| Theme |
Nutritional Managements for Maintenance Dialysis Patients with Clinical Complications |
| Title |
Nutritional care plan for pressure ulcers |
| Author |
Hiroaki Oka |
Department of Plastic and Reconstructive Surgery, Kawasaki Medical School University |
| Author |
Norie Douyama |
Nutrition Center, Kawasaki Medical School Hospital |
| Author |
Kazuko Ichikawa |
Nutrition Center, Kawasaki Medical School Hospital |
| Author |
Keiko Kaigawa |
Nursing Department, Kawasaki Medical School Hospital |
| [ Summary ] |
After wound evaluation of patients with pressure ulcers it is important to make a nutritional care plan precisely tailored to the patient's needs. In patients with infectious deep pressure ulcers, the condition tends to be worse than with non-infectious ulcers. As a result, an infectious pressure ulcer may more easily lead to a state of malnutrition. When a patient on dialysis with a pressure ulcer undergoes surgical treatment, aggravation of the nutritional status as a result of surgical invasion is predicted.
A case of a patient with stage IV pressure ulcers, with osteomyelitis and who was on dialysis, as well as having undergone surgical treatment is reported. It is important for dialysis methods and nutritional care plans to be checked before and after surgery. |