ALPS - Nutrition Interventions in Adults with Diabetic Foot Ulcers

Nutrition In DFU Guidelines Advisory Pocket Guide

ALPS Nutrition Interventions in Diabetic Foot GUIDELINES Advisory - brought to you courtesy of Guideline Central.

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6 Screening and Assessment Physical Exams • In addition to examination of the patients feet and ulcer, a physical exam should also concentrate on skin quality, muscle tone, obesity, or low body weight, as well as hair quality and cheilosis. • At each visit, anthropometric questionnaires/measurements should be administered and/or measured, and should include the following: ▶ Current vs. normal body weight ▶ % Weight loss or % weight gain over time ▶ Under/overweight amount and % ▶ BMI ▶ Edema ▶ Skin integrity Patient History • Obtain information of social issues that predispose to malnutrition. ▶ Depression, living on a fixed income, living alone, and geriatric age group are all risks factors for malnutrition. • More detailed history of eating habits is likely to divulge a diet low in protein and high in carbohydrates — e.g., high caloric snack foods such as chips, cookies and crackers require no preparation and may dominate the diet. ▶ Specific questions should be asked regarding fruit, vegetable, and protein intake to determine adequacy of nutritional components. • Ensure a patient's dietary intake exceeds 75% of the estimated energy, protein, and water needed for wound healing. ▶ Some important tools than can be used to determine appropriate daily nutrition intake are: › Conducting 24-hour dietary recalls › Meal frequency questionnaire › Determining safe access to food and need for specialized or modified diet › Evaluating socioeconomic status and home dynamics

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