Nutritional support for elderly patients with non-healing venous ulcers: a single case study
(English)Manuscript (preprint) (Other academic)
Tills single-case study was undertaken in order to evaluate if an individually designed programme of nutritional support could improve healing in otherwise therapy resistant venous leg ulcers. Six patients, between 79 and 93 years of age, with venous ulcers open for one year or more were recruited from primary health care. The patients were offered liquid dietary supplements to be taken between meals in a specially designed diet plan based on individual needs and the patient's own preferences. Ulcer area, anthropometric and biochemical variables, and intake of energy and nutrients were assessed before intervention and then regularly for nine months.
After nine months, two patients, one with two ulcerated legs and another with one ulcerated leg had healed ulcers. In one patient with two ulcerated legs, one leg was healed and one leg almost healed. In another patient with one ulcerated leg, the ulcer area was reduced by about 90%. The duration of open ulcers before the study in the healed legs was 2, 1.5, 4, and 8 years and in those almost healed 4, and 1.5 years. It seems reasonable to suggest that nutritional support might have played a role in improving healing in those patients with a less satisfactory situation nutritionally. Although the relationship between nutritional supplementation and wound healing is far from well defined, an appropriately used nutritional plan is recommended when problems with the nutritional situation are anticipated and the ulcers do not heal.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-79951OAI: oai:DiVA.org:liu-79951DiVA: diva2:544813