Annotated Bibliography: Impact of Nutrition on Chronic Wounds

This annotated bibliography examines the crucial role of nutrition in wound healing, drawing upon three research articles. The first article emphasizes the direct link between nutrition and wound healing, highlighting how nutritional deficiencies can lead to chronic wounds and impaired healing processes, with potential benefits from vitamin D and folic acid supplements. The second article presents a cross-sectional analysis of patients with chronic leg ulcers and acute wounds, revealing that patients with chronic venous leg ulcers often exhibit higher BMI and serum levels but lower levels of essential vitamins and minerals, while those with acute surgical wounds show severe Vitamin D deficiency. The third article investigates the nutritional status of patients with chronic wounds, noting that lower tooth and oral health scores, along with sociodemographic factors, can influence the likelihood of malnutrition and impact wound healing, emphasizing the need for a healthy diet rich in essential nutrients. These articles collectively underscore the importance of nutritional support in wound management and improving the quality of life for patients with chronic wounds.

Annotated bibliography

Contents
Contents...........................................................................................................................................2
ANNOTED BIBLIOGRAPHY- ARTICLE 1.................................................................................1
ANNOTED BIBLIOGRAPHY- ARTICLE 2.................................................................................1
ANNOTED BIBLIPGRAPHY- ARTICLE 3..................................................................................2

ANNOTED BIBLIOGRAPHY- ARTICLE 1
Haughey, L., & Barbul, A. (2017). Nutrition and lower extremity ulcers: Causality and/or
treatment. The International Journal of Lower Extremity Wounds, 16(4), 238-243.
https://doi.org/10.1177/1534734617737639
There is a direct link of nutrition and wound healing as evaluated by above given article.
Haughey & Barbul, through the means of this article gives an insight about how the lack of
nutrition is directly linked to the progressing chronicity of healing processes. Adequate nutrition
is crucial for optimal healing of wounds. There is enough evidence that shows that the
progression of healing processes is hampered and disrupted with nutritional deficiencies. The
onset of malnutrition is related to decrease in wound tensile strength. The decrease in the tensile
strength causes high rates of infections. Conditions of morbidity and mortality can arise due to
the presence of chronic wounds which can further become a gruesome health disorder. Delayed
wound healing can be treated with vitamin D and folic acid supplements. According to the above
mentioned article, Iris is suffering from ulcerative wounds worsen with intake of micronutrient
alterations leading to delayed healing of that particular wound. Nutritional support is essential in
wound healing and management as the healing of wound is a complex process which requires
increased consumption of energy. This energy is obtained from consumption of particular
nutrients for supplying energy into the injured area.
ANNOTED BIBLIOGRAPHY- ARTICLE 2
Renner R., Garibaldi M. & Benson S. (2019). Nutrition status in patients with wounds: a cross-
sectional analysis of 50 patients with chronic leg ulcers or acute wounds, volume 29,
pages 619–626, https://www.jle.com/10.1684/ejd.2019.3678
Renner, Garibaldi & Benson examined cross sectional analysis about the nutritional
status in patients with chronic leg ulcers and acute wounds on a large population. A primary
research was performed on a small group of patients experiencing no or mild afflictions. The
screening of 50 patients was performed on the basis of their Body Mass Index, Mini Nutritional
Assessment and Nutritional Risk Screening. About half of the patients suffered from chronic
venous leg ulcers and the other half suffered from acute surgical wounds. The results derived
from this study stated that former half showed higher BMI and serum levels but low levels of B6,
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C and B9. A significantly lower level of zinc is observed in individuals suffering from chronic
venous leg ulcers. The latter half of the group highlighted severe Vitamin D deficiency. Renner,
Garibaldi & Benson concluded that patients suffering ulcers are obese and suffer from qualitative
malnutrition followed by reduced mobility. On the other hand, patients suffering from chronic
leg ulcers suffered from Hypoalbuminemia which is a form of protein deficiency. This article
provided an insight about the factors that were useful for my research and motivated me to reach
my personal goal setting. However, the main limitation of my study was lack of enough evidence
supporting the argument.
ANNOTED BIBLIPGRAPHY- ARTICLE 3
Herberger K., Müller K., Protz K., Zyriax B., Augustin M. & Hagenström K., (2020). Nutritional
status and quality of nutrition in chronic wound patients, Affiliations expand PMID:
32378317 PMCID: PMC7949234, DOI: 10.1111/iwj.13378
Herberger, Müller, Protz, Zyriax, Augustin & Hagenström examined the negative
cofounding factor that influences the process of wound healing. The main aim of this primary
research highlighted the nutritional status of about 90 patients with chronic wounds. It was
observed by the authors of this article that lower tooth and oral health scores were the significant
symptoms observed in that group of patients. It must be reported that the prevalence of chronic
wounds increases with age and majority of these issues occurred due to vascular causes. The
treatment of ulcer wounds is expensive and complex which further explains the negligence
imparted by patients in obtaining intensive medical and nursing care. A healthy diet is an
indicator of sufficient supply of nutrients in the body such as carbohydrates, fats, proteins and
vitamins such as zinc, magnesium etc. A combination of these nutrients lead to wound healing
and further improving the quality of life. The conclusion showcase that patients suffering from
venous leg ulcers have a more likelihood of suffering from malnutrition. The suffering of older
patients also relies on the sociodemographic pattern of the disease. The information presented in
this article was helpful in shaping my research objectives as the authors have provides strong
theoretical study.
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