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J O U R N A L O F WO U N D C A R E Vo l 2 2 . N o 1 . E W M A D o c u M E N t 2 0 1 3
DIAGNOSIS
DECISION
ADD ONS
REVIEW
GOAL
ACHIEVED
?
Goal achieved
=
Continued
treatment
Necessity
& proability
Goal not
achieved
Outcome
& technique
Locally &
systematically
Outcome
& technique
Fig 7.Debridementprocesscycle
Terminology
Diagnosis:
Diagnosisofbioburden,tissuetypeandfactors
influencingdebridement.
Decision:
Decisionontheoutcomethatshouldbeachieved,thetime
bywhichitcanbeachievedand,dependingonthis,the
techniquesthatshouldbeused.
Add on:
Additionalmeasuresneededtosecureasuccessful
debridementprocess,suchasoptimisingtissuefor
debridement,locallyandadditionalsystemicmeasuresto
securesuccessfuldebridement,e.g.relievepressure,treat
infection,inducebloodflowandoptimisecomorbidities.
Review:
Reviewwhethertheoutcomehasbeensuccessfully
achievedandwhetherthechosendebridementtechnique
hadproventobevalidinthespecifictreatmentcase.
Goal:
Ifoptimaldebridementresulthasbeenachieved,continue
themanagementoftheindividualwiththewound.If
optimaldebridementhasnotbeenachieved,re-diagnose
andrepeatthedebridementprocesscycle.
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