A 89-year-old woman with moderate dementia lives in a care home. She is found to have a stage 3 pressure ulcer over her sacrum. She has a BMI of 16.8 ...

Question

A 89-year-old woman with moderate dementia lives in a care home. She is found to have a stage 3 pressure ulcer over her sacrum. She has a BMI of 16.8 and has been eating very little over the past month. Her serum albumin is 22 g/L. What is the MOST important nutritional intervention?

Accepted Answer

Provide oral nutritional supplements, fortified foods, and a high-protein diet with dietitian input

Answer

Start total parenteral nutrition immediately

Answer

Refer for PEG tube insertion

Answer

Prescribe Megestrol acetate as an appetite stimulant

Answer

No nutritional intervention as it will not affect pressure ulcer healing

uk-dgm MCQ (SBA): Nutritional Management of Pressure Ulcers

A 89-year-old woman with moderate dementia lives in a care home. She is found to have a stage 3 pressure ulcer over her sacrum. She has a BMI of 16.8 and has been eating very little over the past month. Her serum albumin is 22 g/L. What is the MOST important nutritional intervention?