Immunonutrition and Wounds

Caroline Fife


Pressure injury guidelines suggest high calorie/high protein nutritional intervention that contains supplemental L-arginine and increased amounts of zinc and other antioxidants for malnourished or at-risk patients with stage 2 or greater wounds. Dr. Fife shares her process of screening for malnutrition and the additional evidence supporting a nutritional algorithm used in her wound clinic. Two case study examples of limb salvage demonstrate use of high protein L-arginine supplemented immunonutrition.
RDs and DTRs practicing in the US may log CPE activities under Activity Type 175 for up to three years from the original presentation date. This program is eligible for 1 CPEU. The activity number for viewing this recording through November 3, 2024 is 167331 (level 2).
To learn more about submitting this activity type visit
To obtain a CE certificate, login or register at

Once logged in, go to

1) Enter PIN code: 9ADAE7A6 in the box provided.
2) Select "Submit"
3) Complete the evaluation for this activity and select “Submit”
4) Select the Dietitian or Attendance certificate type in the drop-down box, enter your professional ID or registration number and click "Print Certificate." The certificate can be saved to your personal computer and/or printed.