Nutritional Management

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Nutrition Management

by Dr. Nancy Munoz, DCN, MHA, RDN, FAND

The presence of diabetes can contribute to a decreased wound healing rate. Increased glucose levels can stiffen the arteries and contribute to narrowing of the blood vessels. This can contribute to pressure injury development and is a risk factor for impaired wound healing.

Diabetes is an illness in which the individual’s blood glucose level is above the established range. Glucose is present in the foods we eat. Most foods contain a blend of carbohydrates, proteins, and fats. The amount of each of these nutrients in the foods we consume determines how quickly the body transforms food into glucose. For instance, consuming carbohydrates affects blood glucose levels one to two hours after the meal. Ingesting protein has very little influence on blood glucose levels, and the glucose from the fat in foods is slowly absorbed and does not contribute to increase glucose levels.

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Nutrition and Protein

by Nancy Munoz, DCN, MHA, RDN, FAND

The National Pressure Ulcer Advisory Panel (NPUAP) defines a pressure injury as localized damage to the skin and/or underlying soft tissue, usually over a bony prominence or related to a medical or other device. The injury can manifest as intact skin or an open ulcer and may be painful. The injury occurs as a result of intense and/or prolonged pressure, occasionally in combination with shear. The tolerance of soft tissue for pressure and shear may also be affected by microclimate, nutrition, perfusion, comorbidities, and the condition of the soft tissue.

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malnutrition and pressure injuries

by Nancy Munoz, DCN, MHA, RDN, FAND

Nutrition is a major determinant of health status. Food, as a vital source of nutrition, not only is essential to physiological well-being, but also impacts one's quality of life culturally, socially and psychologically.

Mary Ellen Posthauer's picture
Nutrition and medicine

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 opportunity to present in Paris, Toronto, Yokohama and this year in Florence on the topic of nutrition and wound healing.

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Risk factors for pressure injuries, medical nutrition therapy intervention

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.

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chemical formula of arginine, an amino acid

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 arginine in combination with other nutrients to facilitate pressure injury healing. Many of the studies were conducted in Europe or Australia using products that are not always marketed in the United States. However, very similar products are available.

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nutritional supplements for healing wounds

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 or vitamins, there are studies supporting combining adequate amounts of these nutrients in an oral nutritional supplement to facilitate wound healing.

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lean body mass

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. Robert Demling noted the effect of lean body mass (LBM) loss on wound healing.

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nutrition and health care clinicians

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 our clients/patients with wounds. However, how often do you as a busy wound care clinician think about your nutrition or what you are eating or probably not eating?

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protecting hearts and healing wounds through nutrition

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? Many of your clients with wounds also have some type of heart disease or have elevated lipid levels. These clients need nutritional strategies for wound healing that also protects their hearts.

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