Introduction

The negative impact of a nutrient deficiency state on overall health and on local wound healing has been recognized for over a century. Yet protein-energy malnutrition (PEM) and the chronic nonhealing wound remain common problems.

The purpose of this monograph is to present current concepts of the diagnosis, treatment, and prevention of a protein-energy deficit in both the acute and chronic wound populations.

Optimum use of macronutrients, especially protein, and micronutrients, and the role of anabolic stimulants will be presented in a manner readily adaptable to clinical use.

Leslie DeSanti, RN
Burn/Trauma Research Nurse
Brigham and Women's Hospital
Clinical Coordinator, Burn-Wound Program
Braintree Rehabilitation Hospital
Robert Demling, MD
Director, Burn Center
Brigham and Women's Hospital
Professor of Surgery
Harvard Medical School

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