Nutritional Management

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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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vitamin and mineral supplementation

By Mary Ellen Posthauer RDN, CD, LD, FAND

Last month I discussed the value of consuming a "balanced diet" versus taking mega doses of vitamins for wound healing. This month the focus is on minerals. Minerals are inorganic compounds that comprise 4% of body weight but are essential to metabolic function, tissue health and fluid balance.

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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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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.

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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.

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Nutrition

By Mary Ellen Posthauer RDN, CD, LD, FAND

When I attend wound care conferences both nationally and internationally, I am frequently asked how I became interested in nutrition and wound care. In 1995, I was involved in a quality assurance project for the Academy of Nutrition and Dietetics – previously known as the American Dietetics Association (ADA) – examining clinical indicators associated with unintentional weight loss and pressure ulcers in elderly residents in nursing homes. The result of study was published in the ADA Journal and noted the relationship between unintended weight loss, poor dietary intake and pressure ulcers.

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patient centered care

By Mary Ellen Posthauer RDN, CD, LD, FAND

Recently there have been numerous articles and webinars focusing on the methods health care professional can employ to effectively communicate and engage in end of life conversations with patients receiving palliative and/or hospice care.

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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?

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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.

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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.

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