The Role of Nutrition for Pressure Injury Prevention and Healing: The 2019 International Clinical Practice Guideline Recommendations.


Journal

Advances in skin & wound care
ISSN: 1538-8654
Titre abrégé: Adv Skin Wound Care
Pays: United States
ID NLM: 100911021

Informations de publication

Date de publication:
Mar 2020
Historique:
entrez: 15 2 2020
pubmed: 15 2 2020
medline: 26 11 2020
Statut: ppublish

Résumé

To review the nutrition-related recommendations presented in the 2019 European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel, and Pan Pacific Pressure Injury Alliance Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline with further discussion of nutrition for pressure injury management in the context of the recommendations. This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. After participating in this educational activity, the participant should be better able to:1. Distinguish nutrition and malnutrition, especially as they relate to the development and healing of pressure injuries.2. Differentiate the tools and techniques that help clinicians assess nutrition status as well as the causes of pressure injuries in specific populations.3. Identify interventions for improving nutrition status and promoting pressure injury healing. Macro- and micronutrients are required by each organ system in specific amounts to promote the growth, development, maintenance, and repair of body tissues. Specifically, nutrition plays an important role in the prevention and treatment of pressure injuries. The purpose of this manuscript is to review the nutrition-related recommendations presented in the 2019 European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel, and Pan Pacific Pressure Injury Alliance Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. Nutrition for pressure injury management is discussed in the context of the recommendations.

Identifiants

pubmed: 32058438
doi: 10.1097/01.ASW.0000653144.90739.ad
pii: 00129334-202003000-00003
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

123-136

Références

European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel, and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. The International Guideline. 3rd ed. Haesler E, ed. 2019.   http://internationalguideline.com. Last accessed December 27, 2019.
Keller HH, Goy R, Kane SL. Validity and reliability of SCREEN II (Seniors in the Community: Risk Evaluation for Eating and Nutrition, version II). Eur J Clin Nutr 2005;59(10):1149–57.
Neelemant F, Kruizenga HM, de Vet HC, Seidell JC, Butterman M, van Bokhorst-de van der Schueren MA. Screening malnutrition in hospital outpatients. Can the SNAQ malnutrition-screening tool also be applied to this population? Clin Nutr 2008;27(3):439–46.
Nestle Nutrition Institute. Mini Nutritional Assessment MNA®. 1994. www.mna-elderly.com/forms/mini/mna_mini_english.pdf. Last accessed December 27, 2019.
Ek AC, Unosson M, Larsson J, von Schenck H, Bjurulf P. The development and healing of pressure sores related to the nutritional state. Clin Nutr 1991;10(5):245–50.
Bourdel-Marchasson I, Barateau M, Rondeau V, et al. A multi-center trial of the effects of oral nutritional supplementation in critically ill older inpatients. Nutrition 2000;16:1–5.
Berlowitz DR, Wilking SV. Risk factors for pressure sores. A comparison of cross-sectional and cohort-derived data. J Am Geriatr Soc 1989;37(11):1043–50.
Brandeis G, Ooi W, Hossain M, Morris J, Lipsitz L. A longitudinal study of risk factors associated with the formation of pressure ulcers in nursing homes. J Am Geriatr Soc 1994;42:388–93.
Dhandapani M, Dhandapani S, Agarwal M, Mahapatra AK. Pressure ulcer in patients with severe traumatic brain injury: significant factors and association with neurological outcome. J Clin Nurs 2014;23(7-8):1114–9.
Ham HW, Schoonhoven LL, Schuurmans MM, Leenen LL. Pressure ulcer development in trauma patients with suspected spinal injury: the influence of risk factors present in the emergency department. Int Emerg Nurs 2017;30:13–9.
Bergstrom N, Braden B. A prospective study of pressure sore risk among institutionalized elderly. J Am Geriatr Soc 1992;40(8):747–58.
Bergquist S, Frantz R; Pressure ulcers in community-based older adults receiving home health care. Prevalence, incidence, and associated risk factors. Adv Wound Care 1999;12(7):339.
Compton F, Hoffmann F, Hortig T, et al. Pressure ulcer predictors in ICU patients: nursing skin assessment versus objective parameters. J Wound Care 2008;17(10):417.
De Laat E, Pickkers P, Schoonhoven L, Verbeek A, Feuth T, van Achterberg T. Guideline implementation results in a decrease of pressure ulcer incidence in critically ill patients. Crit Care Med 2007;35(3):815–20.
Defloor T, Grypdonck M. Pressure ulcers: validation of two risk assessment scales. J Clin Nurs 2005;14(3):373–82.
Kwong EW-y, Pang SM-c, Aboo GH, Law SS-m. Pressure ulcer development in older residents in nursing homes: influencing factors. J Adv Nurs 2009;65(12):2608–20.
Roca-Biosca A, Velasco-Guillen M, Rubio-Rico L, García-Grau NA, Anguera-Saperas L. Pressure ulcers in the critical patient: detection of risk factors. Enferm Intensiva 2012;23(4):155–63.
Serpa L, Santos V. Assessment of the nutritional risk for pressure ulcer development through Braden Scale. JWOCN 2007;34(3S):S4–S6.
Watts D, Abrahams E, MacMillan C, et al. Insult after injury: pressure ulcers in trauma patients. Orthop Nurs 1998;17(4):84–91.
Coleman S, Smith IL, McGinnis E, et al. Clinical evaluation of a new pressure ulcer risk assessment instrument, the Pressure Ulcer Risk Primary or Secondary Evaluation Tool (PURPOSE T). J Adv Nurs 2017;23:23.
National Institute for Health and Clinical Excellence. Pressure ulcers: prevention and management clinical guideline [CG179]. www.nice.org.uk/guidance/cg179. 2014. Last accessed December 27, 2019.
Norton D, Exton-Smith AN, McLaren R. An Investigation of Geriatric Nursing Problems in Hospital. London, UK: National Corporation for the Care of Old People; 1962.
Waterlow J. A risk assessment card. Nurs Times 1985;81:24–7.
Bergstrom N, Braden BJ, Laguzza A, Holman V. The Braden Scale for predicting pressure sore risk. Nurs Res 1987;36(4):205–10.
Cubbin B, Jackson C. Trial of a pressure area risk calculator for intensive therapy patients. Intensive Care Nurs 1991;7:40–4.
Vocci MC, Toso LAR, Fontes CMB. Application of the Braden Q Scale at a pediatric intensive care unit. Rev Enferm UFPE 2017;11(1):165–72.
Cederholm T, Barazzoni R, Austin P, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr 2017;36:49–64.
Basics in Clinical Nutrition. 4th ed. Sobotka Led. Czech Republic: Galen; 2012.
Cederholm T, Jensen GL, Correia MITD, et al. GLIM criteria for the diagnosis of malnutrition—a consensus report from the global clinical nutrition community. Clin Nutr 2019;38(1):1–9.
Fry DE, Pine M, Jones BL, Meimban RJ. Patient characteristics and the occurrence of never events. Arch Surg 2010;145(2):148–51.
Green CJ. Existence, causes and consequences of disease-related malnutrition in the hospital and the community and clinical and financial benefits of nutritional intervention. Clin Nutr 1999;18(suppl. 2):3–28.
Iizaka S, Okuwa M, Sugama J, Sanada H. The impact of malnutrition and nutrition-related factors on the development and severity of pressure ulcers in older patients receiving home care. Clin Nutr 2010;29(1):47–53.
Verbrugghe M, Beeckman D, van Hecke A, et al. Malnutrition and associated factors in nursing home residents: a cross-sectional, multi-centre study. Clin Nutr 2013;32(3):438–43.
Wojcik A, Atkins M, Mager DR. Dietary intake in clients with chronic wounds. J Can Diet Assoc 2011;72(2):77–82.
Yamamoto T, Fujioka, Kitamura R, et al. Evaluation of nutrition in the healing of pressure ulcers: are the EPUAP nutritional guidelines sufficient to heal wounds? Wounds 2009;21(6):153–7.
Lyder CH, Preston J, Grady JN, et al. Quality of care for hospitalized Medicare patients at risk for pressure ulcers. Arch Intern Med 2001;161(12):1549–54.
Banks M, Bauer J, Graves N, Ash S. Malnutrition and pressure ulcer risk in adults in Australian health care facilities. Nutr Clin Pract 2010;26(9):896–901.
Crichton M, Craven D, Mackay H, Marx W, de van der Schueren M, Marshall S. A systematic review, meta-analysis and meta-regression of the prevalence of protein-energy malnutrition: associations with geographical region and sex. Age Ageing 2019;48(1):38–48.
Guenter P, Malyszek R, Bliss DZ, et al. Survey of nutritional status in newly hospitalized patients with Stage III or Stage IV pressure ulcers. Adv Skin Wound Care 2000;13(4 Pt 1):164–8.
Mathus-Vliegen E. Nutritional status, nutrition and pressure ulcers. Nutr Clin Pract 2001;16:286–91.
Saghaleini SH, Dehghan K, Shadvar K, Sanaie S, Mahmoodpoor A, Ostadi Z. Pressure ulcer and nutrition. Indian J Crit Care Med 2018;22(4):283–9.
AMA House of Delegates Adapts Policy to Recognize Obesity as a Disease. 2013. https://obesitymedicine.org/ama-adopts-policy-recognize-obesity-disease. Last accessed December 27, 2019.
Centers for Disease Control and Prevention. Adult obesity facts. 2018. www.cdc.gov/obesity/data/adult.html. Last accessed December 27, 2019.
Greco JA 3rd, Castaldo ET, Nanney LB, et al. The effect of weight loss surgery and body mass index on wound complications after abdominal contouring operations. Ann Plast Surg 2008;61:235–42.
Academy of Nutrition and Dietetics. Definition of Terms List. Definition of Terms Workgroup, Quality Management Committee. 2019. www.eatrightpro.org/-/media/eatrightpro-files/practice/scope-standards-of-practice/20190910-academy-definition-of-terms-list.pdf. Last accessed December 27, 2019.
Academy of Nutrition and Dietetics. Nutrition Care Manual. 2019. www.nutritioncaremanual.org. Last accessed December 27, 2019.
Kondrup J, Rasmussen HH, Hamberg I, Stanga Z. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr 2003;3:321–36.
Elia M, Zellipour L, Stratton RJ. To screen or not to screen for adult malnutrition? Clin Nutr 2005;24(6):867–84.
White J. Consensus Statement: AND and ASPEN: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). J Acad Nutr Diet 2012;112(5):730–8.
Grattagliano I, Marasciulo L, Paci C, Montanaro N, Portincasa P, Mastronuzzi T. The assessment of the nutritional status predicts the long term risk of major events in older individuals. Eur Geriatr Med 2017;8(3):273–4.
Hengstermann S, Fischer A, Steinhagen-Thiessen E, Schulz RJ. Nutrition status and pressure ulcer: what we need for nutrition screening. JPEN 2007;31(4):288.
Langkamp-Henken B, Hudgens J, Stechmiller JK, Herrlinger-Garcia KA. Mini nutritional assessment and screening scores are associated with nutritional indicators in elderly people with pressure ulcers. J Am Diet Assoc 2005;105(10):1590–6.
Poulia KA, Yannakoulia M, Karageorgou D, et al. Evaluation of the efficacy of six nutritional screening tools to predict malnutrition in the elderly. Clin Nutr 2012;31(3):378–85.
Trans Tasman Dietetic Wound Care Group. Evidence based practice guidelines for the nutritional management of adults with pressure injuries. 2011. www.aci.health.nsw.gov.au/__data/assets/pdf_file/0004/388237/13.-Trans-Tasman-Dietetic-Wound-Care-Group-Pressure-Injury-Guidelines-2011.pdf. Last accessed December 27, 2019.
Tsai AC, Chang TL, Wang YC, Liao CY. Population-specific short-form mini nutritional assessment with body mass index or calf circumference can predict risk of malnutrition in community-living or institutionalized a people in Taiwan. J Am Diet Assoc 2010;110(9):1328–34.
Tsaousi G, Stavrou G, Ioannidis A, Salonikidis S, Kotzampassi K. Pressure ulcers and malnutrition: results from a snapshot sampling in a university hospital. Med Princ Pract 2015;24(1):11–6.
Yatabe MS, Taguchi F, Ishida I, et al. Mini nutritional assessment as a useful method of predicting the development of pressure ulcers in elderly inpatients. J Am Geriatr Soc 2013;61(10):1698–704.
Schlüer AB, Schols JMGA, Halfens RUG. Risk associated factors of pressure ulcers in hospitalized children over one year of age. J Spec Pediatr Nurs 2014;1:80–9.
Schlüer AB, Halfens RJ, Schols JGA. Pediatric pressure ulcer prevalence: a multicenter, cross-sectional, point-prevalence study in Switzerland. Ostomy Wound Manage 2012;58(7):18–31.
McLane KM, Boolout K, McCord S, McCann, Jefferson LS. The 2003 national pressure ulcer prevalence study and skin breakdown study, a multisite study. J Wound Ostomy Continence Nurs 2004;31(4):168–78.
Curley MAO, Hasbari NR, Quigley SM, et al. Predicting pressure injury risk in pediatric patients: the Braden QD Scale. J Pediatr 2018;192:168–95.
Goudie A, Dynan L, Brady PW, Fieldston E, Brilli RJ, Walsh KE. Costs of venous thromboembolism, catheter-associated urinary tract infection, and pressure ulcers. Pediatrics 2015;136(3):432–9.
Hecht C, Weber M, Grote, et al. Disease associated malnutrition correlates with length of hospital stay in children. Clin Nutr 2015;34(1):53–9.
Mehta N, Corkins M, Lyman B, et al. Defining pediatric malnutrition: a paradigm shift towards etiology-related definitions. JPEN 2013;37(4):460–81.
Becker R, Carney LN, Corkins MR, et al. Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: indicators recommend for the identification and documentation of pediatric malnutrition (undernutrition). Nutr Clin Prac 2015;30(1):147–61.
Mehta N, Compher C, ASPEN Board of Directors. A.S.P.E.N. clinical guidelines: nutrition support of the critically ill child. J Parenter Enteral Nutr 2009;33(3):260–76.
Ranade D, Collins N. Children with wounds: the importance of nutrition. Ostomy Wound Manage 2011:14–24.
Joosten KF, Hulst JM. Nutritional screening tools for hospitalized children: methodological considerations. Clin Nutr 2014;33(1):1–5.
Mehta NM, Skillman HE, Irving SY, et al. Guidelines for the provision and assessment of nutrition support therapy in the pediatric critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. JPEN 2017;41(5):706–42.
Skillman J, Wischmeyer P. Nutrition therapy in critically ill infants and children. JPEN 2008;32(5):520–34.
Rodriguez-Key M, Alonzi A. Nutrition, skin integrity, and pressure ulcer healing in chronically ill children: an overview. Ostomy Wound Manage 2007;53(6):56–62.
Allen B. Effects of a comprehensive nutritional program on pressure ulcer healing, length of hospital stay, and charges to patients. Clin Nurs Res 2013;22(2):186–205.
Academy of Nutrition and Dietetics. Electronic Nutrition Care Process Terminology. 2019. www.ncpro.org. Last accessed December 27, 2019.
Field LB, Hand RK. Differentiating malnutrition nutrition screening and assessment: a nutrition care process perspective. J Acad Nutr Diet 2015;15:824–8.
Fuhrman MP, Charney P, Mueller CM. Hepatic proteins and nutrition assessment. J Am Diet Assoc 2004;104(8):1258–64.
Hand RK, Murphy WJ, Filed LB, et al. Validation of the Academy/A.S.P.E.N. malnutrition clinical characteristics. J Acad Nutr Diet 2016;116(5):856–63.
Tobert CM, Mott SL, Nepple KG. Malnutrition diagnosis during adult inpatient hospitalizations: analysis of a multi-institutional collaborative database of academic medical centers. J Acad Nutr Diet 2018;118(1):125–31.
Demling RH. Nutrition, anabolism, and the wound healing process: an overview. Eplasty 2009;9:e9.
Cereda E, Klersy C, Rondanelli M, Caccialanza R. Energy balance in patients with pressure ulcers: a systematic review and meta-analysis of observational studies. J Am Diet Assoc 2011;111:1868–76.
Ohura T, Nakajo T, Okada S, Omura K, Adachi K. Evaluation of effects of nutrition intervention on healing of pressure ulcers and nutritional states (randomized controlled trial). Wound Repair Regen 2011;19(3):330–6.
Breslow RA, Hallfrisch J, Guy DG, Crawley B, Goldberg AP. The importance of dietary protein in healing pressure ulcers. J Am Geriatr Soc 1993;41(4):357–62.
Lee SK, Posthauer ME, Dorner B, Redovian V, Maloney MJ. Pressure ulcer healing with a concentrated, fortified, collagen protein hydrolysate supplement: a randomized controlled trial. Adv Skin Wound Care 2006;19(2):92–6.
Hisashige A, Ohura T. Cost-effectiveness of nutritional intervention on healing of pressure ulcers. Clin Nutr 2012;31(6):868–74.
Morley JE, Argiles JM, Evans WJ, et al. Nutritional recommendations for the management of sarcopenia. J Am Med Dir Assoc 2010;11(6):391–6.
Vikstedt T, Suominen MH, Joki A, et al. Nutritional status, energy, protein, and micronutrient intake of older service house residents. J Am Med Dir Assoc 2011;12(6):302–7.
Wolfe RR, Miller SL. The recommended dietary allowance of protein: a misunderstood concept. J Am Med Dir Assoc 2008;299(24):2891–3.
Clark M, Schols JMGA, Benati G, et al. Pressure ulcers and nutrition: a new European guideline. J Wound Care 2004;13(7):267–72.
Schols JMGA, de Groot CP, van der Cammen TJ, Olde Rikkert MG. Preventing and treating dehydration in the elderly during periods of illness and warm weather. J Nutr Health Aging 2009;13(2):150–7.
Volkert D, Beck AM, Cederholm T, et al. Management of malnutrition in older patients—current approaches, evidence and open questions. J Clin Med 2019;4;8(7).
Volkert D, Beck AM, Cederholm T, et al. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clin Nutr 2018;38(1):10–47.
Dorner B, Friedrich EK. Position of the Academy of Nutrition and Dietetics: individualized nutrition approaches for older adults: long-term care, post-acute care, and other settings. J Acad Nutr Diet 2018;118(4):724–35.
Hubbard GP, Elia M, Holdoway A, Stratton RJ. A systematic review of compliance to oral nutritional supplements. Clin Nutr 2012;31(3):293–312.
Delmi M, Rapin CH, Bengoa JM, Delmas PD, Vasey H, Bonjour JP. Dietary supplementation in elderly patients with fractured neck of the femur. Lancet 1990;335(8696):1013–6.
Hartgrink HH, Wille J, Konig P, Hermans J, Breslau PJ. Pressure sores and tube feeding in patients with a fracture of the hip: a randomized clinical trial. Clin Nutr 1998;17(6):287–92.
Horn SD, Bender SA, Ferguson ML, et al. The National Pressure Ulcer Long-term Care Study: pressure ulcer development in long-term care residents. J Am Geriatr Soc 2004;52(3):359–67.
Houwing RH, Rozendaal M, Wouters-Wesseling W, Beulens JW, Buskens E, Haalboom JR. A randomised, double-blind assessment of the effect of nutritional supplementation on the prevention of pressure ulcers in hip-fracture patients. Clin Nutr 2003;22(4):401–5.
Stratton RJ, Ek AC, Engfer M, et al. Enteral nutritional support in prevention and treatment of pressure ulcers: a systematic review and meta-analysis. Ageing Res Rev 2005;4(3):422–50.
Banks MD, Ross LJ, Webster J, et al. Pressure ulcer healing with an intensive nutrition intervention in an acute setting: a pilot randomised controlled trial. J Wound Care 2016;25(7):384–92.
Cereda E, Klersy C, Andreola M, et al. Cost-effectiveness of a disease-specific oral nutritional support for pressure ulcer healing. Clin Nutr 2017;36(1):246–52.
Cereda E, Klersy C, Serioli M, Crespi A, D'Andrea F. A nutritional formula enriched with arginine, zinc, and antioxidants for the healing of pressure ulcers: a randomized trial. Ann Intern Med 2015;162(3):167–74.
Neyens J, Cereda E, Meijer EP, Lindholm C, Schols JMGA. Arginine-enriched oral nutritional supplementation in the treatment of pressure ulcers: a literature review. Wound Medicine 2017;16:46–51.
Cereda E, Gini A, Pedrolli C, Vanotti A. Disease-specific, versus standard, nutritional support for the treatment of pressure ulcers in institutionalized older adults: a randomized controlled trial. J Am Geriatr Soc 2009;57(8):1395–402.
Van Anholt R, Sobotka L, Meijer E, et al. Specific nutritional support accelerates pressure ulcer healing and reduces wound care intensity in non-malnourished patients. Nutrition 2010;26(9):867–72.
Banks MD, Graves N, Bauer JD, Ash S. Cost effectiveness of nutrition support in the prevention of pressure ulcer in hospitals. Eur J Clin Nutr 2013;67(1):42–6.
Tuffaha HW, Roberts S, Chaboyer W, Gordon LG, Scuffham PA. Cost-effectiveness and value of information analysis of nutritional support for preventing pressure ulcers in high-risk patients: implement now, research later. Appl Health Econ Health Policy 2015;13(2):167–79.
Tuffaha HW, Roberts S, Chaboyer W, Gordon LG, Scuffham PA. Cost-effectiveness analysis of nutritional support for the prevention of pressure ulcers in high-risk hospitalized patients. Adv Skin Wound Care 2016;29(6):261–7.
Arinzon Z, Peisakh A, Berner YN. Evaluation of the benefits of enteral nutrition in long-term care elderly patients. J Am Med Dir Assoc 2008;9(9):657–62.
Bourdel-Marchasson I, Dumas F, Pinganaud G, Emeriau JP, Decamps A. Audit of percutaneous endoscopic gastrostomy in long-term enteral feeding in a nursing home. Int J Qual Health Care 1997;9(4):297–302.
Wild T, Rahbamia A, Killner M, Sobotka L, Eberlein T. Basics in nutrition and wound healing. Nutrition 2010;26(9):862–6.
Dryden SV, Shoemaker WG, Kim JH. Wound management and nutrition for optimal wound healing. Atlas Oral Maxillofacial Surg Clin N Am 2013;21:37–47.
Malone A, Carney IN, Mays A eds. ASPEN Enteral Nutrition Handbook. 2nd ed. Silver Springs, MD: American society for Parenteral and Enteral Nutrition; 2019.
Boyce B. An ethical perspective on palliative care. J Acad Nutr Diet 2017;117(6):970–2.
O'Sullivan-Maillet J, Schwartz DB, Posthauer ME. Ethical and legal issues in feeding and hydration. J Acad Nutr Diet 2013;113(6):828–33.
Druml C, Ballmer PE, Druml W, et al. ESPEN guideline on ethical aspects of artificial nutrition and hydration. Clin Nutr 2016;35(3):545–56.
Harvey SE, Parrott F, Harrison DA, et al. A multicentre, randomised controlled trial comparing the clinical effectiveness and cost-effectiveness of early nutritional support via the parenteral versus the enteral route in critically ill patients (CALORIES). Health Technol Assess 2016;20(28):1–143.
Rottkamp BC. An experimental nursing study: a behavior modification approach to nursing therapeutics in body positioning of spinal cord-injured patients. Nurs Res 1976;25(3):181–6.
Carlson M, Vigen CL, Rubayi S, et al. Lifestyle intervention for adults with spinal cord injury: results of the USC-RLANRC Pressure Ulcer Prevention Study. J Spinal Cord Med 2019;42(1):2–19.
Kim JY, Cho E. Evaluation of a self-efficacy enhancement program to prevent pressure ulcers in patients with a spinal cord injury. Jpn J Nurs Sci 2017;14(1):76–86.
Arora M, Harvey LA, Glinsky JV, et al. Telephone-based management of pressure ulcers in people with spinal cord injury in low- and middle-income countries: a randomised controlled trial. Spinal Cord 2017;55(2):141–7.
Haesler E, Cuddigan J, Kottner J, Carville K. Guideline Governance Group. International consumer engagement in guideline development: surveying patients in 30 countries. Presented at the 14th Guideline International Network (G-I-N) Conference; Manchester: 2018.
Haesler E, Cuddigan J, Kottner J, Carville K. Guideline Governance Group. International consumer engagement in pressure injury/ulcer guideline development: global survey of patient care goals and information needs. Presented at the National Pressure Ulcer Advisory Panel 2019 Annual Conference; St Louis, MO; 2019.
Hartigan I, Murphy S, Hickey M. Older adults' knowledge of pressure ulcer prevention: a prospective quasi-experimental study. Int J Older People Nurs 2012;7(3):208–18.
Chaboyer W, Bucknall T, Webster J, et al. The effect of a patient centred care bundle intervention on pressure ulcer incidence (INTACT): a cluster randomised trial. Int J Nurs Stud 2016;64:63–71.
Ohlhorst S, Russell R, Bier D, et al. Nutrition research to affect food and a healthy life span. J Nutr 2013;143(8):1349–54.

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