Nursing Intervention: Pressure Sore and Nutrition

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It is important for nurses to assist in the healing of pressure ulcers. Apart from providing appropriate wound dressing, various nursing interventions are needed such as relieving pressure by providing special pads or air mattresses and turning or repositioning the patient at least every two hours. Arranging pillows under the ankles, back, head and arms, regular cleansing and drying of the skin, and providing good nutrition to support the healing process are also important (Cohen, 2009). Optimal nutrition helps pressure ulcer healing, keeps immune competence and reduces risk of infection. On the other hand, when patients are in a poor nutritional state wound healing is impaired and more likely to be complicated by infection (Edmonds,…show more content…
(Sinno et al, 2011). It also helps in the transfer of white blood cells to the wound, improves resistance to infection and increases capillary strength. Since vitamin C is water-soluble, it is difficult to store it in the body, so a regular intake is necessary and dietary sources are green vegetables, potatoes, fruits like orange, kiwi and berries. (Timms, 2011). Vitamin K facilitates blood clotting, and Vitamin E (tocopherols) is a major lipophilic antioxidant of the skin and enhances immune response (Gillman, 2008). Another nutritional supplementation with such positive effectors as arginine can enhance wound healing. Arginine stimulates insulin and growth hormone secretion, which are related to wound healing (Sherman, 2011). Wound healing also demands high energy needs of the patient. An increase in metabolic need causes an increase in demand for glucose, which is the major fuel source for collagen synthesis and the most efficient source of fuel for adenosine triphosphate synthesis compared with fat (Timms, 2011). Protein has an important role in growth and repair of body tissue. It is required for inflammatory process, the immune system and development of granulation tissue. Requirements increase when extensive nitrogen losses can occur from draining wounds (Richardson, 2006). Insufficient energy intake causes fat and muscle wastage, because protein is
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