WC Professional Journal- April 23

Welcome to Wound Care Professional Journal:  April 2023 Edition

Welcome to the 2nd edition of Wound Care Professional.  Nutrition and Wound healing is the focus of this issue and we believe that the cover reflects this perfectly.  As wound care professionals, we need to continue learning all we can about the possible effects of proper nutrition for preventing and healing out patients’ wounds.

In this issue of Wound Care Professional you can read about the latest research in nutrition and wound care and learn how it can impact your practice


The Importance of Nutrition & Wound Healing
Nancy Morgan

In this issue you will find lots of useful illustrations, nutrition-related words like protein, micro and macro, and educational tools and resources that you can use at the bedside. Find research about nutritional needs for patients with burns and the positive effects of silicone and dialkylcarbamoyl chloride (DACC) wound dressings.

I’ve always thought that nutrition never got a lot of credit in wound care….


Antimicrobial Stewardship Strategies in Wound Care
Mark G Rippon, Alan A Rogers, Karen Ousey

An increasing number of microorganisms are acquiring antimicrobial resistance (AMR) to agents (for example, antibiotics) that are used to fight them.1 This is an important challenge to clinical and budgetary resources worldwide.2 The problem is exacerbated by the fact that development of new antibiotics is slow and in decline…


Legal Liability for Registered Nurses in Wound Care
Kathleen Martin

In the US, litigation for wound care and pressure injury is on the rise.1 It is thought that this is, in part, due the influence of advertisements by attorneys on TV, bus adverts, social media, and/or in magazines.

Nutrition is key to wound and pressure injury development and healing.2 Lack of proper nutrition plays a huge role in wound care litigation…

The Role of Macronutrients & Micronutrients in Wound Healing: A Narrative Review
Harry Penny, Regino Flores, Elisabeth Pennington, Anthony Pedersen, Son Tran

When caring for a wound, providers go to great lengths to avoid infection; sterile techniques and antibiotics serve this purpose quite well. Beyond this, substrate levels are an important factor in the rate and quality of tissue regeneration in wound beds. In order to properly respond to the stress of a wound, the body undergoes catabolic processes in muscle, bone and skin to meet its caloric and metabolic needs. This paper will explore how inadequate nutrient intake can contribute to impaired wound healing and infection defence mechanisms, thereby increasing the risk of morbidity and mortality.


Burns: Modified Metabolism and Nuances of Nutrition Therapy
Christine Murphy, Leanne Atkin, Joachim Dissemond, Jennifer Hurlow, Yih Kai Tan, 
Jan Apelqvist, Nathalie Salles, Jun Wu, Masahiro Tachi and Randall Wolcott.

Nutrition practice in burn injury requires a multifaceted approach aimed at providing metabolic support during a heightened inflammatory state, while accommodating surgical and medical needs of the patient. Nutritional assessment and determination of nutrient requirements is challenging, particularly given the metabolic disarray that frequently accompanies inflammation. Nutritional therapy requires careful decision making, regarding the safe use of enteral or parenteral nutrition and the aggressiveness of nutrient delivery given the severity of the patient’s illness and response to treatment.

Nutrition Screening

To identify patients at nutritional risk early to prevent a state of nutritional depletion or excess, both of which will adversely affect medical or surgical interventions and increase risk of developing chronic, non-healing wounds. The nutritional screening and evaluation process should identify patients who may benefit from nutritional guidance, including referral to a registered dietician or healthcare professional for comprehensive nutritional assessment…

Protein: A key nutrient to wound healing
Nancy Collins

Typically, a healthy person consumes the required amount of protein by eating a varied diet. The recommended daily allowance (RDA) can easily be met by consuming the equivalent of ¾ cup of cereal with 1 cup of milk for breakfast, 3 oz of chicken in a sandwich at lunch, and 3 ounces of lean beef with 1 cup of cooked vegetables and 1/2 cup of brown rice for dinner. However, for many chronically ill adults and the… 

Use of Multilayer Silicone Foam Dressings as Adjuvant Therapy to Prevent Pressure Injuries
Nathalie Faucher, Martine Barateau, Franck Hentz, Philippe Michel, Sylvie Meaume, Chantal Rousseaux, Marc Marty, Marc Le Fort, Benoit Nicolas

Despite progress in the prevention of pressure injuries (PIs), they remain a challenging public health problem because of their frequency and morbidity. Protection of the skin by multilayer silicone foam dressings may be an adjuvant measure to prevent PIs in high-risk patients… 

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