Enteral formulas commonly used for nutrition support in trauma, hypermetabolism, surgical recovery, arid other critical illnesses are seldom used for patients outside the intensive care unit. This case study explains how a long-term, acute-care facility specializing in wound care and ventilator management was successful in improving the healing outcomes of an elderly patient with severe chronic pressure ulcers by providing nutrition support with a peptide-based, critical care enteral formula.
Get full access to this article
View all access options for this article.
References
1.
1. Kerstcin MD: The scientific basis of healing. Adv Wound Care10:30–36, 1997
2.
2. Stotts NA, Washington DF: Nutrition: A critical component of wound healing. AACN Clin Issues Crit Care Nurs1:585–594, 1990
3.
3. Patterson JA, Bennett RG: Prevention and treatment of pressure ulcers. J Am Geriatr Soc43:919–927, 1995
4.
4. Himes D: Protein-calorie malnutrition and involuntary weight loss: The role of aggressive nutritional intervention in wound healing. OstomyAVound Management45:46–55, 1999
5.
5. Breslow RA, Hallfrisch J, Guy DG, et al: The importance of dietary protein in healing pressure ulcers. J Am Geriatr Soc41:357–362, 1993
6.
6. Albina JE: Nutrition and wound healing. JPEN18:367–376, 1994
7.
7. Brinson RR, Pitts WM: Enteral nutrition in the critically ill patient: Role of hypoalbuminemia. Crit Care Med17:367–370, 1989
8.
8. Barbul A, Lazarou SA, Efron DT, et al: Arginine enhances wound healing and lymphocyte immune responses in humans. Surgery108:331–337, 1990
9.
9. Bell SJ, Mascioli EA, Bistrian BR, et al: Alternative lipid sources for enteral and parenteral nutrition: Long-and medium-chain triglycerides, structured triglycerides, and fish oils. J Am Diet Assoc91:74–78, 1991
10.
10. Bach A, Babyan VK: Medium-chain triglycerides: An update. Am J Clin Nutr36:950–962, 1991
11.
11. Rosenberg CS: Wound healing in the patient with diabetes mellitus. Nurs Clin North Am25:247–261, 1990