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evivoudiklari

Denutrition

Health & Medicine
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PRESSURE ULCERS and NUTRITIONAL SUPPORT (Prevention and Treatment) Dr. George C. SPATHARAKIS Clinical Director Geriatrician - Gerontologist Public Primary Health Care Center Itea, Phokida, Greece
ETYMOLOGY ,[object Object],[object Object],[object Object],[object Object]
IS NUTRITIONAL STATUS RELATED TO PRESSURE ULCERS? - 1 ,[object Object],[object Object],[object Object],[object Object]
IS NUTRITIONAL STATUS RELATED TO PRESSURE ULCERS? - 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EPIDEMIOLOGY Pressure Ulcers ,[object Object],[object Object],[object Object],[object Object]
EPIDEMIOLOGY Malnutrition ,[object Object],[object Object]
EPIDEMIOLOGY 3.25% ------------   AM J PUBL HEALTH U.S.A. 1991 MANSON A.   (DIETARY ALLOWANCES) ~ 80% IR MED J IRELAND 1992 Aug. FOGARTY J. -----------   (DETERMINE) 37.1% - 47% Prevalence CAN J PUBL HEALTH CANADA 1998 Sep. MacLELLAN D.L. 1% 42% EUR J CLIN NUTR NETHERLANDS , EUROPE 1998 Dec. De GROOT L.C. ---------   1 9 .3% (NS I ) - 21.6% (MNA) BR J NUTR DENMARK 1999 Jan. BECK A.M. MALNUTRITION HIGH RISK NUTRITION JOURNAL COUNTRY YEAR MAIN AUTHOR
EPIDEMIOLOGY MALNUTRITION HIGH RISK NUTRITION JOURNAL COUNTRY YEAR MAIN AUTHOR 6.9% >5% RIWL 13.3% RIWL JNHA U.S.A. 2004 Sep. S AHYOUN N.R. et al. 7,2% 13.2% JNHA ITALY 2004 Oct. DELACORTE R.R. et al. -----------   9.00%   CAN J PUBL HEALTH   CANADA 200 1 Mar.-Apr. Shatenstein B . , Kergoat M . J . , Nadon S. 0.70% 9.00% AGING ISRAEL 2000 June MAAROW Y. 1% Healthy 4% Home Care 5% Alzheimer -------------- CLIN G ERIATR M ED FRANCE, SWITZERLAND 200 2 Nov. Guigoz Y . , Lauque S . , Vellas B . J.
EPIDEMIOLOGY ,[object Object],[object Object],[object Object],[object Object]
EPIDEMIOLOGICAL DATA 1 Association of Undernutrition/Malnutrition and Development of Pressure Ulcers ,[object Object],[object Object],[object Object]
EPIDEMIOLOGICAL DATA 2 Association of Undernutrition/Malnutrition and Development of Pressure Ulcers ,[object Object],[object Object]
EPIDEMIOLOGICAL DATA 3 Association of Undernutrition/Malnutrition and Development of Pressure Ulcers ,[object Object],[object Object]
EPIDEMIOLOGICAL DATA 4 Association of Undernutrition/Malnutrition and Development of Pressure Ulcers ,[object Object],[object Object]
EPIDEMIOLOGICAL DATA 5 Association of Undernutrition/Malnutrition and Development of Pressure Ulcers ,[object Object],[object Object]
EPIDEMIOLOGICAL DATA 6 Association of Undernutrition/Malnutrition and Development of Pressure Ulcers ,[object Object],[object Object]
EPIDEMIOLOGICAL DATA 7 Association of Undernutrition/Malnutrition and Development of Pressure Ulcers ,[object Object],[object Object]
EPIDEMIOLOGICAL DATA 8 Association of Undernutrition/Malnutrition and Development of Pressure Ulcers ,[object Object]
EXPERIMENTAL DATA 1 Association of Undernutrition/Malnutrition and Development of Pressure Ulcers ,[object Object],[object Object]
EXPERIMENTAL DATA 2 Association of Undernutrition/Malnutrition and Development of Pressure Ulcers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Table 1. Epidemiological Association of Nutritional Markers with Development of a Pressure Ulcer
ROLE of NUTRITION in the PREVENTION of PRESSURE SORES - 1 ,[object Object],[object Object],[object Object]
ROLE of NUTRITION in the PREVENTION of PRESSURE SORES - 2 ,[object Object],[object Object]
ROLE of NUTRITION in the PREVENTION of PRESSURE SORES - 3 ,[object Object],[object Object]
ROLE of NUTRITION in the PREVENTION of PRESSURE SORES - 4 ,[object Object],[object Object]
ROLE of NUTRITION in the PREVENTION of PRESSURE SORES - 5 ,[object Object],[object Object]
ROLE of NUTRITION in the PREVENTION of PRESSURE SORES - 6 ,[object Object],[object Object],[object Object]
DOCUMENTED RELATIONSHIPS Undernutrition and Chronic Wounds ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
UTILITY of NUTRITIONAL SUPPLEMENTATION in PRESSURE ULCERS - 1 ,[object Object],[object Object]
UTILITY of NUTRITIONAL SUPPLEMENTATION in PRESSURE ULCERS - 2 ,[object Object],[object Object]
UTILITY of NUTRITIONAL SUPPLEMENTATION in PRESSURE ULCERS - 3 ,[object Object],[object Object],[object Object],[object Object]
UTILITY of NUTRITIONAL SUPPLEMENTATION in PRESSURE ULCERS - 4 ,[object Object],[object Object]
TYPE of NUTRITIONAL SUPPORT CALORIC CHARGE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TYPE of NUTRITIONAL SUPPORT PROTEIN CONTENT
TYPE of NUTRITIONAL SUPPORT DIETARY PROTEIN INTAKE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WHICH KIND of PROTEIN? ,[object Object],[object Object],[object Object]
TYPE of NUTRITIONAL SUPPORT SPECIFIC NUTRIENTS: AMINOACIDS - 1 ,[object Object],[object Object]
TYPE of NUTRITIONAL SUPPORT SPECIFIC NUTRIENTS: AMINOACIDS - 2 ,[object Object],[object Object],[object Object],[object Object]
TYPE of NUTRITIONAL SUPPORT SPECIFIC NUTRIENTS: AMINOACIDS - 3 ,[object Object],[object Object],[object Object]
TYPE of NUTRITIONAL SUPPORT SPECIFIC NUTRIENTS: AMINOACIDS - 4 ,[object Object],[object Object],[object Object]
TYPE of NUTRITIONAL SUPPORT SPECIFIC NUTRIENTS: VITAMIN C - 1 ,[object Object],[object Object]
TYPE of NUTRITIONAL SUPPORT SPECIFIC NUTRIENTS: VITAMIN C - 2 ,[object Object]
TYPE of NUTRITIONAL SUPPORT SPECIFIC NUTRIENTS: VITAMIN C - 3 ,[object Object],[object Object]
TYPE of NUTRITIONAL SUPPORT SPECIFIC NUTRIENTS: VITAMINS A, C, E ,[object Object],[object Object],[object Object],[object Object],[object Object]
TYPE of NUTRITIONAL SUPPORT SPECIFIC NUTRIENTS: VITAMIN D and ELECTROLYTES ,[object Object],[object Object]
TYPE of NUTRITIONAL SUPPORT SPECIFIC NUTRIENTS: ZINC - 1 ,[object Object],[object Object],[object Object]
TYPE of NUTRITIONAL SUPPORT SPECIFIC NUTRIENTS: ZINC - 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TYPE of NUTRITIONAL SUPPORT SPECIFIC NUTRIENTS: ZINC - 3 ,[object Object],[object Object],[object Object],[object Object]
TYPE of NUTRITIONAL SUPPORT SPECIFIC NUTRIENTS COPPER ,[object Object],[object Object]
EPILOGUE ,[object Object],[object Object],[object Object]
MALNUTRITION and PUs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SUMMARY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ellinger S , Stehle P . : Efficacy of vitamin supplementation in situations with wound healing disorders : results from clinical intervention studies C urr Opin Clin Nutr Metab Care. 2009 Nov;12(6):588-95
Comparison of Pressure Ulcer Development Risk Assessment Instruments

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  • 1. PRESSURE ULCERS and NUTRITIONAL SUPPORT (Prevention and Treatment) Dr. George C. SPATHARAKIS Clinical Director Geriatrician - Gerontologist Public Primary Health Care Center Itea, Phokida, Greece
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  • 7. EPIDEMIOLOGY 3.25% ------------   AM J PUBL HEALTH U.S.A. 1991 MANSON A.   (DIETARY ALLOWANCES) ~ 80% IR MED J IRELAND 1992 Aug. FOGARTY J. -----------   (DETERMINE) 37.1% - 47% Prevalence CAN J PUBL HEALTH CANADA 1998 Sep. MacLELLAN D.L. 1% 42% EUR J CLIN NUTR NETHERLANDS , EUROPE 1998 Dec. De GROOT L.C. ---------   1 9 .3% (NS I ) - 21.6% (MNA) BR J NUTR DENMARK 1999 Jan. BECK A.M. MALNUTRITION HIGH RISK NUTRITION JOURNAL COUNTRY YEAR MAIN AUTHOR
  • 8. EPIDEMIOLOGY MALNUTRITION HIGH RISK NUTRITION JOURNAL COUNTRY YEAR MAIN AUTHOR 6.9% >5% RIWL 13.3% RIWL JNHA U.S.A. 2004 Sep. S AHYOUN N.R. et al. 7,2% 13.2% JNHA ITALY 2004 Oct. DELACORTE R.R. et al. -----------   9.00%   CAN J PUBL HEALTH   CANADA 200 1 Mar.-Apr. Shatenstein B . , Kergoat M . J . , Nadon S. 0.70% 9.00% AGING ISRAEL 2000 June MAAROW Y. 1% Healthy 4% Home Care 5% Alzheimer -------------- CLIN G ERIATR M ED FRANCE, SWITZERLAND 200 2 Nov. Guigoz Y . , Lauque S . , Vellas B . J.
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  • 20. Table 1. Epidemiological Association of Nutritional Markers with Development of a Pressure Ulcer
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  • 33. TYPE of NUTRITIONAL SUPPORT PROTEIN CONTENT
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  • 51.
  • 52. Comparison of Pressure Ulcer Development Risk Assessment Instruments