AWM Debridement instructional course: Pre-course material

Wound Bed Preparation is a concept that manages current practice for the treatment of chronic wounds by removing the barriers to healing.

These barriers are defined as 4 clinical observations within the wound:

• Tissue non-viable or deficient (T)
• Infection or inflammation (I)
• Moisture imbalance (M)
• Edge of wound non advancing (E)

This T.I.M.E. principle provides a systematic approach to the management of wounds and leads to an optimal well vascularised wound bed to create a viable wound bed where healing can take place. This facilitates the effectiveness of other (advanced) therapeutic measures.

What you will learn:

• Appreciate why debridement is important to promote wound healing.
• Learn about debridement techniques.
• To do hands on training in debridement techniques.
• Understand why infection and biofilm has implications in chronic wounds.
• Learn about role of the S+N infection management portfolio is needed (in conjunction with debridement) to remove biofilm

Contributors:

• Heidi Sandoz, Tissue Viability Services Lead, Hertfordshire Community NHS Trust
• Jacqui Fletcher - Independent Wound Care Consultant
  
• Sanjib Majumder - Consultant Plastic, Reconstructive and Hand Surgeon, Mid Yorkshire NHS Trust
• Amelia Swift - Pain Specialist, Reader in Health Professional Education, University of Birmingham
  
• Eva Harris - Tissue Viability Nurse Specialist, Great Western Hospitals NHS Trust