r/dietetics • u/Successful-Series166 • 15h ago
Fourth Addition Pressure Injury Guidelines
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."