wound Care

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Shared by: Amna Khan
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FALL2000 JOINT PROVIDER/SURVEYOR TRAINING WHAT IS NUTRITIONAL ASSESSMENT? Determining the body’s ability to convert food into body components. When the body can no longer convert food into body components we get skin breakdown. FALL2000 JOINT PROVIDER/SURVEYOR TRAINING WHAT IS NUTRITIONAL ASSESSMENT? Your residents need sufficient amounts of carbohydrates, vitamins/minerals,and proteins in their diet to facilitate wound healing. FALL2000 JOINT PROVIDER/SURVEYOR TRAINING HOW DOES STRESS RESPONSE CHANGE METABOLIC PROCESSES? Residents in long term care facilities experience physical and emotional stressors. The body’s response to this stress can result in: Energy depletion Loss of protein Increase risk for skin breakdown Muscle wasting Decrease in energy needed for wound healing FALL2000 JOINT PROVIDER/SURVEYOR TRAINING GOAL-PREVENTION OF PROTEIN - CALORIE MALNUTRITION & PRESSURE ULCERS How does proteincalorie malnutrition impact wound healing? FALL2000 JOINT PROVIDER/SURVEYOR TRAINING WOUND HEALING PROCESS AND NUTRITION INFLAMATION Cellular proliferation Connective tissue formation Wound contraction Wound remodeling You have to have adequate nutrition or this does not occur. FALL2000 JOINT PROVIDER/SURVEYOR TRAINING Adequate energy&protein Adequate energy&protein Adequate energy&protein Adequate energy&protein ACTION!!! FALL2000 JOINT PROVIDER/SURVEYOR TRAINING NUTRITIONAL ASSESSMENT FOR PATIENTS AT RISK FOR SKIN BREAKDOWN Anthropometric ( i.e. weight/height) Physical assessment Biochemical indexes Dietary intake FALL2000 JOINT PROVIDER/SURVEYOR TRAINING ANTHROPOMETRIC ASSESSMENT Unusual weight loss over a short period of time Downward trend in weight Low body mass index < 20 (look at relation between weight and height) FALL2000 JOINT PROVIDER/SURVEYOR TRAINING PHYSICAL SIGNS OF MALNUTRITION Involuntary weight loss Muscle wasting Presence of edema (no cardiac disease) Poor wound healing, chronic wounds, pressure ulcers FALL2000 JOINT PROVIDER/SURVEYOR TRAINING PHYSICAL SIGNS OF MALNUTRITION Glossitis,cracking at edges of mouth Hair loss, lack of luster Chronic infections Listless, apathetic Your CENA’s should be looking for these signs. FALL2000 JOINT PROVIDER/SURVEYOR TRAINING BIOCHEMICAL MARKERS OF POOR PROTEIN STATUS Index Albumin g/dL Mild Moderate Severe 2.8-3.5 10-15 2.1-2.7 5-10 <2.1 <5 Prealbumin mg/dL (Better measure than albumin) Retinol Binding Protein mg/dL 4-6 2-4 FALL2000 JOINT PROVIDER/SURVEYOR TRAINING <2 BIOCHEMICAL MARKERS OF POOR PROTEIN STATUS It takes 60-90 days for an elderly person’s protein to increase after surgery. The retinol binding protein marker is the best indicator that your nutrition program is working BIOCHEMICAL MARKERS OF NUTRITIONAL ANEMIAS INDEX FE DEFICIENCY ANEMIA OF CHRONIC DISEASE FOLATE DEFICIENCY B12 DEFICIENCY H/H MCV LOW LOW LOW NORMAL LOW ELEVATED LOW ELEVATED FOLATE NA NA LOW NORMAL OR ELEVATED LOW B12 NA NA NORMAL FERRTIN LOW FALL2000 JOINT PROVIDER/SURVEYOR TRAINING LOW ELEVATED ELEVATED INDICATORS OF POOR NUTRITIONAL INTAKE Eating less than 50-75% of foods served Eating primarily carbohydrates Fluid intake instead of food Low fluid intake S/S chewing or swallowing problems FALL2000 JOINT PROVIDER/SURVEYOR TRAINING 3 METHODS TO DETERMINE RESIDENT CALORIE NEEDS Needs based on activity Needs based on ideal body weight and activity Needs based on basal energy expenditure and activity FALL2000 JOINT PROVIDER/SURVEYOR TRAINING HOW MUCH PROTEIN DOES THE PERSON NEED ? FALL2000 JOINT PROVIDER/SURVEYOR TRAINING CALCULATING TOTAL PROTEIN NEEDS Adults 0.8gm/kg body wt Elderly Poor Protein status 1.0gm/kg body wt 1.2-2.0gm/kg body wt FALL2000 JOINT PROVIDER/SURVEYOR TRAINING CALCULATING TOTAL PROTEIN NEEDS If your resident has a compromised liver or kidney function you need to monitor the amount of protein in the diet more closely. HOW MUCH FLUID DOES THE PERSON NEED? FALL2000 JOINT PROVIDER/SURVEYOR TRAINING CALCULATING FLUID NEEDS Adults 30-35 cc/kg body wt Elderly 25-30cc/kg body wt If > 130% ideal body weight calculate an adjusted fluid need: 1500 + (patient’s weight-20 kg) X 15 ml * If greater than 100years old give 20cc/kg body wt FALL2000 JOINT PROVIDER/SURVEYOR TRAINING HOW DO NUTRIENT NEEDS CHANGE WITH SKIN BREAKDOWN? FALL2000 JOINT PROVIDER/SURVEYOR TRAINING CHANGES WITH A PRESSURE ULCER Calorie needs increase from 1.2-2.0 times basal energy expenditure Protein needs increase from 1.2-2.5gm/kg body weight Fluid needs increase if fluid losses from ulcer are significant FALL2000 JOINT PROVIDER/SURVEYOR TRAINING NUTRIENTS NEEDED FOR WOUND HEALING IN THE ELDERLY 55% Carbohydrates 30% Fat (There is a decreased risk for heart disease with age so fat is not as much of a concern) 1.5-2.0 Protein/kg (If renal or liver status is poor can not tolerate 2.0 gm Protein) 10-20gm/d Glutamine (most prominent amino acid found in the body and the first one lost) 10-20gm/d Arginine (Important amino acid due to it’s tendency to facilitate wound healing faster) Arginine and Glutamine used for stage 3&4 ulcers FALL2000 JOINT PROVIDER/SURVEYOR TRAINING SUPPLEMENTS USED TO ENHANCE HEALING Multivitamin/mineral supplement (Can use baby vitamins) 500 mg Vitamin C(Females 75mg/daily/Males 90mg daily) If kidney stones/ kidney problems may want to use just multi-vitamins. 50 mg elemental Zinc (Zinc competes with Iron and Copper. Too much can effect absorption of Iron and Copper resulting in increase skin breakdown. Stop Zinc when you have wound closure. Don’t exceed 50mg/day FALL2000 JOINT PROVIDER/SURVEYOR TRAINING HOW DO YOU GET ANOREXIC RESIDENTS WITH WOUNDS TO EAT? FALL2000 JOINT PROVIDER/SURVEYOR TRAINING STRATEGIES FOR WEIGHT GAIN AND WOUND HEALING Small frequent amounts of food (use small bowl/plates presenting only small amount of food at a time). Favorite foods (Can liberalize diet as long as there are no adverse effects). Foods that are easy to chew & swallow Use fortified foods FALL2000 JOINT PROVIDER/SURVEYOR TRAINING STRATEGIES FOR WEIGHT GAIN AND WOUND HEALING Nutrient dense beverages for medication pass Vitamin/mineral supplements Pharmacological intervention Appetite stimulants (Can be very expensive) Anabolic steroids (Promotes protein build up and weight gain) FALL2000 JOINT PROVIDER/SURVEYOR TRAINING PUTTING THE PUZZLE TOGETHER TAKES: Total patient assessment Long-range vision Communication FALL2000 JOINT PROVIDER/SURVEYOR TRAINING

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