Nutritional Assessment

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Nutrition Management

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

The presence of diabetes can have a negative impact on wound healing rates. Increased glucose levels can stiffen the arteries and contribute to narrowing of the blood vessels. This can influence pressure injury development and is a risk factor for impaired wound healing.

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malnutrition and pressure injuries

by Nancy Munoz, DCN, MHA, RDN, FAND

Editor's note:This blog post is part of the WoundSource Trending Topics series, bringing you insight into the latest clinical issues and advancement in wound management, with contributions by the WoundSource Editorial Advisory Board.

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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. 4,226 clinicians attended the conference including 525 from the US. The convention center was a modern venue surrounded by the ancient walls of the Roman fortress.

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health care quality measures

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 Discharge Planning. The goal of the IMPACT Act is to reform PAC payments and reimbursement while ensuring continued beneficiary access to the most appropriate setting of care. The act requires the submission of standardized and interoperable PAC assessment and quality measurement data by Long-Term Care Hospitals (LTCH), Skilled Nursing Facilities (SNF), Home Health Agencies (HHA) and Inpatient Rehabilitation Facilities (IRF).

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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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Nutrition and wound healing

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. Ruben that inadequate nutrition is an often-overlooked reason for delayed wound healing.

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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.

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hand wound

By Bruce E. Ruben MD

A non-healing wound is generally defined as a wound that will not heal within four weeks. If a wound does not heal within this usual time period, the cause is usually found in underlying conditions that have either gone unnoticed or untreated. In general, there are five reasons why wounds will not heal and more than one of these conditions can be operating at the same time.

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medical records

By Mary Ellen Posthauer RDN, CD, LD, FAND

As Dr. Aletha Tippett noted in her December blog, following wound documentation standards can help clinicians avoid legal issues. Pressure ulcer litigation often involves pressure ulcers and weight loss.