Nutrition therapy in the prevention and treatment of pressure ulcers

Crowe, Timothy and Brockbank, Cara 2009, Nutrition therapy in the prevention and treatment of pressure ulcers, Wound practice and research, vol. 17, no. 2, pp. 90-99.

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Title Nutrition therapy in the prevention and treatment of pressure ulcers
Author(s) Crowe, Timothy
Brockbank, Cara
Journal name Wound practice and research
Volume number 17
Issue number 2
Start page 90
End page 99
Total pages 10
Publisher Cambridge Publishing
Place of publication West Leederville, W.A.
Publication date 2009-05
ISSN 1837-6304
Summary Pressure ulcers are serious problems within hospital and aged care settings and are associated with adverse health outcomes and high treatment costs. Because of a high incidence of pressure ulcers in the health system, attention is now being directed to not just preventing, but also more effectively treating them. Nutrition plays a fundamental part in wound healing, with malnutrition, dehydration and recent weight loss identified as independent risk factors for the development of pressure ulcers. While the optimal nutrient intake to promote wound healing is unknown, increased needs for energy, protein, zinc and vitamins A, C and E have been documented. There is reasonable evidence to show that nutritional support, mostly by high-protein oral nutritional supplements, is effective in significantly reducing the incidence of pressure ulcers in at-risk patients by 25%. Intervention studies using high-protein or specialised disease-specific nutritional supplements support a trend to increased healing of established pressure ulcers. Such specialised supplements are typically based on defined amounts of arginine, vitamin C and zinc. Mechanisms by which nutritional support can aid in pressure ulcer prevention and healing are likely related to addressing macro- and/or micro-nutrient deficiencies arising from either poor oral intake or increased nutrient requirements related to the wound healing process. With much more research still to be done in this area, nutrition support appears an efficacious and costeffective adjunct to current medical and nursing approaches in the prevention and treatment of pressure ulcers.
Language eng
Field of Research 111101 Clinical and Sports Nutrition
Socio Economic Objective 920117 Skin and Related Disorders
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
HERDC collection year 2009
Copyright notice ©2009, Cambridge Publishing
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Document type: Journal Article
Collection: School of Exercise and Nutrition Sciences
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