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JCN

2015

??

However, newer products have

been introduced. The Debrisoft

monofilemnt fibre debridement pad

makes mechanical debridement

easier and atraumatic.

WHAT IS DEBRISOFT?

Debrisoft is a single-use debridement

pad with patented monofilament

fibre technology. Each pad has 18

million monofilament fibres cut to a

specific angle and length. The fibres

quickly lift up debris, superficial

slough and exudate and bind it

within the pad. Debrisoft removes the

barriers to healing and leaves the area

clear and promotes the development

of healthy tissue. The pad is soft and

conformable and will not damage any

new granulation or epithelial cells.

This means that Debrisoft is

a safe and effective method of

debriding wounds that contain

superficial slough and debris,

including leg ulcers, pressure ulcers,

diabetic foot ulcers, trauma wounds

and postoperative wounds healing

by secondary intention. Debrisoft is

also very effective in the removal of

hyperkeratosis from the skin.

However, above all Debrisoft is

easy to use, making it convenient

for both specialist and general

nurses, patients and carers to use

when cleaning a wound, enabling

improved wound assessment.

Debrisoft is a debridement tool

which can be used for the cleaning

and debridement of wounds and

skin at each dressing change. It

normally takes just a few minutes

and in some cases may only need

to be used once. It can be used in

a variety of settings including the

patients own home and where

appropriate may be used by the

patient which encourages self-care.

With increasing amounts of

care being provided in or nearer

to patients’homes (Department of

Health [DH], 2009), Debrisoft can

play a crucial role in enabling patients

to access best practice wound

assessment from generalist nurses,

rather than requiring a specialist.

In simple terms, Debrisoft offers

clinicians a new way to gently

should not be afraid to refer on if

unsure about this. There are a range

of different debridement methods

available and it is incumbent upon

nurses to keep their knowledge of

these up to date to provide patients

with the best available evidence-

based care.

JCN

REFERENCES

Collarte A, Lara L (2011) Evaluation

of a new debridement method for

sloughy wounds and hyperkeratotic

skin for a non-specialist setting. Poster

Presentation at EWMA Conference,

Brussels

DH (2009)

Transforming Community

Services: ambition, action, achievement.

Transforming services for acute care closer

to home

. DH, London

Gray D, Acton C, Chadwick P (2011)

Consensus guidance for the use of

debridement techniques in the UK.

Wounds UK

7(1):

77–84

NICE (2014) The Debrisoft monofilament

debridement pad for use in acute or

chronic wounds. Available at:

www.nice.

org.uk/guidance/mtg17 (accessed 25

May, 2015)

Wounds UK (2008)

Best Practice Statement.

Optimising Wound Care

. Available at:

http://www.wounds-uk.com/pdf/

content_8950.pdf (accessed 25 May, 2015)

debride the wound bed, aiding

visualisation and therefore accurate

assessment. The soft fleecy side of

the pad should be fully moistened

with 20–40ml (1–2 egg cupfuls)

of tap water or saline. With gentle

pressure, as if exfoliating, use the

soft fleecy side of the moistned

Debrisoft in a circular motion on the

wound or in long sweeping strokes

on the skin.

This cleansing and debriding

action helps to quickly reveal the

condition of the wound bed and

surrounding skin, effectively lifting,

binding and removing dead tissue

and other factors that may obscure

the state of the wound, such as

devitilised tissue and wound debris

(Collarte and Lara, 2011).

CONCLUSION

This session set out to examine how

debridement is crucial to accurate

wound assessment, allowing the

nurse to properly view the wound, as

well as removing necrotic tissue that

may encourage infection.

As mentioned above it is

important that nurses debride

according to their competency, and

Debrisoft before and after

Below are a number of clinical photographs showing wounds before (

left

),

and after (

right

) the use of Debrisoft.

Before

After