Most publications on nutrition and pressure ulcers (PrUs) focus on interventions for Stage III and IV PrUs. Are there any tips for Stage I PrUs in long-term care?

The nutritional status of patients with Stage I PrUs should not be overlooked. Here are some general nutritional guidelines.

Provide:

* adequate calories: 30 to 35 kcal/kg of body weight

* adequate protein: 1 to 1.2 g/kg of body weight

* adequate fluids: 25 to 35 mL/kg of body weight

If nutritional intake is suboptimal, consider:

* daily multivitamin and mineral supplement

* favorite/comfort and culturally appropriate foods

* assistance with meals

* proper positioning and socialization at meals

* emotional support

* enhanced foods (recipes modified to provide extra nutrition)

* medical nutritional products between meals

* high-calorie supplement with medications.

Remember these points:

* Evaluate renal function before recommending additional protein.

* Each patient has a unique situation; use your clinical judgment to adjust these recommendations.

* Document all interventions in the medical record.

* Request a medical nutrition therapy consultation, if nutrition is a concern.

-Nancy Collins, PhD, RD, LD/N, FAPWCA

President/Executive Director

RD411.com, Inc