Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

Who typically benefits the most from hydrotherapy?

1. Patients with dry and flaky skin

2. Patients with loose slough and heavy bacterial counts

3. Patients with minor abrasions

4. Patients undergoing physiotherapy

The correct answer is: Patients with loose slough and heavy bacterial counts

Hydrotherapy is particularly beneficial for patients with loose slough and heavy bacterial counts. This approach utilizes the properties of water to assist in wound cleansing, promoting debridement of non-viable tissue, and effectively reducing bacterial load in the wound environment. The mechanical action of water helps to dislodge slough, making it easier to remove from the wound bed, which is essential for proper wound healing. Additionally, the warmth of the water can promote increased blood flow to the affected area, which can further support healing processes. In contrast, while hydrotherapy may offer some advantages to patients with dry and flaky skin or minor abrasions, it’s less specialized for addressing the challenges of high bacterial counts and slough present in chronic or infected wounds. Patients undergoing physiotherapy might benefit from hydrotherapy in terms of mobility and muscle relaxation, but their primary needs are generally focused on rehabilitation rather than the wound management aspects that hydrotherapy specifically addresses for infected wounds.