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Hi. If you have a softening of eschar that is loose and slough can be seen at wound edges and on the heel do you debride? No s/s of infection. Good pulses, previous IR done for arterial disease. Pressure relieving boot placed. Thanks
Oct 28, 2019 by Melissa Khoo,
2 replies
Cathy Milne
APRN, MSN, CWOCN-AP
Hi Melissa!
The literature supports that once the eschar is no longer “stable”(e.g. stable as defined by dry, black and intact) then debridement should commence. The scenario you described is no longer “stable”... as the edges are separating from the intact dermis. This places the patient at a greater risk for infection which justifies commencing the debridement process. As in any lower extremity wound, determining the patient’s vascular ability to heal is important, even though debridement is planned....if the patient has Diabetes, consider using the algorithm under the Diabetic Foot Ulcer -Introduction and Assessment section ....
Cathy
Oct 29, 2019
Thanks. Appretiate it. Had an MD tell me not to have it removed so was clarifying
Oct 29, 2019
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