WOUND CARE-IMMUNITY, REPAIR, RECOVERY, & PROTECTION
Skin is the largest and fastest growing organ in the body that acts as the first line of defense for our immune system. The skin makes up the largest portion of the Integumentary system (skin, hair, nails, glands, and receptors) and has many functions:
- Protects the body's internal living tissues and organs
- Protects against invasion by infectious organisms
- Protects the body from dehydration
- Protects the body against abrupt changes in temperature
- Helps dispose of waste materials
- Acts as a receptor for touch, pressure, pain, heat and cold
- Stores water, fat, and vitamin D.
The repair and recovery of the skin when it is compromised is extremely important to the health of the body. Nutrition, predominantly adequate protein intake, is critical to the success of the wound healing process. The specific requirement of protein varies. Patients with both chronic and acute wounds, such as post-surgical wounds or pressure ulcers, require an increased amount of protein to ensure complete and timely healing of their wounds. Elderly patients with wounds pose a special challenge because of their decreased lean body mass and the likelihood of chronic illnesses and insufficient dietary protein intake. To promote a full recovery, wound care clinicians must address the increased protein needs of their patients, especially their elderly patients. Lean body mass declines with age and critical illness, significantly compromising the body’s ability to carry out all the necessary functions of protein.
Protein and Skin Structure
Proteins also play structural roles, as with contractile proteins actin and myosin found in cardiac, skeletal, and smooth muscle and as the fibrous proteins collagen, elastin, and keratin. During the proliferative phase of wound repair, collagen deposition is crucial to increase the wound’s tensile strength.
Some nonessential amino acids are considered conditionally essential when a specific condition prevents the body from synthesizing a particular amino acid. During times of metabolic stress (as when a patient has a chronic wound, surgery, etc.) demand for these amino acids rises and the body’s production may not keep up with increased demands. Requirements for the nonessential amino acids glutamine and arginine increase during wound healing. -Glutamine acts as a precursor for nucleotide synthesis, which is essential for rapidly proliferating cells during wound healing. It acts as a respiratory fuel and enhances the function of stimulated immune cells. -Arginine promotes wound healing by increasing collagen deposition and improving both nitric oxide production and nitrogen retention and immune function.
Assessing patients’ protein needs
The recommended amount of 0.8 g protein/kg body weight is based on the needs of healthy adults. Elderly patients, as well as those with metabolic stress, may require a higher baseline protein intake of 1 g/kg. However, many patients, including those with wounds, don’t fall into the “healthy adult” category and have even higher protein needs. Examples:
- Post-surgically, 1 to 1.5 g protein/kg is recommended, but this may vary with the extent of the surgical wound.
- For patients with pressure ulcers, the recommendation is also 1 to 1.5 g/kg; those with deep ulcers or multiple pressure-ulcer sites may need 1.5 to 2 g/kg.
- For patients with large burn wounds, protein requirements sometimes reach 1.5 to 3 g/kg to offset extensive protein loss through urine and burn-wound exudate.
Recommendations range from 80g to 240g of protein per day. This is extremely difficult for many patients as they recover and have a conditionally suppressed appetite. NutrePRO solves that problem by giving you 20-grams of protein in a single 2-oz foil pack that tastes great, contains No Fat, Carbs, Sugar, or Caffeine, and NEVER requires refrigeration, mixing, or diluting. Every pack of NutrePRO provides two COMPLETE sources of protein for the consumer. This means both protein sources used in NutrePRO, Whey Protein Isolate and Hydrolyzed Collagen Peptide fortified with Tryptophan, providing all 9 essential amino acids and 11 nonessential amino acids the body needs to repair, recover, and protect the Integumentary system.
NutrePRO is a proprietary blend of 20 grams of the highest quality Whey Protein Isolate and Hydrolyzed Collagen fortified with Tryptophan providing a COMPLETE amino acid profile in just 2oz!
NutrePRO has 95-98% bioavailability so it is ready for the body to use immediately.
0 Carbs, 0 Sugar, 0 Fat, 0 Caffeine
Gluten Free, Lactose Free, Nut Free, & Dye Free
NutrePRO is never genetically modified.
NutrePRO never requires refrigeration, mixing, or dilution and being only 2oz it is TSA friendly.
NutrePRO can be taken by patients anytime, anywhere.