Certified Wound Ostomy Nurse (CWON) Practice Test

What is the most effective management for deep tissue injuries?

1. Immediate debridement of necrotic tissue

2. Pressure redistribution and reduction of shear

3. Application of antibiotic dressings

4. Increased fluid intake

The correct answer is: Pressure redistribution and reduction of shear

The most effective management for deep tissue injuries focuses on pressure redistribution and reduction of shear. Deep tissue injuries are often caused by prolonged pressure and can lead to tissue ischemia and necrosis. The hallmark of managing these injuries involves addressing the forces that contributed to their development in the first place. By redistributing pressure, healthcare providers can alleviate the excessive force on vulnerable areas of the body, promoting better blood flow and potentially preventing further tissue damage. Reducing shear forces is also crucial as they can exacerbate tissue injury by causing microscopic damage even if pressure is mitigated. Effective management of deep tissue injuries requires a holistic approach that aims to address the underlying causes of the injury, which is where pressure redistribution and shear reduction play pivotal roles. Unfortunately, while other methods such as debridement, dressing applications, and hydration may be important in the comprehensive care of wounds, they do not specifically target the prevention of additional damage caused by pressure and shear in deep tissue injuries.