Archive for the ‘Nutrition’ Category

COVID-19 pandemic: The potential impact on wound care

Tuesday, April 7th, 2020
COVID-19

COVID-19 is making quite a stir in our society at large.

The World Health Organization (WHO) has declared COVID-19 a global pandemic and many countries are being affected, some more severely than others. There is no doubt this viral outbreak is serious.

We have enough data to know the elderly and individuals with one or more significant health issues (diabetes, immunosuppression and/or upper respiratory comorbidities) are at the highest risk for serious illness and death.

What do you as wound care clinicians need to think about when managing your patients in hospitals, nursing homes and home care?

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Instructor takes wound care education across South Pacific

Monday, July 29th, 2019

wound care education

When Nancy Morgan, MBA, BSN, RN, WOC, WCC, DWC, OMS, began her career in wound care, she never imagined her work would someday take her to American Samoa.

Carole Jakucs

By Carole Jakucs, MSN, RN, PHN

In June 2019, it did just that. Morgan, who co-founded the Wound Care Education Institute (WCEI), spent three days consulting with Samoan clinicians on specific wound patients and presented a one-day formal wound care class.

At the same time, she enjoyed a life-changing experience by connecting with her newly discovered people, culture and nation.

Adopted at the tender age of five days old, Morgan grew up an only child. Even though her adoptive parents were wonderful and Morgan said she felt blessed, as time went on she yearned to learn who her biological parents were.

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What happened to practicing wound care basics?

Tuesday, April 30th, 2019

wound care basics

Having been involved in wound care for about 25 years, I have seen many changes in our understanding of wound healing, research evidence and technology.

wound care

By Bill Richlen, PT, WCC, DWC

As I hear my students describe common practices today and the many myths of wound care, I’m led to wonder, “What happened to starting with wound care basics for healing?”

A colleague of mine once stated there are basically two fundamentals to healing wounds: a healthy patient and a healthy wound environment. Once those are accomplished, topical treatments will not make that big of a difference.

However, clinicians often cling to some “holy grail” treatment in the form of a dressing or adjunctive modality that will somehow overcome the need to practice solid, evidence-based wound care.

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5 common myths debunked about nutrition for wound healing

Tuesday, March 26th, 2019

nutrition for wound healing

Wound care clinicians work diligently to find the most relevant products while using the latest evidence-based treatments to provide the best patient care.

Carole Jakucs

By Carole Jakucs, MSN, RN, PHN

For optimum wound healing to occur there is another important factor – a nutritious diet.

Proper nutrition for wound healing includes a diet with the right number of calories, vitamins, minerals and nutrients necessary to maintain skin integrity and promote wound healing.

To learn more about nutrition for wound healing, we spoke with Julie Stefanski, MEd, RDN, CSSD, LDN, CDE, FAND, spokesperson for the Academy of Nutrition & Dietetics and content writer for food, nutrition and dietetics at Relias Healthcare, about five of the most common myths regarding nutrition and wounds.

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Help! My Wound Patient Is a Vegetarian

Thursday, July 12th, 2018

Patients with wounds require increased amounts of dietary protein, typically meaning meats, poultry, dairy products, and eggs. Vegetarian patients will need alternate sources of protein and amino acids to meet their needs and heal their wounds.

Dr Nancy Collins

Nancy Collins, PhD, RDN, LD, NWCC, FAND

If you have ever heard me talk about nutrition interventions for wound healing, you surely heard me emphasize the patients’ need for protein. In order to build new tissue to heal a wound, patients must consume enough protein each and every day to meet their increased needs. Typically, this means eating increased amounts of meat, poultry, fish/seafood, eggs, and dairy products. This seems simple enough, but what if you have a vegetarian patient?

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The Head to Toe Search for Wounds

Tuesday, June 12th, 2018

A comprehensive skin assessment should look for more than just wounds because many medical problems have telltale signs that are easy to see if you know what to look for.

comprehensive skin assessment

Dr Nancy Collins

Nancy Collins, PhD, RDN, LD, NWCC, FAND

POA. These three little letters have become very important in wound care because we must document any wounds present on admission (POA). By doing so, we are saying that these wounds began somewhere else—maybe at home, maybe in another care setting, but definitely not while under the present facility’s care. This distinction of origin has great implications both financially and legally.

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Nutrition Tips for Wound Patients With Cancer

Friday, May 11th, 2018

Patients with wounds usually have multiple medical problems, and often the other diagnoses make meeting the nutritional plan difficult, such as when the wound patient also has cancer.

Nutrition Tips for Wound Patients With Cancer

Dr Nancy Collins

Nancy Collins, PhD, RDN, LD, NWCC, FAND

I often discuss the increased nutritional requirements to fuel wound healing. Patients need extra calories and protein each day, plus an adequate amount of fluids, the right mix of vitamins and minerals, and any adjuvant treatments, such as targeted amino acids. A question that I often am asked is how you accomplish this when the patient has an additional diagnosis that impedes or supersedes the recommended nutritional plan. For example, what should you do when treating wound patients with cancer? It is rare that a patient presents with only a single medical problem, and sometimes the other problems pose challenges to the nutritional plan.

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Helping Wounds Heal With Amino Acids

Friday, April 6th, 2018

The use of targeted amino acids is becoming more common as a strategy to help heal a variety of conditions, including wounds, because of the role key amino acids have in rebuilding tissue.

Helping Wounds Heal With Amino Acids

Chronic wounds, meaning those that have not healed in 12 weeks, affect approximately 6.5 million patients in the United States annually at a cost of $25 billion.1 The term chronic wound refers to various types of skin integrity problems, such as pressure injuries, diabetic foot ulcers, venous ulcers, arterial ulcers, burns, and traumatic wounds to name a few.

The Role of Nutrition

Dr Nancy Collins

Nancy Collins, PhD, RDN, LD, NWCC, FAND

Nutrition often is not the first thing you think of when talking about wounds, but it is important to understand the link between poor nutrition and wound healing. Essentially, when a body has a wound, it has competition for the nutrients it needs. Wound healing is very energy dependent; energy is another word for calories. If your patient is not eating well and not meeting his or her caloric and protein goals every day, weight loss typically occurs.

When nutritional substrate is in short supply, the body decides whether to use the available substrate to build new tissue for the wound or to use it to keep its vital organs functioning. If weight loss continues unchecked, wound healing is impaired and eventually it will cease altogether in favor of the body’s vital organs.2

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Discover the Benefits of Wound Care Nutrition Certification

Friday, February 9th, 2018

Whether you are looking to increase your wound care nutrition knowledge or advance your career, a new wound care certification course for Registered Dietitians (RD) and Registered Dietitian Nutritionists (RDN) will help you meet your goals, while improving outcomes for your wound care patients.

Discover the Benefits of Wound Care Nutrition Certification

I often get funny reactions when I tell people I specialize in wounds. Lay people always assume I mean bullet wounds. I notice them nodding with confusion when I go on to explain that I do not see many bullet wounds, but treat plenty of pressure injuries and diabetic foot ulcers.

Dr Nancy Collins

Nancy Collins, PhD, RDN, LD, NWCC, FAND

When I have the same conversation with nurses, patient care assistants, and other healthcare providers who do not specialize in wounds, they seem to nod with a similar amount of confusion. They immediately think of topical care and turning and repositioning—all important to wound healing—but they overlook the fact that in order to build new tissue it is necessary to have adequate nutritional substrate onboard.

Clearing up this confusion is one of the reasons I am so excited to share the new nutrition certification available from the National Alliance of Wound Care and Ostomy® (NAWCO®). Hopefully every skin and wound care team will soon have a certified nutrition member to help heal wounds from the inside out!

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Medicare Spending on Wound Care: The First Comprehensive Study

Friday, October 13th, 2017

Chronic wounds impact 15% of Medicare beneficiaries at an estimated annual cost of $28 billion to $32 billion, making nutrition a seemingly cost-effective purchase.

Medicare Spending on Wound Care: The First Comprehensive Study

Dr Nancy Collins

Nancy Collins, PhD, RDN, LD, NWCC, FAND

Did you ever wonder how much it really costs to treat and heal various wounds? Patients, family members, and healthcare team members often complain to me that $5/day for nutrition therapy is “too expensive.” Cost is relative, because according to the first comprehensive study of Medicare spending on wound care, it appears that an investment in medical nutrition therapy is a wise investment indeed.

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