Tag: Nutrition

Team Approach to Nutrition, Pressure Injuries, and Wounds in Long-term Care

by admin on August 8, 2022

How Might Protein Alteration From NPWT Affect Wound Healing?

Excellent continued efforts in elucidating the role that perturbation of the wound matrix (via negative pressure wound therapy (NPWT)) has on angiogenesis, healing and regeneration. A recent study in Molecular Medicine Reports used label‑free quantitative mass spectrometry to analyze differences in granulation tissue protein expression profiles before and after NPWT for patients with diabetic foot ulcers (DFUs).¹ They aimed to take a closer look at how NPWT promotes DFU healing. As such, the study identified multiple novel proteins altered by NPWT, paving the way for future studies in this area … read more

Footnotes: Nutritional Considerations For Diabetic Foot Ulcers

Hi, there. My name is Nicole Curreri, and I’m currently a fourth‑year podiatry student at Temple University School of Podiatric Medicine. My co‑authors, Ms. Diana Johnson, who’s a nutritionist and dietician, along with Dr. Khurram Kahn, a DPM at Temple (University School of Podiatric Medicine), have worked together on an article that emphasizes the role of nutrition in healing and treating diabetic foot ulceration.

Podiatrists treat lower extremity wounds secondary to pressure, diabetes, neuropathy, trauma, etc. Most commonly, we treat diabetic foot ulcerations. About 10 to 15 percent of patients with diabetes will go on to develop a diabetic foot ulceration … read more

Targeted Nutrition Therapy: Key Ingredients to Support Wound Healing

Time may not be able to heal wounds, as the saying goes, but the body can—with proper medical and nutritional support, according to recent data for targeted nutrition therapy.During the Symposium on Advanced Wound Care Spring 2021 virtual meeting, Maritza Molina, RDN, and David G. Armstrong, PhD, DPM, of the Keck School of Medicine of USC, in Los Angeles, discussed how incorporating nutrition as part of the overall treatment plan can promote healing, decrease treatment duration and improve patients’ overall quality of life … read more

New Feature in Wound Care Software Fills Patients’ Shopping Carts with Physician-Recommended Nutrition

Wound care physicians often struggle to ensure patients receive the proper nutrition to accelerate wound healing. Intellicure is fighting that struggle by providing physicians unique tools that place recommended nutritional supplements in the hands of patients … Intellicure already automated the prescribing and ordering of medications and durable medical equipment inside its wound care EHR and its recently released SMART wound care app. However, certain nutritional supplements that are clinically proven to support wound management in some patients are sold over the counter. Often these supplement names and quantities are written down for the patient to purchase on their own time, leaving the physician to wonder if the patient ordered the correct products and quantities needed for a speedy recovery … read more

Nutrition Management of Individuals with Diabetes and Pressure Injuries

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.

Overview of Diabetes Mellitus
Diabetes is an illness in which the individual’s blood glucose level is above the established range. Glucose is present in the foods we eat. Most foods contain a blend of carbohydrates, proteins, and fats. The amount of each of these nutrients in the foods we consume determines how quickly the body transforms food into glucose. For instance, consuming carbohydrates affects blood glucose levels one to two hours after the meal. Ingesting protein has very little influence on blood glucose levels, and the glucose from the fat in foods is slowly absorbed and does not contribute to increased glucose levels … read more

Nutrition can aid in healing diabetic foot ulcers

In this issue, Susan Weiner, MS, RDN, CDE, CDN, talks with nutrition and wound care expert Nancy Collins, PhD, RDN, LD, NWCC, FAND, about the role of nutrition in prevention and treatment of diabetic foot ulcers. Nutrition is a critical component of healing diabetic foot ulcers, particularly as it relates to immune function, malnutrition, glycemic control, and weight loss and weight maintenance. Diabetes educators should include nutrition assessment and intervention as key components of the overall diabetes treatment plan to help patients with diabetic foot ulcers maximize their nutritional status and promote wound healing.

Nutrition is not often the first thing clinicians think of when dealing with diabetic foot ulcers. How important is it, and exactly what role does nutrition play?

Collins: Nutrition does indeed play an important role in the prevention and treatment of diabetic foot ulcers. A poor diet can result in altered immune function, malnutrition and poor glycemic control, all of which are risk factors for poor healing. Malnutrition and nutrient deficiencies can impair collagen synthesis, prolong inflammation, decrease phagocytosis causing dysfunction of B and T cells, and decrease the mechanical strength of the skin. Once a patient has a wound, achieving and maintaining a healthy body weight can help maximize wound healing because obesity can negatively affect glycemic control. Often just losing extra weight can help with glucose control and, in turn, wound healing. Of course, weight loss proves very challenging for most patients. This is where referral to a registered dietitian nutritionist with expertise in diabetes can help … read more

In Pressure Injury Prevention and Treatment,

Is It All About Protein?

by Nancy Munoz, DCN, MHA, RDN, FAND

The National Pressure Ulcer Advisory Panel (NPUAP) defines a pressure injury as localized damage to the skin and/or underlying soft tissue, usually over a bony prominence or related to a medical or other device. The injury can manifest as intact skin or an open ulcer and may be painful. The injury occurs as a result of intense and/or prolonged pressure, occasionally in combination with shear. The tolerance of soft tissue for pressure and shear may also be affected by microclimate, nutrition, perfusion, comorbidities, and the condition of the soft tissue.¹

Wound Care Education Institute Launches Pioneering Nutrition Wound Care Course

BROOKFIELD, Wis., March 20, 2018 /PRNewswire/ — To help Registered Dietitians (RD) and Registered Dietitian Nutritionists (RDN) prepare for board certification in wound care, Wound Care Education Institute (WCEI) has launched a tailored Skin and Wound Management course suited for the RD and RDN. The course reinforces knowledge with real-world, practical skin and wound management training while preparing the RD and RDN for the Nutrition Wound Care Certified (NWCC) certification.

“The course addresses the need for nutritionists on the wound care team and can help an RD or RDN become a nutrition wound care expert,” said WCEI Co-Founder/Clinical Instructor Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS.

Poor nutrition can have a substantial negative effect on the ability to build new tissue and defend against infection. A patient’s nutritional needs can change in the presence of wounds reinforcing the body’s requirement for a proper mix of both macro and micronutrients during wound healing. Patients with chronic and non-healing wounds often have special nutrient needs as well as other healing obstacles at play … read more

Pressure Injury Prevention, Is It All About Protein?

by Nancy Munoz, DCN, MHA, RDN, FAND

Pathophysiologic and intrinsic factors at the core of pressure injury development include nutrition. Maintaining adequate nutrition is considered a best practice for both the prevention and treatment of pressure injuries. Individuals with or at risk for developing pressure injuries should strive to achieve or maintain adequate nutrition parameters … read more