Reduction in Energy Levels: Malnourished people have less energy and consequently are unable to move on their own– resulting in a more time spent in one position.
Reduction in the bodies natural cushioning: A long-term consequence of malnourishment is loss of fat, muscle and tissue– that provide necessary padding particularly in bed-bound patients, the less padding the more pressure that is put directly on the body– thereby resulting in increased rate of bed sores. Inadequate Nutrition & Hinderance of The Bodies Natural Healing Properties David makes a great point regarding the important role nutrition plays in not just bed sore prevention, but also healing bed sores. One of the most overlooked aspects of bed sore treatment is assuring that facilities provide additional calories and protiien for patients with advanced bed sores. A nutritional consultation should be brought in for patients with open wounds (stage 3 or 4 bed sores) so the specific nutritional needs can be tailored to the patient need.
Caregiver tip: As family and caregivers it is important to recognize the severity of the medical complications that accompany malnutrtion. As with many medical conditions, it is far easier to prevent malnutrition than to teat the accompanying medical complications that tend to develop over time. Caregivers should be on the lookout for the following:
- Look out for physical signs of malnutrition: diarrhea, disorientation, drastic weight loss, reduced urine output or cracking skin
- Request a speech tharapist consult if your patient has difficulty swallowing
- For bed bound patients, make sure meals are within reach of the patient and there is staff present to assist
- Ask about nutritional supplements for patients who are weak or have exhisting bed sores
Related Bed Sore FAQ’s: Can malnutrition cause bed sores?