1. WOUND BED
PREPARATION
Ns. SUKURNI, S. Kep, WOC(ET)N

2. TUJUAN
 Menghilangkan faktor yang menghambat
penyembuhan luka
 Mempersiapkan luka dengan secara maximal
untuk dapat menggunakan advanced product

3. PRINCIPLES = TIME
Framework terms Application to
practice
T Tissue management Removal of
nonviable tissue
I Inflammation and
infection control
Control of bacterial
load / burden
M Moisture balance Management and
control of exudates
E Epithelial
advancement / edge
Promotion of a
healthy wound edge

4. T Tissue management
Removal of nonviable tissue

5. TISSUE MANAGEMENT =
DEBRIDEMANG
Debridement /
Debridemang :
Membuang jaringan
nekrosis dari permukaan
luka
Necrosis:
Kematian sel yang
disebabkan oleh
penurunan proses
enzymatic tubuh

6. PENYEBAB TERJADINYA JARINGAN NEKROTIK
 ALIRAN DARAH YANG BURUK
 INFEKSI
• ISKHEMIA
• TRAUMA / HEMATOMA

7. METODE DEBRIDEMANG
 Surgical / sharp
 AUTOLYTIC
 Mechanical
 Chemical / Enzymatic agents
 Biological / Magots - larvae

8. SURGICAL DEBRIDEMANG

9. MEKANIKAL DEBRIDEMANG
DENGAN PINSET DENGAN KASA KERING

10. AUTOLYTIC DEBRIDEMANG
 Merupakan proses alami
tubuh dalam melakukan
peluruhan jaringan nekrotik
dan benda asing /
debridemang
 Proteolytic enzymes from cells
 Selective / hanya jaringan
nekrosis
 Membutuhkan lingkungan
yang lembab

11. ZAT KIMIA / ENZYM
• Hydrogen peroxide
• EUSOL
(Edinburgh
University Solution
of Lime)
• Salicylic acid
• Malic acid
• Benzoic acid
• Hypochlorites

12. BIOKEMIKAL / MAGOTS

13. AUTOLYSIS MIX WITH SURGICAL
DEBRIDMENT

17. I Inflammation and
infection control
Control of bacterial load / burden

19. M Moisture balance
Management and control of exudates

22. E Epithelial advancement /
edge
Promotion of a healthy wound edge

25. Etiology : Cancer = TIM

26. Etiology : DM = TIME

27. Etiology : DM = ME

28. Etiology :

29. Etiology :

30. Etiology :

31. Etiology :

32. Etiology :

33. Sekian
&
Terima Kasih