Wound healing requires an increase in the energy intake of the patient due to an increase in metabolic demand. Nutrition plays a vital role in the wound healing process, as various nutrients have specific functions related to wound healing. Adequate nutrition is required to maintain healthy skin integrity, and malnourished patients often experience delayed wound healing as a result of this. Additionally, older people may have difficulty meeting their nutritional requirements owing to a diminished dietary intake. Effective management of malnourished patients with wounds depends on accurate early diagnosis and treatment. This short case study critically analyses the care that was provided in one NHS trust to a malnourished older patient with a wound. Recommendations for improving practice include early identification of malnourished patients, early referral for dietetic assessment and tissue viability intervention, and education for health professionals.
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