Geriatric Quick Consult     Pressure Ulcers      Do #1       Note

One study showed that high protein diets with increased calories can improve ulcer healing in malnourished nursing home residents1.

Serum albumin alone is not a reliable indicator of nutritional status, especially in the acute care setting.

A complete assessment is needed. Other lab values such as total lymphocyte count and transthyretin (prealbumin) are useful.

References:

  1. Breslow RA, Hallfrisch J, Guy DG, Crawley B, Goldberg AP. The importance of dietary protein in healing pressure ulcers. J Am Geriatr Soc 1993; 41(4): 357-62.
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