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Role of Nutrition in the Treatment and Prevention of Pressure Ulcers
Author(s) -
Thomas David R.
Publication year - 2014
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0884533614539016
Subject(s) - medicine , malnutrition , micronutrient , intensive care medicine , cachexia , medical prescription , medical nutrition therapy , randomized controlled trial , surgery , pathology , nursing , cancer
Undernutrition has been associated with pressure ulcers in epidemiological studies over several decades. Accumulating evidence from recent systematic reviews and randomized controlled trials has shown that nutrition therapy has only modest effects on prevention and treatment of pressure ulcers. Since undernutrition should be responsive to the provision of adequate nutrients, the poor response suggests a different nutrition construct is required. Weight loss and changes in acute inflammatory reactants may reflect the syndrome of cachexia rather than simple undernutrition. Nutrition prescriptions should be individually tailored to persons with pressure ulcers with regard to both macro‐ and micronutrients. This review evaluates effects of malnutrition on pressure ulcers and analyzes effects of nutrition on pressure ulcer prevention and healing.