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By Ryan Cummings, FNP, CWS

Appropriately balanced nutrition is a cornerstone of high-quality wound care, and this isn’t a new revelation. Nearly all modern wound centers include some version of nutritional screening, along with ever-expanding recommendations regarding overall protein intake, complex carbohydrate needs, and micronutrient supplementation as clinical evidence for these is presented.

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By Ryan Cummings, FNP, CWS

Although the impact of depression on all aspects of health and healing is well known and has been researched in progressively greater detail over the last decade, the role depression plays in prolonging healing time in chronic wounds is still rarely addressed fully. Empirically, every wound care provider has witnessed depression in patients with chronic non-healing ulcerations, although rarely is this directly addressed in wound care training or in algorithmic treatment plans. Ongoing pain, odor, body image compromise, and lack of faith in one’s own ability to heal are only some of the issues that wound care patients are often forced to address, and we owe it to our patients to be prepared to both discuss and validate their experiences during their time in our care.

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