SUBJECT: PRESSURE ULCER CARE NUTRITIONAL INTERVENTION
The resident or patient with skin breakdown will receive appropriate nutrition intervention to
promote healing and prevent new pressure ulcers from developing.
Screening for skin breakdown will take place as part of the initial nursing assessment.
All residents identified with skin breakdown will be monitored for adequate food intake. Intake
will be recorded in the food intake book by nursing staff.
The dietetics professional’s evaluation of the resident should be reviewed with the care plan team
so that the resident’s nutritional status and interventions are communicated to all disciplines, and
are addressed on the resident care plan as needed.
A dietetics professional will evaluate and calculate the resident’s need for additional calories,
protein, vitamin C, zinc and fluid.
If a resident is found to need food high in vitamin C, zinc, protein or extra fluids, it will be noted
by the dietetics professional in the nutritional/diet cardex.
Approaches will be initiated to accomplish dietary goals and noted on the care plan. These
approaches may include but are not limited to:*
A high-calorie or high-protein diet order
Foods high in zinc and/or vitamin C will be offered
An order for nutritional supplements
Orders for multiple vitamin-mineral preparations
A dietetics professional will monitor and chart the resident’s progress in meeting nutritional
goals at least once per week.
Routine preventative and daily care (including maintaining adequate nutrition and hydration)
will be provided to all residents by nursing staff and will prevent the development of pressure
*Note: Orders must be requested from the attending physician.