Clinical Nutrition

According to the Academy's scope of practice for the registered dietitian nutritionist, clinical nutrition and dietetics practice utilizes the skills, knowledge and applied judgment of the RDN whose practice involves nutrition care, medical nutrition therapy and related services to provide individuals and groups of all ages to address health promotion and prevention, delay or management of diseases and conditions.

Many RDNs work in clinical health care settings where they conduct medical nutrition therapy for a wide variety of patients. To ensure safe and competent patient care, RDNs rely on clinical judgment, collaboration with the health care team and credible, evidence-based resources such as the ones listed here.

Nutrition Care Manual
The Academy's Nutrition Care Manual is a clinical dietitian's go-to resource for therapeutic diet information for more than 100 diseases, conditions and topics. Additionally, the NCM website includes BMI, body surface area, energy expenditure and renal calculators; a formulary; and resources including pediatric growth charts, ICD-10 resources, guidelines commonly used in prescribing diet orders and information on malnutrition coding.

Nutrition Care Process and Terminology
The Academy's Nutrition Care Process and Terminology gives RDNs resources to apply a systematic approach to providing high-quality care. Use the NCP terminology to document nutrition assessment, diagnosis, intervention, monitoring and evaluation with an appropriate, standardized language.

Academy of Nutrition and Dietetics Health Informatics Infrastructure
ANDHII is a web-based documentation tool that provides NCP Terminology and generates reports to demonstrate effectiveness of nutrition interventions and services. ANDHII includes decision support tools to help select the most appropriate nutrition diagnoses and interventions and allows users to set monitoring and evaluation reminders.

Dietary Reference Intakes
The Institute of Medicine of the National Academies developed the DRIs to serve as nutrient reference values in the United States. The DRI website includes tables of estimated average requirement, recommended dietary allowance, adequate intake and DRI values for vitamins, elements, water, electrolytes and macronutrients. The site also includes a background paper on the framework for DRI development.

American Academy of Pediatrics Committee on Nutrition
The AAP Committee on Nutrition website provides links to policy statements as well as handbooks, brochures and other resources, including the Pediatric Nutrition Handbook, Breastfeeding Handbook for Physicians, ABCs of Good Nutrition for Young Children, Lactose Intolerance and Your Child and A Guide to Children's Dental Health.

CDC and WHO Pediatric Growth Charts
The Centers for Disease Control and Prevention website houses both the CDC and World Health Organization pediatric growth charts. Use the WHO charts for children up to age 2 in the United States and the CDC growth charts for children ages 2 and older in the United States.

NIH National Cancer Institute
NCI's website features resources including clinical trials, PDQ information summaries, education, training and risk assessment tools. NCI also offers resources for patients ranging from cancer basics and diagnosis to treatment, coping and managing cancer care.

NIH National Institute of Diabetes and Digestive and Kidney Diseases
The NIDDK website provides patient resources, clinical trial referrals and resources such as a quick reference guide for comparing tests for diabetes and prediabetes. Resources specific to the National Diabetes Education Program and National Kidney Disease Education Program are available, including a kidney disease education lesson builder and professional training modules.

National Kidney Foundation
The National Kidney Foundation website includes numerous resources for both patients and health-care professionals. Highlights include an A to Z comprehensive health guide to kidney disease and related conditions, and topics and clinician tools such as a GFS calculator. The dietitian-specific website contains resources including the KDOQI guidelines and a renal dietitian orientation and training skills checklist.

American Society for Parenteral and Enteral Nutrition Clinical Guidelines
ASPEN is an interdisciplinary organization that provides evidence-based resources for clinicians. The practice guidelines for nutrition support are based on systematic reviews of the medical literature. ASPEN also provides adult and pediatric nutrition support core curricula a nutrition support practice manual and the Journal of Parenteral and Enteral Nutrition.

The Coram website houses online TPN and tube feeding patient education tools as well as free continuing education opportunities for RDNs. The health professionals portion of the site also includes medical publications and clinical trial information.

The Oley Foundation
Founded by a physician and patient, the Oley Foundation is a nonprofit organization benefiting nutrition support patients. The Oley Foundation website contains resources for clinicians and patients on topics ranging from home tube feeding with blenderized foods to insurance and travel advice.

Cystic Fibrosis Foundation
The Cystic Fibrosis Foundation website provides valuable support for the care of people with CF, including resources for patients, caregivers and clinicians. The nutrition section of this site contains articles on common issues and nutrients, and a booklet on understanding tube feeding geared toward families and parents of children with CF. The site also houses CF clinical care guidelines including nutrition and GI.

Nutrition in Clinical Practice Journal
Nutrition in Clinical Practice is a peer-reviewed, interdisciplinary journal containing reviews, clinical research and case observations. NCP is an official journal of ASPEN and offers podcasts on key topics.

Practical Gastroenterology Journal
A professional, clinical medical journal focused on digestive diseases, Practical Gastroenterology offers peer-reviewed articles on nutrition-related issues such as short bowel syndrome, non-celiac gluten sensitivity, inflammatory bowel disease, constipation, cystic fibrosis, eosinophilic esophagitis and Wernicke's encephalopathy.