Page 48 - Wound Care at End of Life Content: A Guide for Hospice Professionals - DEMO

Less Common Types of Debridement in Hospice and End of Life Care

Description  Using therapeutic larval therapy (maggots) to remove necrotic tissue. Larvae secrete proteolytic enzymes rapidly breaking down necrotic tissue. Microorganisms are also ingested by the larvae. Some patients may not be comfortable with the sensation of crawling or movement in the wound. Nylon netting may be used to contain the larvae. Larval therapy should not be used for wounds that are poorly perfused, have exposed blood vessels, or necrotic bone.

Types of Debridement

BIOSURGICAL MECHANICAL SHARP/SURGICAL References Chapter 8 1. 2. 3. 4.