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Nutrition for Recovery
CURRENT RESEARCH ARTICLE TOPICS
Children's Health
Nutrition for Recovery
Research References Index
Published July 2, 2013 in Nutrition for Recovery
Nutritional Support for Trauma Recovery
 
Dr. Marc S. Stevens, MD, FACS, FICSBy Dr. Marc S. Stevens, MD, FACS, FICS

As an Orthopeadic Surgeon, it is important to understand the full function of the body before and after any surgery or trauma. This includes understanding the extent of the trauma and also the ability of the body to recover from that trauma. The body during times of healing clearly requires increased oxygen and nutrients. To be able to maintain the normal functions of the body and heal injured tissue demand must go beyond the basal rate. Energy expenditure may rise by as much as 50 percent to support the intense metabolic workload (Omerbegovic M et al 2003). Studies over the last 20 years have demonstrated that a positive nutritional balance results in improved healing rates of wounds, decreased hospital stays, and decreased infection rates.

Population studies indicate that up to 44 percent of people with wound and surgical trauma are malnourished (Reid CL 2004). Patients that in the process of healing have a greater load there is a shift in the metabolic response, and the breakdown of healthy tissue is often necessary to respond to the need to repair damaged tissue. This results in lean muscle mass loss. Typically carbohydrates will lead the caloric response in a healthy individual. In the stressed patient the shift is to healthy tissue breakdown of protein. Catecholamines drive the body into a higher metabolic state. This cycle continues until at last the wound is healed. We must support the body into a state that will allow us to recover as fast as possible. With faster rates of healing we see less infection opportunity, improved scar formation, and less overall metabolic trauma to the healing patient.

Another component of great importance is wound prevention. It is far better to avoid being hit by the car than to deal with the problem of being crushed by the car. For diabetics, smokers, patients who are overweight, immunocomprimised, and chronically ill patients it is essential to support the body to prevent the development of wounds.

I believe there is a direct relationship between the nutritional health of my patients and their ability to recover from surgery. Improving the health of patients through nutrition showed benefits to fight infection, recover from trauma & injury, as well as recover quickly. By giving the body the essential building blocks, we are supporting and allowing the body to do what it is designed to do. Enlisting the support of top medical doctors we set out to formulate a genuine product that would support the design of the body and promote rapid healing for our patients. A product containing vital nutrients and vitamins that promote the restoration and maintenance of the miraculous body was born.

In January of 2008 I introduced my patients to H3 Rapid Recovery, an Optimal Health Formula comprised of scientifically proven nutritional components that are vital for the body to heal and recover from surgery and trauma. My patients were enthusiastic about having something to aide in the healing process. Patients were encouraged to see that I was taking a proactive approach to their nutritional needs, as well as, the traditional medical approach. It has been so rewarding to interact with my patients in such a new way. Whether treating surgical patients, fractures, or open wounds I am implementing H3 Rapid Recovery. I am encouraged to know that I am doing all that I can to speed patients to a full recovery.

Everyone was enthusiastic about having something to aide in the healing process. Patients were encouraged to see that I was taking a proactive approach to their nutritional needs, as well as, the traditional medical approach. It has been so rewarding to interact with my patients in such a new way. Whether treating surgical patients, fractures, or open wounds I am implementing H3 Rapid Recovery.  I have had two patients that did not heal after primary surgery. Both patients returned to the operating room for debridement. After the second surgery I recommended they try H3 Rapid Recovery. Their post operative recovery time was cut in half. The incisions were healed in 4 days vs. the traditional 9-10 days. The most rewarding part of H3 Rapid Recovery is for the first time I have something that has scientific data to support nutritional supplementation. As a physician this is exciting. I am pleased to have H3 Rapid Recovery as a vital part of my patient care.

References:

  1. Article: Understanding the role of nutrition and wound healing
    Nutr Clin Pract. 2010 Feb;25(1):61-8. Stechmiller JK. University of Florida College of Nursing,
    Health Professions, Nursing and Pharmacy Complex, Office 3222, PO Box 100187, Gainesville, FL 32610-0187, USA. stechjk@ufl.eduOptimal wound healing requires adequate nutrition. Nutrition deficiencies impede the normal processes that allow progression through stages of wound healing. Malnutrition has also been related to decreased wound tensile strength and increased infection rates. Malnourished patients can develop pressure ulcers, infections, and delayed wound healing that result in chronic nonhealing wounds. Chronic wounds are a significant cause of morbidity and mortality for many patients and therefore constitute a serious clinical concern. Because most patients with chronic skin ulcers suffer micronutrient status alterations and malnutrition to some degree, current nutrition therapies are aimed at correcting nutrition deficiencies responsible for delayed wound healing. This review provides current information on nutrition management for simple acute wounds and complex nonhealing wounds and offers some insights into innovative future treatments.”
  2. Article: Protein-calorie malnutrition and involuntary weight loss: the role of aggressive nutritional intervention in wound healing.
    Ostomy Wound Manage. 1999 Mar;45(3):46-51, 54-5. Culinary Service Network, Inc., Blue Bell, PA 19422, USA.“Protein-calorie malnutrition and involuntary weight loss continue to be prevalent among hospitalized and long-term care patients, particularly the elderly. Studies on nutritional intervention have established a correlation between nutritional status, body weight, and rate of wound healing. Nutritional intervention, however, must be provided early enough to prevent a catabolic-induced decline in lean muscle mass, which can further impair wound healing. Chronic, nonhealing wounds are particularly difficult to treat and contribute to significant morbidity, mortality, and hospitalizations. More aggressive nutritional management and a greater understanding of the role of nutrition and weight gain in wound healing can result in more effective patient care. This article discusses the role of protein-calorie malnutrition and involuntary weight loss in hindering the wound-healing process, and the need to establish an optimal anabolic environment for weight gain and improved wound healing.”
  3. Article: The role of nutrition in wound healing,
    MedSurg Nursing, August, 1997 by Vittoria Pontieri-Lewis
    http://findarticles.com/p/articles/mi_m0FSS/is_n4_v6/ai_n18607502/ Nutrition plays a vital role in wound healing, as it provides the raw materials needed for wound repair and the prevention of infection (Doughty, 1992). Wound healing depends upon the adequate intake and absorption of nutrients such as vitamins, minerals, proteins, and calories. Delayed or impaired wound healing occurs if nutritional supplies are lacking due to intake (malnutrition), abnormal absorption (GI tract disease or surgery), and/or increased metabolic demands (draining wounds).”
 
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