title: Debridement: controlling the necrotic/cellular burden.
abstract: OBJECTIVE
  To provide physicians and nurses with an overview of the options for debriding a chronic wound to improve wound healing.
  
  
  BACKGROUND
  This continuing education activity is intended for physicians and nurses with an interest in learning about methods for debriding chronic wounds to promote wound healing.
  
  
  OBJECTIVE
  After reading the article and taking the test, the participant will be able to: 1. Describe the 4 types of debridement most commonly used in clinical practice. 2. Describe when to debride a wound and how to determine which method to use.
authors.affiliation: Clinical Associate Professor and Director of Adult Nursing Sciences, The John A. Hartford Institute for Geriatric Nursing, Division of Nursing, New York University, New York, NY, USA.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Ayello
authors.forename: Janet E
authors.initials: JE
authors.lastname: Cuddigan
mesh_terms: D000465:Algorithms; D001329:Autolysis; D001458:Bandages; D002908:Chronic Disease; D017364:Collagenases / Q000627:therapeutic use; D003646:Debridement / Q000295:instrumentation / Q000379:methods* / Q000451:nursing; D003663:Decision Trees; D006801:Humans; D009336:Necrosis; D009730:Nursing Assessment; D010206:Papain / Q000627:therapeutic use; D018579:Patient Selection; D017592:Skin Care / Q000295:instrumentation / Q000379:methods / Q000451:nursing; D014508:Urea / Q000627:therapeutic use; D014945:Wound Healing; D014947:Wounds and Injuries / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*
chemical_list: D014508:Urea; D010206:Papain; D017364:Collagenases