Journal_1_2014_final_WEB

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Vivano® Safety. And Simplicity. The VivanoTec negative pressure unit by HARTMANN is the central component of the Vivano system for successful negative pressure treatment of wounds. Its low weight means it can be used either on the move or in hospitals. Thanks to its intuitive menu navigation, the VivanoTec negative pressure unit combines easy usage with highly precise treatment settings and the necessary reliability, thus guaranteeing a high level of safety and user-friendly handling.
Scientific Communication Nutrition and chronic wounds Series (no. 12) of Technical Documents of the GNEAUPP (National Advisory Group for the Study of Pressure Ulcers and Chronic Wounds). Logroño, 2011. This technical document was based on a comprehensive and systematic review of the literature. It was submitted for consensus agreement by the National Advisory Group for the Study of Pressure Ulcers and Chronic Wounds (GNEAUPP). The result was a 68-page document that included 201 bibliographic references with two appendices of nutritional screening tools. The document is divided into four (4) sections: 1. Introduction. This section defines the concept of wounds and wound variants as well as different treatment modalities, including the concepts of food, nutrition, and how they affect treatment. It also defines the broader concept of malnutrition, which is caused by unhealthy diets that may have an excess or deficit of food energy. Thus, malnutrition can occur in obese or underweight individuals, and in both cases, results in deficiencies of essential nutrients. 2. Current state of knowledge. This section reviews current knowledge on nutrition, pressure ulcers, and wound prevention and treatment. The first subsection refers to epidemiology and existing reports published in the literature on nutritional status and chronic wounds. Specifically, it focuses on the epidemiology of malnutrition and wounds, and their relationship according to wound aetiology. A distinction is made between nutritional status and pressure ulcers (the type of wound most referenced in the literature and related to nutrition), and nutritional status and leg ulcers. Here, there are few references in the literature. This subsection concludes with an exploration of nutritional status and wound dehiscence. Scientific evidence, obtained primarily from observational studies, links malnutrition directly to pressure ulcer severity and incidence. Regarding diabetic foot ulcers, good glycaemic control is thought to be important in neuropathic ulcer healing; however, little evidence exists to support this idea. Regarding ulcers of venous aetiology, few studies have investigated the role of nutrition in healing. One study reported that people with this pathology have lower levels of vitamins A and E, carotenes, and zinc; however, to date, no evidence has been presented to confirm that supplementation with these micronutrients improves healing. Regarding wound dehiscence, it is known that this complication is 8 times more common in vitamin C-deficient patients than in patients with normal vitamin C levels. In addition, obese patients are thought to have more infections and delayed wound healing, as well as a greater incidence of dehiscence. The second subsection deals with the assessment, screening, and diagnosis of malnutrition, with special emphasis on nutritional screening and assessment tools. A description is provided of steps to follow in nutritional assessment, as recommended in the guidelines of leading societies dedicated to nutrition science. Regarding nutritional assessment and screening, recommendations are made about the collection of clinicometric data for the various instruments and tools, which are validated and based on research. Assessment consists of two parts: nutritional screening and the nutritional assessment itself. The purpose of screening is to identify malnourished individuals or those at nutritional risk. For these individuals, a complete assessment is required. The guidelines of the European Society for Clinical Nutrition and Metabolism (ESPEN) for nutritional screening recommend a series of steps that must be considered for all hospitalised patients: José Verdú Soriano PhD, MSc Nurse The University of Alicante, Spain Estrella Perdomo Pérez MSc Nurse Miller Bajo Health Center Las Palmas, Spain Correspondence: pepe.verdu@ua.es www.gneaupp.es Conflict of interest: none EWMA <strong>Journal</strong> <strong>2014</strong> vol 14 no 1 51
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