Wound Care Certified Certification (WCC) Practice Exam

When is debridement contraindicated during wound care?

1. Infected wounds

2. Stable eschar on a heel

3. Necrotic tissue

4. Granulation tissue

The correct answer is: Stable eschar on a heel

Debridement is a crucial aspect of wound care, primarily intended to remove non-viable tissue to promote healing. However, there are certain scenarios where debridement should be avoided. In the case of stable eschar on a heel, debridement is contraindicated because stable eschar serves as a protective barrier over the wound and indicates that the wound is likely in a stable condition. This type of eschar often occurs in patients who are at risk for heel ulcers and serves a purpose by preventing further injury or contamination. The presence of stable eschar suggests that the wound might be healing and should not be disturbed unless there are specific complications or changes indicating infection or deterioration. It is essential to assess the patient holistically and consider other factors such as circulation, mobility, and overall health status before deciding on a debridement approach. The other situations mentioned typically indicate an active need for debridement to promote healing, improve the chances of recovery, and reduce the risk of infection, meaning those would not be appropriate scenarios where debridement is contraindicated.