Bed Sores, Pressure Sores and Decubitus Ulcers The Importance of Sufficient Nutrition
Fluid is an essential nutrient that is important for the normal functioning of cells. When a patient does not receive enough fluid or their fluid losses exceed their fluid intake, dehydration can occur. Wound drainage from a bed sore, pressure sore and pressure ulcer can be a major source of fluid loss and can lead to dehydration and electrolyte imbalance. Dehydration frequently occurs with malnutrition. Dehydration is a risk factor for pressure ulcer development because it can reduce blood volume, thereby interfering with peripheral circulation and decreasing nutrient and oxygen supply to tissues.
Optimal hydration is attained when fluid intake equals fluid output. Most adults need a minimum of 1,500 to 2,000 ml (6 to 8 glasses) of fluid a day. Fluid is an especially important nutrient for older adults because of their increased risk for dehydration. A rule of thumb is to provide 30 to 35 ml of fluid per kilo gram of body weight per day, or 1 ml of fluid per calorie fed for patients receiving enteral tube feeding. Patients on air-fluidized beds require an additional 10 to 15 ml fluid/kg of body weight to prevent dehydration that can occur from the drying effects of these specialty beds.The dietitian will determine the patient’s fluid needs based on the patient’s current condition and needs.
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