Wound Care Certified Certification (WCC) Practice Exam

When is autolytic debridement typically indicated?

1. In the presence of deep tissue necrosis

2. When there is minimal to moderate necrotic tissue

3. During early stages of wound healing

4. For wounds with heavy drainage

The correct answer is: When there is minimal to moderate necrotic tissue

Autolytic debridement is typically indicated when there is minimal to moderate necrotic tissue present in a wound. This technique utilizes the body's own enzymes and moisture to facilitate the breakdown of necrotic tissue. It is particularly effective because it is a natural process that maintains the surrounding healthy tissue while helping to manage necrotic areas. In cases of deep tissue necrosis, autolytic debridement may not be sufficient or appropriate, as deeper tissue damage often requires more aggressive debridement methods to prevent infections and promote healing. While autolytic debridement can occur in the later stages of wound healing, it is not primarily indicated during the very early stages when other forms of intervention may be necessary to address more significant issues. In wounds with heavy drainage, autolytic debridement may also be less effective, as excessive moisture can impede the process and lead to maceration of surrounding skin. Therefore, identifying the right context—minimal to moderate necrotic tissue—is key to successfully applying this method of debridement.