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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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Spatharakis

  • 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