Explain how you would utilize at least one laboratory finding (B12, albumin, vitamin D, and others) in diagnosing malnutrition and potential healing deficits in wound management for the complex acute, critical, and chronically ill adult-geriatric patient.
Explain how you would utilize at least one laboratory finding (B12, albumin, vitamin D, and others) in diagnosing malnutrition and potential healing deficits in wound management for the complex acute, critical, and chronically ill adult-geriatric patient.
Wound Healing
The wound-healing process is the replacement of damaged tissues with new ones. The longer wound-healing process affects patient outcomes. Instead, offering treatment that would increase the replacement of the damaged tissues reduces the time a wound takes to heal. This contributes to the desired outcome in any healthcare institution (Fallah et al., 2021). The common micronutrient deficiency among the geriatric population is Vitamin B12 (Cobalamin). The reduction of this nutrient in the body of an elderly patient would impede the normal healing pathway by decreasing wound tensile strength and heightening the infection rates.
One of the best nutrition supplements is cyanocobalamin tablets a patient can take daily to enrich the body with vitamin B12. The supplement would provide increased production of the damaged cells. It will also enhance energy demand on the replicated cells to hasten the healing process (Fallah et al., 2021). Optimal wound healing requires adequate nutrition, and in case of low nutrition increase of the deficiencies through injection and supplement are significant in meeting the desired patient outcome.
Debridement of the wounds is one of the treatment modalities that have been applied in the wound healing process. It entails the removal of the damaged tissues that can interrupt and prevent keratinocytes from migrating to the wound bed. This method is done surgically, enzymatically, or biologically. This method is cost-effective and allows elderly patients to recover progressively from their wounds. However, the surgical method applied to remove the damaged tissue could have a negative impact on the patient (Wilkinson & Hardman, 2020). For instance, it could damage both defective and intact tissues, which would affect the replication of other cells to improve the healing process. However, other methods, such as the use of enzymes, are significant as they accelerate the growth of new cells.
References
Fallah, N., Rasouli, M., & Amini, M. R. (2021). The current and advanced therapeutic modalities for wound healing management. Journal of Diabetes & Metabolic Disorders, 1-17. https://doi.org/10.1007%2Fs40200-021-00868-2
Wilkinson, H. N., & Hardman, M. J. (2020). Wound healing: Cellular mechanisms and pathological outcomes. Open Biology, 10(9), 200223. https://doi.org/10.1098/rsob.200223
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Explain how you would utilize at least one laboratory finding (B12, albumin, vitamin D, and others) in diagnosing malnutrition and potential healing deficits in wound management for the complex acute, critical, and chronically ill adult-geriatric patient.
Name at least one nutritional replacement and supplement that promotes wound healing.
Discuss at least one treatment modality, intervention, or diversion that promotes wound healing or mobility by altering or improving bowel, bladder, and wound drainage for complex acute, critical, and chronically ill adult gerontology patients.