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.

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.

DQ question

Nutritional status is a vital risk factor for wound development and successful healing. Intact skin and wound healing depend on a positive nitrogen balance and adequate serum protein levels. Prealbumin levels would be my preferred laboratory indicator to diagnose malnutrition and potential healing deficits in wound management. Prealbumin is the earliest laboratory indicator of nutritional status (Barchitta et al., 2019). It has emerged as the preferred marker for malnutrition since it correlates with patient outcomes in various clinical conditions. Besides, prealbumin is a more sensitive marker since it has a shorter half-life. Nutrition is considered inadequate when the prealbumin level is below 19.5 mg/dL.

B Vitamins are a nutritional replacement and supplement that promotes wound healing. The B Vitamins include thiamine, riboflavin, pyridoxine, folic acid, pantothenate, and cobalamin. These are vital cofactors in enzyme reactions involved in the formation of leukocytes and anabolic processes of wound healing. Besides, riboflavin, thiamine, pyridoxine, and cobalamin are needed to synthesize collagen (Barchitta et al., 2019). In addition, Vitamin C promotes wound healing and is involved in cell migration and transformation, antioxidant response, collagen synthesis, and angiogenesis. In the inflammatory phase, Vitamin C recruits cells to the wound and transforms them into macrophages.

Negative pressure wound therapy (NPWT) is an intervention used to promote wound healing. It consists of a foam dressing tailored to fit the patient’s wound. It is covered by a transparent film to facilitate the creation of a vacuum in the wound when the foam is attached to a suction device via tubing (Boyko et al., 2018). NPWT speeds wound healing in chronic wounds. The theory behind it is that the vacuum causes the cells in the wound bed to sense a mechanical force that promotes the proliferation of fibroblasts resulting in improved healing.

References

Barchitta, M., Maugeri, A., Favara, G., Magnano San Lio, R., Evola, G., Agodi, A., & Basile, G. (2019). Nutrition and Wound Healing: An Overview Focusing on the Beneficial Effects of Curcumin. International journal of molecular sciences, 20(5), 1119. https://doi.org/10.3390/ijms20051119

Boyko, T. V., Longaker, M. T., & Yang, G. P. (2018). Review of the Current Management of Pressure Ulcers. Advances in wound care, 7(2), 57–67. https://doi.org/10.1089/wound.2016.0697

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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.

Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.