
- The goals of care (e.g., the healing potential of the pressure injury)
- The person’s condition and co-morbidities (e.g., end-of-life, pain management)
- Risks and safety (e.g. risk of bleeding, immunocompromised)
- Person-centred preferences (e.g. preference for more conservative treatment)
- The type, quantity, and location of non-viable, necrotic tissue
- The depth of the pressure injury and the amount of drainage
- The availability of and access to qualified staff and appropriate resources (e.g., pain management, supplies, specialists)
- Cost-effectiveness (sharp wound debridement is the most cost-effective, followed by enzymatic debridement)
Clinical Management
Assessment and Management of Pressure Injuries for the Interprofessional Team, Third Edition
Point of Care Resources