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Top 5 Nutrients for Wound Healing

Amy Long Carrera, MS, RD, CNSC, CWCMS
Registered Dietitian Nutritionist | Shield HealthCare
11/18/15  9:25 AM PST
Nutrients for Wound Healing

Top 5 Nutrients for Wound Healing

If you have a pressure injury, nutrition becomes especially important. Consume a variety of foods to ensure that you get enough nutrients to help with wound healing.

CALORIES

Having a pressure injury increases your calorie needs. You may need to add extra calories to food if you have trouble gaining weight. Getting enough calories helps your body to avoid using protein for energy during times of stress or illness.

Recommendation: 30-35 calories per kilogram of body weight per day for people under physical stress with a pressure injury (adjust for underweight or obesity)

TIP: Consume snacks or eat smaller, more frequent meals to avoid feeling too full to eat enough.

Good sources:

  • Oral nutrition supplements
  • Nuts, seeds and nut butters
  • Vegetable oil, butter, cream
  • Avocado and dried fruit

PROTEIN

Protein is necessary to make and repair tissue. You may need extra protein if you have a large or draining wound or if you are underweight. Adequate protein intake will help your body maintain a positive nitrogen balance for wound healing.

Recommendation: 1-1.5 grams/kilogram/day

TIP: More than 2 grams/kilogram may contribute to dehydration in the elderly.

Good sources:

  • Beef, poultry, pork, fish, seafood, eggs
  • Milk, yogurt, cheese
  • Fortified milk
    • 1 quart of whole or low-fat milk
    • 1 cup powdered non-fat dry milk or protein powder
    • Blend and chill for at least 6 hours
  • Beans, nuts, soy

Protein

WATER

Your body needs water to transport nutrients and get rid of waste products. Drink at least eight 8-ounce glasses of water daily. You may need more if you have a draining wound, high-protein diet, fever, use air-infused beds, or have negative pressure wound therapy.

Recommendation: 30-35 milliliters/day or 1 milliliter/calorie consumed

Good sources:

  • Fruits and vegetables
  • Juice and milk
  • Jell-O
  • Popsicles
  • Broth-based soups

VITAMIN C

Vitamin C helps prevent damage to your cells and repair tissue. You may need a vitamin C supplement if you have wound that is difficult to heal or if you don’t eat enough fruits and vegetables.

Recommendation: For clinical or suspected deficiency supplement up to 2,000 daily until resolved.

Recommended Dietary Allowance (RDA) for adults: 75-90 milligrams per day

Tolerable Upper Intake Levels (ULs) for adults: 2,000 milligrams per day

TIP: There is a risk of toxicity in patients with chronic renal failure and high doses of vitamin C may also cause gastric upset.

Good Sources:

  • Citrus fruit and kiwi
  • Bell pepper, broccoli, cauliflower

kiwi

ZINC

You need zinc to make collagen, a major protein in connective tissue necessary for wound healing.

You should be able to get enough zinc from food and a daily multivitamin but your needs may be increased if you have heavily draining wounds or if you don’t eat enough food.

Recommendation: For clinical deficiency:  40 to 50 milligrams of elemental zinc for up to 30 days.

RDA for adults: 8-11 milligrams per day

ULs for adults: 10 milligrams per day

TIP: Long term high doses of zinc, such as from a supplement, inhibits copper absorption, contributing to anemia, impaired immune system and poor wound healing.

Good Sources:

  • Seafood (especially oysters)
  • Beef, pork, chicken
  • Yogurt and cheese
  • Fortified breakfast cereal, oatmeal, cashews
  • Chickpeas

nutrition and wound healing

Nutritious Recipes

Grilled Steak with Peperonata Sauce

Nutrients for Wound Healing

454 calories, 23 g fat, 17 g sugar, 39 g protein, 280 mg vitamin C, 7 mg zinc, 4 g dietary fiber

PREP TIME: 20 MIN

TOTAL TIME: 55 MIN + marinating time

SERVINGS: 4

  • 4 Cloves garlic
  • ½ C dry red wine
  • 12 Small fresh basil leaves
  • 1 Tsp dried rosemary
  • 4 Tbsp. olive oil
  • 1½ Lb. flank steak
  • 1 Large onion, sliced
  • 4 Large bell peppers, sliced
  • ½ Tsp dried oregano
  • 5 Tsp capers, rinsed
  • 1 Tbsp. balsamic vinegar
  1. SMASH 2 of the garlic cloves. Finely chop remaining 2 cloves and set aside. Add smashed garlic to zip-top bag along with wine, basil, rosemary, and 2 Tbsp. of the oil. Add steak and chill 6 hours.
  2. HEAT 1 Tbsp. of the oil in pot over medium heat. Add onion and cook, stirring, until golden, 10 minutes. Add peppers, oregano, and remaining 1 Tbsp. oil. Cover and cook, stirring, until softened, 5 minutes. Add reserved chopped garlic and cook, stirring, 1 minute. Stir in capers and vinegar and cook 2 minutes. Season to taste.
  3. PREPARE lightly oiled grill for medium-high heat. Remove steak from marinade (discard marinade) and sprinkle with ¼ tsp salt. Season with black pepper. Grill, turning, 6 minutes per side for medium-rare. Let stand 3 minutes and thinly slice against the grain. Top with peperonata.

Healthy Protein Smoothie

585 calories, 59 g protein, 22 g fat, 38 g carbohydrate, 8 g fiber

Blend together:

  • 12 Oz water (can also use milk or yogurt)
  • 2 Scoops chocolate flavored protein powder (or 6 Tbsp. powdered non-fat dry milk)
  • 1 Banana
  • 1 Cup of spinach
  • 2 Tbsp. of natural peanut butter
  • 1 Tbsp. cacao nibs or dark cocoa powder

 

High-Calorie, High-Protein Fruit Smoothie

320 calories, 60 g carbohydrate, 19 g protein, 2 g total fat

Makes 1 large serving

Ingredients

  • 6 Oz (¾ C) orange juice
  • 1 Banana
  • 6 Frozen strawberries (unsweetened)
  • 1 Oz (3 Tbsp.) protein powder or powdered non-fat dry milk

Directions: Place all ingredients in blender. Blend until smooth

Fortified Oatmeal

1 serving (approximately 10 Oz or 1⅓ Cup) = 355 calories, 8 g protein

  • ⅓ C oatmeal
  • ½ C half-and-half
  • ½ C water
  • ⅓ Tbsp. margarine or butter
  • Brown sugar to taste

Directions: Measure half-and-half, water, and margarine or butter into a saucepan. Bring to a boil. Add oatmeal and cook until thick. Serve with brown sugar on top.

Fortified Pudding

Nutrients for Wound Healing

1 serving = 260 calories, 4 g protein

  • ¼ C instant pudding mix
  • ½ C half-and-half

Directions: Blend all ingredients together and serve.

Orange Creamsicle Shake

1 serving (¾ Cup) = 330 calories, 4 g protein

  • ⅓ C orange sherbet
  • ½ C half-and-half
  • 1 Tbsp. light corn syrup
  • ⅓ Tbsp. oil

Directions: Blend all ingredients together and serve.

 

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Comments

1 Comment

  1. Elizabeth Gardner
    Posted January 14, 2016 at 12:24 pm PDT

    good to know I have a wound but not a pressure ulcer

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