Features of nutritional status and the possibility of clinical nutrition in the prevention and treatment of pressure ulcers in patients in intensive care units
Pressure sores are a common affliction for patients in intensive care units, neurology, and rehabilitation after critical conditions, including trauma, acute cerebrovascular accidents and abdominal surgery. Despite the fact that a sufficient number of wound dressings have been created around the wor...
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| Format: | Article |
| Language: | Russian |
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Open Systems Publication
2021-06-01
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| Series: | Лечащий Врач |
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| Online Access: | https://journal.lvrach.ru/jour/article/view/234 |
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| author | N. P. Shen V. A. Kislyakov O. S. Gritsevich D. V. Kovalev T. V. Novikova |
| author_facet | N. P. Shen V. A. Kislyakov O. S. Gritsevich D. V. Kovalev T. V. Novikova |
| author_sort | N. P. Shen |
| collection | DOAJ |
| description | Pressure sores are a common affliction for patients in intensive care units, neurology, and rehabilitation after critical conditions, including trauma, acute cerebrovascular accidents and abdominal surgery. Despite the fact that a sufficient number of wound dressings have been created around the world to prevent and promote healing of wounds resulting from pressure on soft tissues, the features of nutritional status and clinical nutrition are rarely discussed. Chronic wounds (pressure sores and trophic ulcers) significantly reduce the quality of life of patients and place a heavy burden on the health care system. In the pathogenesis of the development of pressure sores, both external factors (chronic compression of the tissue covering the bone protrusion, friction or displacement of the body, exposure to moisture, immobility) and internal factors are involved – arterial hypertension, diabetes mellitus, age, malnutrition, etc. Malnutrition is a common factor the risk of developing chronically non-healing wounds in different groups of patients. Individuals with chronic wounds, including pressure sores, have been shown to perform worse on the Nutrition Screening Initiative and Norton than comparable patients without pressure sores, and populations at risk of developing chronic wounds are also at high risk of malnutrition. A high-protein, energy-rich, ready-to-use enteral tube feeding nutritional product has been specially developed for these cases. It is a complete enteral nutritional supplement with an innovative nutrient composition for patients with chronic wounds, including pressure sores, or at increased risk of developing them. It is fortified with many nutrients that play an important role in wound healing (arginine, vitamins A, C and E, other antioxidants, and zinc). The enteral tube feeding nutritional product also contains micronutrients that are often lacking in many patients with an increased risk of pressure sores and long-term non-healing wounds, for example, patients in hospital and in particular in intensive care units (including those with coronavirus infection), or the elderly. |
| format | Article |
| id | doaj-art-12f1fda1deac493d912f7113f0d516c6 |
| institution | Kabale University |
| issn | 1560-5175 2687-1181 |
| language | Russian |
| publishDate | 2021-06-01 |
| publisher | Open Systems Publication |
| record_format | Article |
| series | Лечащий Врач |
| spelling | doaj-art-12f1fda1deac493d912f7113f0d516c62025-08-20T03:42:31ZrusOpen Systems PublicationЛечащий Врач1560-51752687-11812021-06-01012465510.26295/OS.2020.73.68.010233Features of nutritional status and the possibility of clinical nutrition in the prevention and treatment of pressure ulcers in patients in intensive care unitsN. P. Shen0V. A. Kislyakov1O. S. Gritsevich2D. V. Kovalev3T. V. Novikova4State budgetary healthcare institution Tyumen Region «Regional Clinical Hospital No. 1»State budgetary institution of health care of the city of Moscow «City Clinical Hospital named after A. K. Eramishantseva of the Moscow City Health Department»Russian University of Transport (MIIT)Research and practice center for specialized medical care for children named after V. F. Voino-Yasenetsky of the Moscow city health DepartmentNutriciaPressure sores are a common affliction for patients in intensive care units, neurology, and rehabilitation after critical conditions, including trauma, acute cerebrovascular accidents and abdominal surgery. Despite the fact that a sufficient number of wound dressings have been created around the world to prevent and promote healing of wounds resulting from pressure on soft tissues, the features of nutritional status and clinical nutrition are rarely discussed. Chronic wounds (pressure sores and trophic ulcers) significantly reduce the quality of life of patients and place a heavy burden on the health care system. In the pathogenesis of the development of pressure sores, both external factors (chronic compression of the tissue covering the bone protrusion, friction or displacement of the body, exposure to moisture, immobility) and internal factors are involved – arterial hypertension, diabetes mellitus, age, malnutrition, etc. Malnutrition is a common factor the risk of developing chronically non-healing wounds in different groups of patients. Individuals with chronic wounds, including pressure sores, have been shown to perform worse on the Nutrition Screening Initiative and Norton than comparable patients without pressure sores, and populations at risk of developing chronic wounds are also at high risk of malnutrition. A high-protein, energy-rich, ready-to-use enteral tube feeding nutritional product has been specially developed for these cases. It is a complete enteral nutritional supplement with an innovative nutrient composition for patients with chronic wounds, including pressure sores, or at increased risk of developing them. It is fortified with many nutrients that play an important role in wound healing (arginine, vitamins A, C and E, other antioxidants, and zinc). The enteral tube feeding nutritional product also contains micronutrients that are often lacking in many patients with an increased risk of pressure sores and long-term non-healing wounds, for example, patients in hospital and in particular in intensive care units (including those with coronavirus infection), or the elderly.https://journal.lvrach.ru/jour/article/view/234nutrition deficienciesbedsorespressure soresnutritional supportenteral nutritionmicronutrients |
| spellingShingle | N. P. Shen V. A. Kislyakov O. S. Gritsevich D. V. Kovalev T. V. Novikova Features of nutritional status and the possibility of clinical nutrition in the prevention and treatment of pressure ulcers in patients in intensive care units Лечащий Врач nutrition deficiencies bedsores pressure sores nutritional support enteral nutrition micronutrients |
| title | Features of nutritional status and the possibility of clinical nutrition in the prevention and treatment of pressure ulcers in patients in intensive care units |
| title_full | Features of nutritional status and the possibility of clinical nutrition in the prevention and treatment of pressure ulcers in patients in intensive care units |
| title_fullStr | Features of nutritional status and the possibility of clinical nutrition in the prevention and treatment of pressure ulcers in patients in intensive care units |
| title_full_unstemmed | Features of nutritional status and the possibility of clinical nutrition in the prevention and treatment of pressure ulcers in patients in intensive care units |
| title_short | Features of nutritional status and the possibility of clinical nutrition in the prevention and treatment of pressure ulcers in patients in intensive care units |
| title_sort | features of nutritional status and the possibility of clinical nutrition in the prevention and treatment of pressure ulcers in patients in intensive care units |
| topic | nutrition deficiencies bedsores pressure sores nutritional support enteral nutrition micronutrients |
| url | https://journal.lvrach.ru/jour/article/view/234 |
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