Medical Nutrition Matters Spring 2019 Volume 38 No. 4 - Pressure Injury Prevention and Management: The Next Step

Medical Nutrition Matters

RDNs and DTRs have a role in advocating for nutrition screening and implementing measures to encourage patients to take steps that attenuate the loss of lean body mass and sarcopenia.

  • Release Date: May 1, 2019
  • SKU NSCMNMS19V38N4
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Pressure ulcers/injuries continue to be a global problem and major public health concern because of their impact on patients’ quality of life, increased pain and infection, and high cost of treatments. Prevention and management initiatives are well delineated with the primary focus of prevention being skin assessments, positioning, support surfaces and medical devices. Validated nutrition screens are the first step in identifying those at risk for malnutrition and therefore pressure injury. Nutrition screening could be initiated long before admission to an acute care or long-term care facility. Once a patient is identified as being at risk for malnutrition with a validated nutrition screen, referral to a registered dietitian nutritionist (RDN) should be made. Involuntary weight loss results in loss of lean body mass and potential for malnutrition. The degree of lean body mass loss directly affects the wound healing process and can have a major impact on prevention and management of pressure ulcers/injuries irrespective of local wound care. The RDN and dietetic technician registered (DTR) need to advocate for nutrition screening to be completed at every inpatient and outpatient contact, with referrals made to the RDN. The RDN and DTR also need to advocate for measures to be implemented that would encourage patients to take steps that attenuate the loss of lean body mass and sarcopenia.

CPEU: 1.0
CPE Level: 2
Learning Need Codes: 5100, 3060, 3005, 5380
Performance Indicators: 12.1.1, 8.1.5, 8.3.1

Learning Objectives

  1. Explain why albumin and prealbumin are no longer considered appropriate indicators for nutritional status
  2. Apply the characteristics of identifying malnutrition to Pressure Injury Prevention and Management
  3. Formulate actions that may be beneficial in slowing or reversing loss of lean body as it relates to Pressure Injury Prevention and Management

Publish 2019
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  • Release Date: May 1, 2019
  • SKU NSCMNMS19V38N4