Certified Wound Ostomy Nurse (CWON) Practice Test

Who is the ideal candidate for conservative sharp wound debridement?

1. Patients with healthy vascular tissue

2. Patients who can undergo surgical debridement

3. Patients with loose avascular tissue who can't undergo surgical

4. Patients with minor skin injuries

The correct answer is: Patients with loose avascular tissue who can't undergo surgical

The ideal candidate for conservative sharp wound debridement is someone with loose avascular (dead or non-viable) tissue who is unable to undergo surgical intervention. Conservative sharp debridement involves the careful and controlled removal of necrotic tissue through sharp instruments, which can help promote healing and reduce the risk of infection. In this context, patients who have loose avascular tissue are perfect candidates because the debridement can effectively eliminate this non-viable tissue without needing the more invasive surgical procedures that may not be appropriate for all patients, especially those with contraindications to surgery. This method provides a way to manage wounds in patients who are potentially at higher risk or who may have systemic health issues preventing surgical options. While having healthy vascular tissue is beneficial for wound healing, it doesn't specifically indicate a need for debridement. Although patients who can undergo surgical debridement may benefit from a more extensive intervention, they do not necessarily align with the definition of conservative sharp debridement. Minor skin injuries typically do not require debridement at all, as they are often self-healing and may not present necrotic tissue.