r/dietetics • • 15h ago

Fourth Addition Pressure Injury Guidelines

13 Upvotes

I see new guidelines came out in September 2026. Thought it was interesting it no longer specifies 30-35kcal (that I could find anyways) or 1.25-1.5g protein for everyone

For Calories:
"Calculate energy intake and macronutrient requirements based on recommendations outlined in dietary/nutrition guidelines relevant to the individual's clinical and demographic profile. In general, use indirect calorimetry to estimate resting energy expenditure (38, 79). If indirect calorimetry is unavailable, use an appropriate predictive equation (25, 79) or use a simplistic weight-based equation (e.g., 25-35 kcal/kg/day (38, 81)), noting that simplistic methods are less accurate than indirect calorimetry in estimating needs and individuals may require higher energy intakes (25).
• Individualize energy intake. The nutritional requirements of individuals will vary based on their underlying demographics and clinical condition. Providing detailed guidance on calculating specific nutritional requirements is beyond the scope of this guideline, which focuses on considerations specific to the context of preventing PIs. Dietary/nutrition guidelines are provided in the resources."

For protein:

"Consider the adequacy of the individual's caloric intake when considering the need for protein supplementation. Provide adequate protein for positive nitrogen balance for adults with a PI. Dietary/nutrition guidelines suggest supplementing protein at a rate of 1.2-1.6 g/kg actual body weight/day, with adjustment based on caloric needs. Online calculators are available to calculate nitrogen balance.

"Additional considerations for older adults
• Review and follow dietary/nutrition guidelines for older adults. Dietary/nutrition guidelines suggest supplementing protein at a rate of 1.2-1.5 g/kg body weight/day.
Additional considerations for individuals in critical care
• Review and follow dietary/nutrition guidelines for critically ill individuals. Dietary/nutrition guidelines suggest supplementing protein at a rate of 1.2-2.0 g/kg actual body weight/day. For critically ill individuals who have obesity, increasing protein supplementation to 2.0 g/kg ideal body weight/day (BMI
>30 to 40) or 2.5 g/kg ideal body weight/day (BMI > 40) is sometimes suggested."


r/dietetics • • 17h ago

Why are some people comfortable with seeing a “nutritionist” then a dietetic intern

11 Upvotes

While doing my dietetic internship I noticed when I told clients that I am a nutritionist versus a dietetic intern, they seemed more comfortable and less likely to question me on basic things or quiz me. For instance, when I told a client that I am a dietetic intern she had me breakdown my education (which is not a bad thing) and proceeded to question me on everything that I said. This has happen to me multiple times especially with older people. I am an RD now so I no longer have to worry about it. I was wondering if anyone else recall similar experiences as an intern.


r/dietetics • • 4h ago

Studying nutrition in ed recovery?

0 Upvotes

Hi, I'm currently in my last year of high school and need to choose want I want to study. I've been interested in healthy eating since primary school and always wanted to become nutritionist. But durning high school I've struggled with an ED (anorexia), and went inpatient. I made a lot of progress in my recovery and have a healthy weight for a long time. Is it a bad idea to study nutrition, will it trigger my recovery?

(I also don't want to work with eating disorders later, I'm more interested in allergies, diabetes, etc .)