Mary Ellen Posthauer

Content from this Company

Nutrition and medicine
December 1st, 2016

by Mary Ellen Posthauer, RDN, CD, LD, FAND

The World Union Wound Healing Society (WUWHS) held their 2016 meeting in historic Florence, Italy in September. The initial meeting of the WUWHS was held in Australia in 2000 and is convened every four years. I have had the unique...

World Wide Pressure Injury Prevention Day
October 20th, 2016

by Mary Ellen Posthauer RDN, CD, LD, FAND

The National Pressure Ulcer Advisory Panel (NPUAP) has designated November 17, 2016 as World Wide Pressure Injury Prevention Day and is urging states to join the effort and raise awareness about the need to prevent pressure injuries. As...

Risk factors for pressure injuries, medical nutrition therapy intervention
September 16th, 2016

by Mary Ellen Posthauer RDN, CD, LD, FAND

Medical Nutrition Therapy (MNT) should be an integral part of your pressure Injury (ulcer) management plan. Malnutrition/undernutrition is a risk factor for pressure injury formation and prolongs the healing process.

chemical formula of arginine, an amino acid
July 29th, 2016

by Mary Ellen Posthauer RDN, CD, LD, FAND

Clinicians continue to question if oral or tube feedings formulated with arginine hasten wound healing time versus standard high calorie, high protein supplements. There is an increase in the number of studies that examine the role of...

pressure ulcer terminology
July 7th, 2016

by Mary Ellen Posthauer RDN, CD, LD, FAND

The April National Pressure Ulcer Advisory Panel (NPUAP) consensus conference resulted in a terminology change from pressure ulcer to pressure injury, and also validated new terminology which more accurately describes pressure injury in...

health care quality measures
June 2nd, 2016

by Mary Ellen Posthauer RDN, CD, LD, FAND

The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT) amends Title XVIII of the Social Security Act by adding a new section – Standardized Post-Acute Care (PAC) Assessment Data for Quality, Payment, and...

nutritional supplements for healing wounds
May 5th, 2016

by Mary Ellen Posthauer RDN, CD, LD, FAND

Several nutrients, such as arginine, zinc, vitamin A, vitamin E and vitamin C, play a key role in wound healing and preserving tissue viability. However, while current research doesn’t confirm consuming mega doses of any of these minerals...

lean body mass
March 31st, 2016

by Mary Ellen Posthauer RDN, CD, LD, FAND

Recently, I attended a webinar that focused on dietary protein and preserving lean muscle mass. There is a wealth of research on this topic in particular as it relates to older adults and protecting muscle health during inactivity. Dr....

nutrition and health care clinicians
March 10th, 2016

by Mary Ellen Posthauer RDN, CD, LD, FAND

The Academy of Nutrition and Dietetics annually designates March as National Nutrition Month and the theme this year is Savor the Flavor of Eating Right. My blog usually focuses on what we as caregivers can do to improve the nutrition of...

protecting hearts and healing wounds through nutrition
February 3rd, 2016

by Mary Ellen Posthauer RDN, CD, LD, FAND

February is American Heart Month and Valentine’s Day is celebrated around the world on the 14th. So what is the connection between protecting your heart, enjoying candy and flowers with those you love on Valentine’s Day, and wound care?...

Nutrition and wound healing
January 7th, 2016

by Mary Ellen Posthauer RDN, CD, LD, FAND

Congratulations to Bruce Ruben, MD, for his #1 WoundSource blog for 2015; Wound Healing: Reasons Wounds Will Not Heal. I certainly concur with Dr....

vitamin and mineral supplementation
December 2nd, 2015

by Mary Ellen Posthauer RDN, CD, LD, FAND

Last month I discussed the value of consuming a "balanced diet" versus taking mega doses of vitamins for wound healing. This month the focus is on minerals. Minerals are inorganic compounds that comprise 4% of body weight but are...

Fruits, Vegetables and Protiens
November 4th, 2015

by Mary Ellen Posthauer RDN, CD, LD, FAND

As we appreciate the glorious fall foliage, the crisp sunny days and marvel at the vibrant chrysanthemums in rich jewel tones, we also enjoy hearty meals and soups that incorporate seasonal vegetables. Food is a common, universal topic...

Pressure ulcer prevention
September 30th, 2015

by Mary Ellen Posthauer RDN, CD, LD, FAND

Despite all of the advances in risk assessment, prevention and treatment guidelines, support surfaces, nutritional products and vigorous educational efforts, pressure ulcers continue to be a major health care problem worldwide. The...

Nutrition Planning
August 31st, 2015

by Mary Ellen Posthauer RDN, CD, LD, FAND

"I know Susie Q has a stage IV pressure ulcer on her sacrum but she is obese so she certainly doesn't need any more calories." Clinicians and family members often articulate this statement about obese individuals. Another common...

hydration
August 4th, 2015

by Mary Ellen Posthauer RDN, CD, LD, FAND

The "dogs days of summer" with temperatures approaching 90 and above plus high humidity levels remind us of the importance of hydration. While you are focusing on quenching your thirst, don't forget about your wound care clients.

toothbrushes
July 9th, 2015

by Mary Ellen Posthauer RDN, CD, LD, FAND

While the focus of nutrition interventions for wound healing involve the amount of protein, calories and beverages provided and consumed, we tend to forget the importance of good oral hygiene.

Nutrition
June 11th, 2015

by Mary Ellen Posthauer RDN, CD, LD, FAND

When I attend wound care conferences both nationally and internationally, I am frequently asked how I became interested in nutrition and wound care. In 1995, I was involved in a quality assurance project for the Academy of Nutrition and...

patient centered care
April 15th, 2015

by Mary Ellen Posthauer RDN, CD, LD, FAND

Recently there have been numerous articles and webinars focusing on the methods health care professional can employ to effectively communicate and engage in end of life conversations with patients receiving palliative and/or hospice care...

Nutrition vs. Antibiotics
February 26th, 2015

by Mary Ellen Posthauer RDN, CD, LD, FAND

As Lydia Meyers RN, MSN, CWCN emphasized in her recent blog “4 Common Bacteria that Cause Infections in Wound Management”, assessing the patient for infection is key to controlling the spread of infections. What role does nutrition play...

medical records
January 23rd, 2015

by Mary Ellen Posthauer RDN, CD, LD, FAND

As Dr. Aletha Tippett noted in her December blog, following wound documentation standards...

December 11th, 2014

by Mary Ellen Posthauer RDN, CD, LD, FAND

I was fascinated by the incredible amount of money that was donated to various organizations on December 2nd – the day declared as a National Day of Giving. This movement started in 2012 by the 92nd Street Y and the United Nations...

November 11th, 2014

by Mary Ellen Posthauer RDN, CD, LD, FAND

Despite all of the advances in risk assessment strategies, support surfaces, and vigorous educational efforts, pressure ulcers continue to be a major health care problem worldwide.

October 23rd, 2014

by Mary Ellen Posthauer RDN, CD, LD, FAND

For the past two years I have been involved in the research and development of the second edition of the Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline. Members of the Pan Pacific Pressure Injury...

September 19th, 2014

by Mary Ellen Posthauer RDN, CD, LD, FAND

Last month, I discussed the results of the NPUAP's 2014 "Unavoidable Pressure Injury: State of the Science and Consensus Outcomes" conference and...

August 13th, 2014

by Mary Ellen Posthauer RDN, CD, LD, FAND

In 2010, experts at a consensus conference convened by the National Pressure Ulcer Advisory Panel (NPUAP):

    ...
June 20th, 2014

by Mary Ellen Posthauer RDN, CD, LD, FAND

During the past year, I have had the opportunity to collaborate with Dr. Steven Gale and a group of wound care specialists on the development of a standardized approach for treating chronic wounds, often considered the new global epidemic...

May 2nd, 2014

by Mary Ellen Posthauer RDN, CD, LD, FAND

Today an increasing number of individuals follow a vegetarian diet either by personal choice or for religious or cultural beliefs. Some research indicates that those who follow a plant-based vegetarian diet (50% of all protein in the...

March 9th, 2014

by Mary Ellen Posthauer, RDN, CD, LD, FAND

Several years ago when my nutrition blog began, I discussed the issue of relying on laboratory values – in particular albumin, pre-albumin and...

February 13th, 2014

by Mary Ellen Posthauer, RDN, CD, LD, FAND

Lindsay Andronaco's blog, "How Can Wound Care Nurses Provide Culturally Sensitive Care" prompted me to reflect on similar situations that I have encountered...

January 14th, 2014

by Mary Ellen Posthauer, RDN, CD, LD, FAND

As we watched the bright colored ball drop at midnight in Times Square and listened to John Lennon's classic song, "Imagine", we closed out the past year and now reflect on the future. What is your greater vision of how the world could...

December 12th, 2013

by Mary Ellen Posthauer, RDN, CD, LD, FAND

Building on the evidence that I have reviewed in the past several blogs concerning diagnosing adult...

November 10th, 2013

by Mary Ellen Posthauer, RDN, CD, LD, FAND

The past few months my blog has been devoted to illustrating the value of using an etiology-based approach to diagnosing adult...

October 8th, 2013

by Mary Ellen Posthauer RDN, CD, LD, FAND

In September, the Journal of the Academy of Nutrition and Dietetics, Journal of Parenteral and Enteral Nutrition, and the MEDSURG Nursing Journal simultaneously published the article "Critical role of nutrition...

September 21st, 2013

by Mary Ellen Posthauer RDN, CD, LD, FAND

In last month's blog, I discussed recent research and publication of the consensus statement of the Academy of Nutrition and...

August 16th, 2013

by Mary Ellen Posthauer RDN, CD, LD, FAND

We have all heard the terms Marasmus and Kwashiorkor used to classify malnutrition that stems from the classic 1974 The Skeleton in the Closet article. Current research on this topic led to the collaboration and 2012 publication of a...

July 3rd, 2013

by Mary Ellen Posthauer RDN, CD, LD, FAND

Part 3 in a series discussing nutritional status and diabetic foot ulcer risk.
To read Part 1, Click Here
To read Part 2,...

June 14th, 2013

by Mary Ellen Posthauer, RDN, CD, LD, FAND

Part 2 in a series discussing nutritional status and diabetic foot ulcer risk.
To read Part 1,Click Here

Last month, I discussed the...

May 4th, 2013

by Mary Ellen Posthauer, RDN, CD, LD, FAND

After reading Laurie Swezey's blog, "Diabetic Foot - Risk Factors and Prevention", I decided to weigh in on the issue of poor glycemic control. Teamwork is an essential...

April 9th, 2013

by Mary Ellen Posthauer RDN, CD, LD, FAND

As the ethnic diversity in the United States continues to increase, clinicians should understand how food, culture and religious practices impact the nutrition interventions we recommend. According to the Census Bureau in 2010 Hispanics...

March 6th, 2013

by Mary Ellen Posthauer RDN, CD, LD, FAND

In response to Dr. Michael Miller's February blog, I would like to educate readers on the role and responsibility of the registered dietitian (RD) on the wound...

February 8th, 2013

by Mary Ellen Posthauer RDN, CD, LD, FAND

The NPUAP/EPUAP Pressure Ulcer Prevention and Treatment Guidelines published in 2009 have been widely circulated around the globe and translated into 17 languages. Successful implementation of any guideline requires a "buy-in" by all the...

January 9th, 2013

by Mary Ellen Posthauer RDN, CD, LD, FAND

Did you ever notice that 4 or 5 of the ten most popular New Year's resolutions involve food? We either want to eat more or less of certain foods, usually in an effort to lose weight or improve our appearance with exercise and diet. What...

December 10th, 2012

by Mary Ellen Posthauer RDN, CD, LD, FAND

Microbiota are living organisms that coat the lining of the stomach, small intestine and the colon, which has the highest concentration. They serve as the front line of defense by protecting against incoming microbes, modulating the...

November 15th, 2012

by Mary Ellen Posthauer RDN, CD, LD, FAND

Frequently I am asked to review medical records to determine if an individual’s pressure ulcers failed to heal because of inadequate or...

October 4th, 2012

by Mary Ellen Posthauer RDN, CD, LD, FAND

Since we are fast approaching the deadline for the national elections, I decided to join the fray and campaign for accurate completion of the...

August 30th, 2012

by Mary Ellen Posthauer RDN, CD, LD, FAND

During the wound healing process, aggressive nutritional support can reverse the body's hypermetabolic state, which occurs when lean body mass is used for energy rather than tissue repair. When energy stores are rapidly depleted in a...

August 1st, 2012

by Mary Ellen Posthauer RDN, CD, LD, FAND

"Our food should be our medicine and our medicine should be our food."
-Hippocrates

This statement by Hippocrates rings true today as hospitals, rehabilitation centers and nursing homes...

July 10th, 2012

by Mary Ellen Posthauer RDN, CD, LD, FAND

My first year in practice, I volunteered with the local dietetic association when they launched “Dial a Dietitian”. The goal of the program was to capture the attention of the community and encourage people to phone a dietitian and seek...

June 3rd, 2012

by Mary Ellen Posthauer, RDN, CD, LD, FAND

Fat-soluble vitamins A, E, and K dissolve in fat and are transported in the body attached to lipids and require pancreatic enzymes and bile for absorption. They are stored in the liver and fatty tissue, which is why an excess...

May 1st, 2012

by Mary Ellen Posthauer RDN, CD, LD, FAND

Food is a major part of our lives with strong emotional and symbolic implications that encompasses nurturing, cultural, religion, tradition and social values. Nutrition and hydration has an effective role in healing wounds, but cannot...

April 2nd, 2012

by Mary Ellen Posthauer RDN, CD, LD, FAND

One component of the nutritional assessment process in wound care is reviewing and evaluating biochemical data. In a...

March 7th, 2012

by Mary Ellen Posthauer RDN, CD, LD, FAND

Last month I discussed the importance of implementing a system for screening the nutritional status of individuals. When the screening tool triggers...

February 15th, 2012

by Mary Ellen Posthauer RDN, CD, LD, FAND

Since undernutrition is considered a reversible risk factor for pressure ulcer development, then early detection and...

January 6th, 2012

by Mary Ellen Posthauer RDN, CD, LD, FAND

In addition to providing calories and protein to promote wound healing, fluid intake is equally important. Achieving hydration needs and preventing dehydration, a risk factor for pressure ulcer development due to its effect on blood...

December 9th, 2011

by Mary Ellen Posthauer RDN, CD, LD, FAND

Previously, I discussed the value of protein for wound healing. Protein is responsible for cell multiplication, repair, and synthesis of enzymes involved...

Nutritional Supplements
November 4th, 2011

by Mary Ellen Posthauer RDN, CD, LD, FAND

The protein in the food we eat supplies the body with the amino acids necessary to make its own protein. There are certain amino acids that the body cannot produce, and some that are unable to be made fast enough to meet the body’s needs...

October 4th, 2011

by Mary Ellen Posthauer RDN, CD, LD, FAND

The role of protein in wound healing has been documented in many studies with the focus on offering high calorie, high protein supplements in addition to...

September 6th, 2011

by Mary Ellen Posthauer RDN, CD, LD, FAND

Function/Recommended Dietary Allowance:

Zinc is an essential trace mineral for DNA synthesis, cell division, collagen formation, protein synthesis,...

August 1st, 2011

by Mary Ellen Posthauer RDN, CD, LD, FAND

Metabolic Roles of Vitamin C

The major function of vitamin C (ascorbic acid) in wound healing is assisting in the formation...

June 24th, 2011

by Mary Ellen Posthauer RDN, CD, LD, FAND

For many years clinicians have relied on serum proteins, such as albumin and pre-albumin, as...