Vitamins/Minerals for Wound Healing

[Guest guest]

Is the standard for wound healing now to just provide a MVI or does anyone still

recommend additional vitamin C and zinc?

Margie Hirsch,MFCS,RD,LD

Concordia Care

Dietitian

[Guest guest]

I do inpt nutrition counseling at a large hospital and also work in an

LTACH/rehab where we do provide extra Vit C/Zinc for wound healing. We provide

evidence-based care and feel that this is successful for healing. However, the

team would need to monitor for continued need of the supplements to prevent

toxicity, etc. Also, if the would is healing where supplements could be tapered

or if the owund has progressed where then supplementation would be continued.

[Guest guest]

I do inpt nutrition counseling at a large hospital and also work in an

LTACH/rehab where we do provide extra Vit C/Zinc for wound healing. We provide

evidence-based care and feel that this is successful for healing. However, the

team would need to monitor for continued need of the supplements to prevent

toxicity, etc. Also, if the would is healing where supplements could be tapered

or if the owund has progressed where then supplementation would be continued.

[Guest guest]

Isn't the " standard " based on nutrition assessment. If severely nutrient

depleted, based on risk/assessment, then a standard Multivit/mineral may take

months to replete the patient, and thus wouldn't be close to adequate.

If the patient has diarrhea, then a standard MVI/Mineral won't be adequate

to replenish. Also depends on what/how the patient is eating/fed. . . If

receiving only " canned " supplements without any antioxidants, needs vary from

patient that's eating plenty of antioxidant containing fruits/veggies.

What is protein intake based on needs? I've seen wound patients that

required over 200 grams protein per day to heal. . . the dietitian that had

preceded

me had been charting, " Intake adequate for needs " despite ongoing multiple

stage 4 pressure ulcers. .. the guy had been 6'6 " his entire life with a

" healthy " weight of 250# (very large frame), but his height was recorded in the

medical record as 5'10 " and his IBW was estimated at something like 170 so

needs were very undercalculated. The facility didn't bother to do an adequate

intake history on the guy.

Also, were wounds staged? Treatment for stage 1 wouldn't be the same as for

stage 4.

So, I don't believe we can ever rely on any " standard. "

Just my rant for the day!

Jan Patenaude, RD, CLT

In a message dated 11/12/2008 6:26:09 A.M. Mountain Standard Time,

margiehirsch@... writes:

Is the standard for wound healing now to just provide a MVI or does anyone

still recommend additional vitamin C and zinc?

Margie Hirsch,MFCS,Margi

Concordia Care

Dietitian

Jan Patenaude, RD, CLT

Consultant, Writer, Speaker

Director of Medical Nutrition

Signet Diagnostic Corporation

(Mountain Time)

Fax:

DineRight4@...

Mediator Release Testing and LEAP Diet Protocol for Irritable Bowel

Syndrome, Migraine, Fibromyalgia and more. Co-developer of Certified LEAP

Therapist

Training.

IMPORTANT - This e-mail message is intended only for the use of the

individual or entity to which it is addressed, and may contain information that

is

privileged, confidential and exempt from disclosure under applicable law. If

you have received this message in error, you are hereby notified that we do not

consent to any reading, dissemination, distribution or copying of this

e-mail message. If you have received this communication in error, please notify

the sender immediately by e-mail and telephone ( toll free) and

destroy the transmitted information.

E-mail transmission cannot be guaranteed to be secure or error-free as

information could be intercepted, corrupted, lost, destroyed, arrive late,

incomplete, or contain viruses. The sender therefore does not accept liability

for

any errors or omissions in the contents of this message, which arise as a

result of e-mail transmission.

**************Get the Moviefone Toolbar. Showtimes, theaters, movie news &

more!(http://pr.atwola.com/promoclk/100000075x1212774565x1200812037/aol?redir=ht\

t

p://toolbar.aol.com/moviefone/download.html?ncid=emlcntusdown00000001)