Özet:

Pressure ulcer is a skin or/and tissue injury usually over a bone prominence as a result of pressure or shear. Older adults are the most risky group for pressure ulcer development. Pressure ulcers are associated with unwanted weight loss, inadequate nutrient intake and low body mass index (<18.5kg/m2). It is important to take daily at least 30-35 kcal/kg energy, 1.2-1.5g/kg protein and 1mL/kg fluid to minimize the risk of pressure ulcers in older adults. Specific amino acid supplements such as arginine and glutamine are thought to accelerate healing of pressure ulcer. Vitamins and mineral supplements should only be offered to the older people who have poor dietary intake or have a nutrient deficiency for prevention and treatment of pressure ulcers. If the nutrient requirements of the individual having unhealed wound are not met orally, enteral or parenteral nutrition should be considered. However, when feeding with tube, risks and targets to be reached in the individual should be well evaluated.

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