Eat Well to Heal Well

To give first line dietary advice to carers of, or people with or at risk of developing pressure ulcers to:

1. understand the need to increase their nutritional and fluid intake
2. to apply the dietary advice

• Target Group will understand how to increase their energy and protein levels to ensure nutritional adequacy and promote wound healing.
• Target Group will understand and know how to manage key factors that affect wound healing are dehydration, inadequate energy and protein intake.

Evidence Base:

• Baldwin C & Weekes CE, Dietary Counselling with or without oral nutritional supplements in the management of malnourished patients: A systematic review and meta-analysis of randomised controlled trials. 25 (5): 411-26, Journal of Human Nutrition and Dietetics. 2012
• Baldwin C & Weekes CE, Dietary advice with or without oral nutritional supplements for disease related malnutrition in adults. Cochrane database of systematic reviews: 9, 2011.
• Brotherton A, Simmonds N, Stroud, M, Malnutrition matters: meeting quality standards in nutritional care. A report on behalf of the BAPEN quality group. 2010
• Collins J & Porter J, The effect of interventions to prevent and treat malnutrition in patients admitted for rehabilitation: a systematic review with meta-analysis. Journal of Human Nutrition and Dietetics.28, 1-15 doi:10.1111/jhn.12230. 2015.
• Hisashige A & Ohura T. Cost effectiveness of nutritional intervention on healing of pressure ulcers. Clinical Nutrition 2012: 31 (6):868-874 Junna Ye & Raj Mani. A systematic Review and Meta-analysis of nutritional supplementation in chronic lower extremity wounds. The International Journal of Lower Extremity Wounds 2016:15(4):296-302
• Langer G & Fink A. Nutritional interventions for preventing and treating pressure ulcers. Cochrane database of systematic Reviews. 2014: 6 DOI: ID 1002/14651858.CD003216.pub2
• Munk T., Tolstrup U., Beck A.M., Holst M., Rasmussen H.H., Hovhannisyan K. & Thomsen T. Individualised dietary counselling for nutritionally at-risk older patients following discharge from acute hospital to home: a systematic review and meta-analysis. J Hum Nutr Diet. 29, 196–208. 2016
• National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure injury alliance. Prevention and Treatment of pressure ulcers: Quick reference guide. Emily Haesler (Ed). Cambridge Media, Osborne Park Australia 2014.