Guest guest Posted November 3, 2006 Report Share Posted November 3, 2006 This link is from another hospital. It's a long article, but page 32 has a great table to use as reference. http://www.nutritioncare.org/listserv/wound%20healing.pdf To: rd-usa@...: lcorman@...: Fri, 3 Nov 2006 01:18:15 +0000Subject: Wound care For anyone who has (or currently) worked in a facility that had a wound care protocol, would you be willing to share? Interested in the nutrition aspect-ie what did you do as an RD for a Stage I, Stage II, etc pressure ulcer? Supplements? Vitamin/mineral recs?Thank you! Corman, RD, LD _________________________________________________________________ Check the weather nationwide with MSN Search: Try it now! http://search.msn.com/results.aspx?q=weather & FORM=WLMTAG Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2006 Report Share Posted November 3, 2006 later put the information together into an article - see attached. Giles Walters, MMSc, RD, LD, FADA Consulting Dietitian Augusta, Georgia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2006 Report Share Posted November 3, 2006 WE don't have a protocol per-se, but we treat a lot of them (yes, you would think we have a protocol, we specialize in DU care) any how - basic guidelines from my experience: Protein needs (these are the general guidelines in my facility) - 1.1gr per Kg for st. I 1.2 for st. II 1.3 for st. III 1.4 for st. IV However, I give more then that since usually there are other co-morbidities. Of course caloric intake should be sufficient to spare protein (its up to you if you go by BEE/ Miffin or any other formula). I am not necessarily using any special formula for DU since they don't give enough calories for my pts needs unless I use high volume, which is mostly a problem as most of my pts have cardiac Dz as well......... We supplement with ArginAid for st. II and up. (1 pk BID for most, I use TID only for multiple DU stage 3 and up) or Prostat AWC to cover protein needs and arginine. OT should be involved if position is a problem. and fluids, of course. Otherwise, you could consider Vit C and Zn (but if you give ArginAid, its included there). Hope that helps. Wound care For anyone who has (or currently) worked in a facility that had a wound care protocol, would you be willing to share? Interested in the nutrition aspect-ie what did you do as an RD for a Stage I, Stage II, etc pressure ulcer? Supplements? Vitamin/mineral recs? Thank you! Corman, RD, LD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2006 Report Share Posted November 4, 2006 I had nothing attached. Gail ngwaltrdld@... wrote: later put the information together into an article - see attached. Giles Walters, MMSc, RD, LD, FADA Consulting Dietitian Augusta, Georgia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2006 Report Share Posted November 5, 2006 Merav, thanks for sharing the info on your wound care protocol. When did you start using ArginAid? Is it now a standard of practice? Which company makes Argin Aid? Are there other competing products in the market? Do you have a good reference on this on incorporating Argin Aid in wound care as a standard of practice? This will be very helpful as I want to prepare an inservice on wound care and nutrition for nurses. I work for a home health care agency. Thanks so much. Geeta Re: Wound care WE don't have a protocol per-se, but we treat a lot of them (yes, you would think we have a protocol, we specialize in DU care) any how - basic guidelines from my experience: Protein needs (these are the general guidelines in my facility) - 1.1gr per Kg for st. I 1.2 for st. II 1.3 for st. III 1.4 for st. IV However, I give more then that since usually there are other co-morbidities. Of course caloric intake should be sufficient to spare protein (its up to you if you go by BEE/ Miffin or any other formula). I am not necessarily using any special formula for DU since they don't give enough calories for my pts needs unless I use high volume, which is mostly a problem as most of my pts have cardiac Dz as well......... We supplement with ArginAid for st. II and up. (1 pk BID for most, I use TID only for multiple DU stage 3 and up) or Prostat AWC to cover protein needs and arginine. OT should be involved if position is a problem. and fluids, of course. Otherwise, you could consider Vit C and Zn (but if you give ArginAid, its included there). Hope that helps. Wound care For anyone who has (or currently) worked in a facility that had a wound care protocol, would you be willing to share? Interested in the nutrition aspect-ie what did you do as an RD for a Stage I, Stage II, etc pressure ulcer? Supplements? Vitamin/mineral recs? Thank you! Corman, RD, LD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2006 Report Share Posted November 6, 2006 , please resend the attachment. It did not come thru. Thanks, geeta Re: Wound care later put the information together into an article - see attached. Giles Walters, MMSc, RD, LD, FADA Consulting Dietitian Augusta, Georgia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2006 Report Share Posted November 6, 2006 FYI....this is the wound care protocol shared by Hollie Majewski not by and you should be able to open the link provided as I was able to open the site below: --- Hollie Majewski wrote: > This link is from another hospital. It's a long > article, but page 32 has a great table to use as > reference. > > http://www.nutritioncare.org/listserv/wound%20healing.pdf > > > > > > > To: rd-usa@...: > lcorman@...: Fri, 3 Nov 2006 01:18:15 > +0000Subject: Wound care > > > > > For anyone who has (or currently) worked in a > facility that had a wound care protocol, would you > be willing to share? Interested in the nutrition > aspect-ie what did you do as an RD for a Stage I, > Stage II, etc pressure ulcer? Supplements? > Vitamin/mineral recs?Thank you! Corman, RD, LD > > > _________________________________________________________________ > Check the weather nationwide with MSN Search: Try it > now! > http://search.msn.com/results.aspx?q=weather & FORM=WLMTAG > > [Non-text portions of this message have been > removed] > > ________________________________________________________________________________\ ____ Sponsored Link For just $24.99/mo., Vonage offers unlimited local and long- distance calling. Sign up now. http://www.vonage.com/startsavingnow/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2006 Report Share Posted November 6, 2006 Some of you were unable to download this attachment. This is the article that wrote based on Wound Care. I'll try sending it again. Giles Walters, MMSc, RD, LD, FADA Consulting Dietitian Augusta, Georgia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2006 Report Share Posted November 6, 2006 I guess the failure of this attachment is my not knowing how to send the PDF file. How should I send it? Giles Walters, MMSc, RD, LD, FADA Consulting Dietitian Augusta, Georgia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2006 Report Share Posted November 6, 2006 WE are using ArginAid for about a year now. made by resource. Remember, this is one of the " conditionally essential amino acids. Take it from there. If you contact them they will be more then happy to provide you with all research material to support its need. And if you search in AJCN I am sure you'll find some info too. I saw great results, however, it is NOT separate from the need for good nursing care and a good mattress. We have Pro2000 mattress as standards for all pts. Some are luckier with Pegasus - as for my limited experience with that - this is a magic mattress. I saw stubborn DU healed just with that mattress. As for the home care you work for - ArginAid comes in a powder form in different flavor (still taste like medicine, though. The good news, taste is a very subjective issue). Call a sales person from Resource at Novortis and ask for a sample and in-service. http://www.novartisnutrition.com/us/productDetail?id=52<http://www.novartisnutri\ tion.com/us/productDetail?id=52> Hope that helps. Let me know if you need more info. Wound care For anyone who has (or currently) worked in a facility that had a wound care protocol, would you be willing to share? Interested in the nutrition aspect-ie what did you do as an RD for a Stage I, Stage II, etc pressure ulcer? Supplements? Vitamin/mineral recs? Thank you! Corman, RD, LD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2006 Report Share Posted November 7, 2006 Why not go to the web page for RD USA- via yahoo and then just upload the file, click on the button that says - notify everyone in group that a new file has been uploaded. May be less frustrating for you Marg Alfieri ngwaltrdld@... wrote: > Some of you were unable to download this attachment. This is the article > that wrote based on Wound Care. I'll try sending it > again. > > > > Giles Walters, MMSc, RD, LD, FADA > Consulting Dietitian > Augusta, Georgia > > Quote Link to comment Share on other sites More sharing options...
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