The National Pressure Ulcer Advisory Panel (NPUAP), European Pressure Ulcer Advisory Panel (EPUAP) and Pan Pacific Pressure Injury Alliance (PPPIA) collaborated in the development of the 2014 edition of Prevention and Treatment of Pressure Ulcers: Clinical Practice Guidelines. These guidelines draw upon the findings of a comprehensive literature review and are evidence based. The guideline includes 575 explicit recommendations and/or research summaries for pressure ulcer topics from A to Z including nutrition.
There are a couple of noticeable changes throughout the guidelines
1. Strength of Recommendation > you will recall previous versions included Strength of Evidence which were often a B or C for nutrition. The Strength of Recommendation seems to go beyond the available research and further support identified nutrition guidelines.
2. Nutrition Guidelines for At-Risk of Pressure Ulcer > review of the guidelines supports the need for equal nutrition interventions for the at-risk adult as well as the individual with a pressure ulcer.
3. A new Strength of Evidence with an A rating is, “Offer high calorie, high protein nutritional supplements in addition to the usual diet to adults with nutrition risk and pressure ulcer risk, if nutritional requirements cannot be achieved by dietary intake.”
The complete Prevention and Treatment of Pressure Ulcers: Clinical Practice Guidelines can be found at