Nutrition

Bruce Ruben's picture
Nutrition and protein intake

By Bruce E. Ruben MD

A day doesn't go by that I'm not bombarded with information on the newest diet, the latest exercise trend or the fastest way to get in shape. My email inbox opens with message subjects like "click here to drop 10 pounds fast" or "how to get a Kardashian body without surgery." I overhear women at a local breakfast haunt order egg whites instead of whole eggs, because they contain less fat and they are worried about gaining weight. How about the latest craze of ordering sandwiches wrapped in lettuce because everyone is afraid of the dreaded carbohydrates? Our culture is so focused on losing weight, getting in shape, and looking like the latest model on the cover of Vogue or GQ that we have lost sight of what is healthy.

Blog Category: 
Mary Ellen Posthauer's picture
Fruits, Vegetables and Protiens

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 discussed while caring for clients with wounds. After all, everyone eats and has an opinion on what should be purchased and how meals should be prepared.

Blog Category: 
Mary Ellen Posthauer's picture
Nutrition Planning

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 occurrence is the failure to notify the registered dietitian when an obese patient has an unplanned, significant weight loss of 5% or more in 30 days or has an insidious weight loss over time. The key word is unplanned and not a result of edema.

Blog Category: 
Mary Ellen Posthauer's picture
hydration

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.

Blog Category: 
Mary Ellen Posthauer's picture
toothbrushes

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.

Blog Category: 
Mary Ellen Posthauer's picture
Nutrition vs. Antibiotics

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 in controlling the adverse effects of antibiotic therapy?

Blog Category: 
Mary Ellen Posthauer's picture

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 Alliance joined National Pressure Ulcer Advisory Panel (NPUAP) and European Pressure Ulcer Advisory Panel (EPUAP) in producing a document that could be used by health professionals around the world.

Blog Category: 
Janis Harrison's picture

By Janis E. Harrison, RN, BSN, CWOCN, CFCN

Monday came with expectations of fixing the problem. It wasn't to be. Daryl was weak and hated the NG tube in his nose and throat. I arrived early at his bedside and waited for the doctor to let us know what the plan of action would be for the blockage problem. I left to use the public restroom and missed the doctor's visit. No one quite new what the plan was when I questioned the staff. So I created my own plan. I made Daryl get out of bed and started walking him in the halls throughout the entire hospital. I did not want him to get any weaker and I wanted to see if the mobility would increase the gastrointestinal motility. He was not happy with me at first but with education and the explanation of why, he was more than willing to try.

Blog Category: 
Mary Ellen Posthauer's picture

B 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 their goal to establish a pressure ulcer registry for clinicians.

Blog Category: 
Mary Ellen Posthauer's picture

By Mary Ellen Posthauer RDN, CD, LD, FAND

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

Blog Category: