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. Since nutrition is one component of both the treatment and prevention plan (along with dressings, treatments and support surfaces), having a written MNT protocol assists the interdisciplinary team in achieving a positive outcome for the individual/patient. The collaborative, interdisciplinary approach should include the individual and their family/caregiver.
The MNT protocol for pressure injury management should include the following policy, responsibility of the registered dietitian nutritionist, nursing staff, and other team members, and the detailed procedure.
Medical Nutrition Therapy Policy:
MNT will be provided to all individuals at risk for malnutrition and pressure injury, or who have pressure injuries. The nursing staff and registered dietitian nutritionist (RDN) are responsible for implementing the MNT protocol, monitoring interventions, and documenting outcomes. Each member of the interdisciplinary team is responsible for assessing and intervening based on his or her scope of practice. For example, the speech language pathologist will evaluate and treat chewing and swallowing problems and the occupational therapist will evaluate and treat ADLs related to feeding. The goals of MNT are to provide adequate calories, protein, fluid, vitamins, and minerals; to assist in reducing the risk of the pressure injury development; and to assist in healing of pressure injuries.
The following algorithm details the procedures including risk factors, assessment, intervention, and monitoring and desired outcomes for the MNT protocol for pressure injury management.
Based on Estimated Needs, Implement Plan of Care
Monitor per facility policy
About The Author
Mary Ellen Posthauer RDN, CD, LD, FAND is an award winning dietitian, consultant for MEP Healthcare Dietary Services, published author, and member of the Purdue University Hall of Fame, Department of Foods and Nutrition, having held positions on numerous boards and panels including the National Pressure Ulcer Advisory Panel and the American Dietetic Association's Unintentional Weight Loss work group.
The views and opinions expressed in this blog are solely those of the author, and do not represent the views of WoundSource, HMP Global, its affiliates, or subsidiary companies.