Nutritional Supplements

Nancy Munoz's picture
Arginine

by Nancy Munoz, DCN, MHA, RDN, FAND

Pressure injuries (pressure ulcers) claim over 60,000 lives and affect over 2.5 million Americans each year. The US health care system spends $9.1–11.6 billion annually in the treatment of pressure injuries. Aside from the financial cost, pressure injury is a devastating health concern that affects quality of life and well-being.

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Mary Ellen Posthauer's picture
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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Mary Ellen Posthauer's picture
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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Mary Ellen Posthauer's picture
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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Mary Ellen Posthauer's picture
Fruits, Vegetables and Protiens

By Mary Ellen Posthauer RDN, CD, LD, FAND

As we appreciate the glorious fall foliage, the crisp sunny days and marvel at the vibrant chrysanthemums in rich jewel tones, we also enjoy hearty meals and soups that incorporate seasonal vegetables. Food is a common, universal topic discussed while caring for clients with wounds. After all, everyone eats and has an opinion on what should be purchased and how meals should be prepared.

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Mary Ellen Posthauer's picture
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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Mary Ellen Posthauer's picture

By Mary Ellen Posthauer RDN, CD, LD, FAND

Today an increasing number of individuals follow a vegetarian diet either by personal choice or for religious or cultural beliefs. Some research indicates that those who follow a plant-based vegetarian diet (50% of all protein in the diet) tend to be healthier than those who do not. There are several variations of the vegetarian diet from a semi-vegetarian or flexitarian to a strictly vegan diet. Years ago, dietitians were taught that it was critical to combine complementary protein sources using an exact pattern within a meal to achieve the required amount of amino acids. However, current research indicates that as long as the daily requirements are met, the body is able to combine amino acids as needed. The challenge is achieving requirements for individuals with wounds who are consuming vegetarian diets.

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By Janis E. Harrison, RN, BSN, CWOCN, CFCN

My Path to Becoming a Wound, Ostomy and Continence Nurse

"What did I get myself into?" There were several times over the first 10 years of my 20 year marriage to a person with an ostomy that I had to ask myself that question. Then came the revelation of the old saying "if you can't beat 'em…. join 'em." I decided that after major problems my spouse had with several surgeries – which included ostomy revisions, fistulae, abscesses, and surgical wounds – I would need to learn much, much more if I was going to spend the rest of my life with my husband, Daryl, and his maladies.

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Mary Ellen Posthauer's picture

By Mary Ellen Posthauer, RDN, CD, LD, FAND

Building on the evidence that I have reviewed in the past several blogs concerning diagnosing adult malnutrition, this month we'll discuss some solutions for meeting energy and protein needs for elderly clients with pressure ulcers.

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