Nutrition is an integral component of wound care.  Ensure that you are eating the right foods to aid with your healing.

Calories

-12.5-15 Cal/lb/day for normal individuals

-15-18 Cal/lb/day for pts w/ moderate illness

-18-20 Cal/lb/day for pts w/severe illness

-Allow for 8-9 Cal/lb/day with pts under stress with a pressure ulcer

-Ensure high quality fats for development and stability of cell membranes

-Fluids: 15ml per lb/body weight or minimum of 1500mL/day unless medically contraindicated

Calories

To figure out calories based on your weight:

Your weight (lbs) X 15 Cal =

your Calories/day

For example: 150lbs X15 Cal = 2250 Calories/day

Protein

-0.8 to 1g/lb/day. For deep ulcers, may need closer to 2g/lb/day.

-Aim for whole food sources, but if your appetite is poor, there are many supplements on the market today.

-Some whole food sources of protein include:

Red meat, poultry, beef jerky, seafood, pork, eggs, dairy, bone broth, beans, peanut butter, almond butter, pumpkin seeds, edamame, almonds

Protein

To figure out protein based on your weight:

Your weight (lbs) X 1g Protein = your Protein goal

For example: 150lbs X1g Protein= 150 Calories/day

Suggested Protein supplements from those who've actually needed them:

Boost high protein, liquacel, ensure plus, Prostat, Premier shakes, whey protein powder,  Genpro,  Juven

Some snacks or meal ideas:

-Turkey and cheese roll ups     -Rotisserie chicken        -Oatmeal made with milk

-Liver and onions                       -Steak and eggs            -Cottage cheese

-Hard boiled eggs                      -Tuna salad                     -Ground beef

*Options to put in a smoothie: Greek yogurt, almond/peanut butter, protein powder, 

Amount of Protein in Common Foods:

10 oz sirloin steak: 40g                   1 cup whole milk: 8g

4oz hamburger patty: 20g             2 TBL peanut butter: 10g

chicken thigh (4 oz): 25g                2 TBL almond butter: 6 g                

6oz salmon: 20g                              1/2 cup cooked black beans: 7g

1 cup Greek yogurt: 20g                 1/2 cup cooked broccoli: 3g

chicken breast (4 oz): 22                 1/2 cup cooked lentils: 9g

1 egg: 13 g                                          2 TBL pumpkin seeds: 18g

cottage cheese (1/2 cup): 13            cheddar cheese (1 oz): 7 g      

             

Fat soluble vitamins

-Vit A: important for collagen Aim for 25,000IU/day

-Vit D: important for bone health

-Vit E: anti-oxidant; synergistic with vitamins A and C

-Vit K: important for coagulation

Sources of Vit A:

Sweet potato, liver, eggs, spinach, carrots, pumpkin, cantaloupe, peppers.

For the NIH's complete list, please see this website.

Sources of Vit E:

Wheat germ oil, sunflower seeds, almonds, peanut butter, spinach

For the NIH's complete list, please see this website.

Sources of Vit D:

Cod liver oil, swordfish, salmon, tuna, dairy

For the NIH's complete list, please see this website.

Sources of Vit K:

Natto, collards, turnip greens, spinach, kale, broccoli 

For the NIH's complete list, please see this website.

Water soluble vitamins

-Vit C: helps with collagen formation and fibroblast function. Deficiencies may result in delayed healing, further wound breakdown and impaired immune function. 1-2 g/day

-B vitamins: required for the production of energy; required for binding collagen to new tissues

Sources of Vit C:

Red peppers, oranges, strawberries, broccoli, spinach

For the NIH's complete list, please see this website.

Sources of B Vitamins:

There are 8 types of B vitamins; most are found in:

 

Liver, beef, salmon, poultry, eggs, dairy, leafy greens, shellfish (oysters, muscles, clams), nutritional yeast, sunflower seeds

Minerals/other

-Copper: required for collagen; deficency may result in weaker scar tissue and decreased strength of new tissue

Iron: Important for the transport of oxygen to tissues

Other nutrients:

-Bromelain: prevents prolonged inflammatory phase. 500-1000mg/day

-Glucosamine: enhances hyaluronic acid production. 1500Mg/day

-Zinc: Helps cells proliferate and with protein synthesis. 15-30mg/day * Note if baseline zinc levels are normal, additional supplementation with zinc won't increase wound healing

-Arginine: essential amino-acid

-Glutamine: necessary for building tissue; maximum 0.25g/lb body weight per day

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