Negative-pressure wound therapy (NPWT) would be contraindicated in which of the following? (Select all that apply.)

a. Dehisced wounds
b. Pressure ulcers
c. Malignancies
d. Necrotic tissue with eschar


C, D
NPWT is a type of therapy that speeds wound healing by applying localized negative pressure to draw the edges of a wound together. It is commonly used for acute, chronic, traumatic, and dehisced wounds; pressure ulcers; and partial-thickness burns and as a bolster for skin grafts. Contraindications for NPWT for chronic wounds are exposed vital organs, inadequately debrided wounds, untreated osteomyelitis or sepsis near a wound, untreated coagulopathy, necrotic tissue with eschar, and malignancy within a wound.

Nursing

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