Nutrition support for the critically ill older patient

Article Abstract:

Early nutritional support may prevent complications in geriatric intensive care. The proportion of aged patients in intensive care is growing. After nutritionally assessing patients, artificial feeding may become necessary to prevent malnutrition. Enteral feeding is the safest and most cost-effective technique, followed by total parenteral nutrition (TNP). Enteral or tube feeding should be discontinued if diarrhea develops. TNP has the advantage to deliver highly concentrated solutions for patients on restricted fluids.

Health aspects, Food and nutrition, Aged patients, Elderly patients, Artificial feeding, Feeding methods

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Wound and skin care for the PICU

Article Abstract:

Critical care nurses may need to understand how to prevent and treat wounds or pressure sores in pediatric patients as well as in adults. There are various causes of wounds and pressure sores. Intact skin should be cleaned and moisturized regularly. Use of antiseptics, including hydrogen peroxide, should be avoided. Nutritional support and immunonutrition may especially be needed to overcome previous malnutrition. Specialty beds can prevent pressure sores by using water to equalize weight distribution.

Management, Injuries, Children, Pediatric injuries, Pediatric intensive care

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Infected wound management: advanced technologies, moisture-retentive dressings, and die-hard methods

Article Abstract:

Techniques for caring for an infected wound on a critically ill patient are discussed. Removal of necrotic tissue, cleansing techniques, use of topical antibiotics and proper dressing are described. Techniques for taking a culture from a wound for diagnosis are also detailed, as are preventative care techniques.

United States, Care and treatment, Innovations, Infection, Diagnosis, Wounds and injuries, Wound care, Nosocomial infections, Cross infection, Bandages and bandaging, Bandages

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