Guidelines & Standards

ASPEN provides clinical guidance documents* to assist our members in providing safe nutrition care to patients. These documents are developed by content experts and approved by the ASPEN Board of Directors.

More about ASPEN clinical guidelines

Our clinical guidelines are scientific, systematically developed, evidence-based, evidence-informed documents that provide practice recommendations to guide practitioner and patient decisions about nutrition and nutrition care practice. According to the best available evidence, in the absence of evidence, guidelines systematically outline the opinions of a large collection of experienced clinicians for the purposes of unifying nutrition and nutrition care and coordinating future research efforts.

ASPEN Guidelines Program Director and Editor in Chief: Liam McKeever, PhD, RDN, FASPEN

Read more about ASPEN’s Clinical Guideline Program, including methodology and projects under development

More about other ASPEN Board of Directors-approved paper types

Our position papers present the official opinion of ASPEN on a particular topic.

Our special reports present ASPEN-generated clinical or public policy information that is important for ASPEN constituents and does not fall into any of the other categories.

Our practice standards are benchmarks for competent care performance. They define the structure and professional responsibilities needed to ensure patient safety and treatment success.

Our expert guidance documents may have different category names (i.e. consensus recommendations) as ASPEN Board-approved paper types have evolved over time. ASPEN is continually committed to producing highly rigorous clinical guidance.

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Archived
A.S.P.E.N. Ethics Position Paper
Position Paper 12.2010
Topics Include: Medical/Nutrition Ethics, Nutrition Support
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Pediatric Nasogastric Tube Placement and Verification: Best Practice Recommendations From the NOVEL Proj…
Journal Article 12.2018
Topics Include: Enteral access, Pediatrics, Enteral nutrition
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Guidance for the Assessment of the Inflammation Etiologic Criterion for the GLIM Diagnosis of Malnutriti…
Expert Guidance 01.2024
Topics Include: Malnutrition, Assessment
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Archived
Standards of Practice for Nutrition Support Nurses (2007)
Practice Standard 08.2007
Topics Include: Nutrition Support
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Archived
Standards for Nutrition Support: Adult Hospitalized Patients (2010)
Practice Standard 08.2010
Topics Include: Nutrition Support, Adults
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Standards of Practice for Nutrition Support Physicians
Practice Standard 03.2012
Topics Include: Nutrition Support
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Standards for Nutrition Support: Pediatric Hospitalized Patients
Practice Standard 02.2012
Topics Include: Pediatrics, Nutrition Support
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ASPEN Standards for Nutrition Support: Home and Alternate Site Care
Practice Standard 06.2014
Topics Include: Home nutrition support
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Archived
American Society for Parenteral and Enteral Nutrition and Academy of Nutrition and Dietetics: Revised 20…
Practice Standard 12.2014
Topics Include: Nutrition Support
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Standards of Practice for Nutrition Support Pharmacists
Practice Standard 10.2014
Topics Include: Nutrition Support
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Standards of Nutrition Care Practice and Professional Performance for Nutrition Support and Generalist N…
Practice Standard 06.2016
Topics Include: Nutrition Support
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Standards for Nutrition Support: Adult Hospitalized Patients
Practice Standard 10.2018
Topics Include: Adults, Nutrition Support
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Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Revised 20…
Practice Standard 09.2021
Topics Include: Nutrition Support
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Archived
ASPEN Research Agenda 2013
Journal Article 11.2013
Topics Include: Nutrition Support, Research
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Resources for the Provision of Nutrition Support to Children in Educational Environments
Journal Article 07.2017
Topics Include: Pediatrics, Nutrition Support, Administration
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ASPEN Definition of Terms, Style, and Conventions Used in ASPEN Board of Directors-Approved Documents
File Download 05.2018
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ASPEN Research Agenda 2018
Journal Article 07.2018
Topics Include: Nutrition Support, Research
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Enteral and Parenteral Order Writing Survey – A Collaborative Evaluation Between the Academy of Nu…
Journal Article 03.2020
Topics Include: Enteral nutrition, Parenteral nutrition
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ASPEN Definitions in Pediatric Intestinal Failure
Journal Article 07.2021
Topics Include: Pediatrics, Intestinal Failure
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ASPEN Statement on Aluminum in Parenteral Nutrition Solutions
Position Paper 08.2004
Topics Include: Parenteral nutrition, Minerals/Trace Elements
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Disease-Related Malnutrition and Enteral Nutrition Therapy: A Significant Problem with a Cost-Effective …
Position Paper 08.2010
Topics Include: Malnutrition, Enteral nutrition, Public policy
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ASPEN Position Paper: Parenteral Nutrition Glutamine Supplementation
Position Paper 06.2011
Topics Include: Parenteral nutrition, Minerals/Trace Elements, Protein
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ASPEN Position Paper: Clinical Role for Alternative Intravenous Fat Emulsions
Position Paper 02.2012
Topics Include: Lipids, Parenteral nutrition, Parenteral formulas/compounding
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ASPEN Position Paper: Recommendations for Changes in Commercially Available Parenteral Multivitamin and …
Position Paper 06.2012
Topics Include: Vitamins, Minerals/Trace Elements, Parenteral nutrition
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The Use of Visceral Proteins as Nutrition Markers: An ASPEN Position Paper
Position Paper 10.2020
Topics Include: Assessment, Malnutrition, Fluids-electrolytes/acid-base
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Ethical Aspects of Artificially Administered Nutrition and Hydration: An ASPEN Position Paper
Position Paper 02.2021
Topics Include: Nutrition Support, Medical/Nutrition Ethics
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Importance of public-private partnerships for nutrition support research: An ASPEN Position Paper
Position Paper 10.2021
Topics Include: Nutrition Support, Research
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ASPEN Safe Practices for Enteral Nutrition Therapy
Expert Guidance 01.2017
Topics Include: Enteral nutrition, Enteral access, Enteral formulas, Administration, Transitions of Care, Safety
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When is enteral nutrition indicated?
Expert Guidance 07.2022
Topics Include: Enteral nutrition
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Blenderized Tube Feedings: Practice Recommendations from ASPEN
Expert Guidance 10.2023
Topics Include: Enteral nutrition, Enteral formulas, Administration
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Consensus Statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Entera…
Expert Guidance 04.2012
Topics Include: Malnutrition, Adults, Diagnosis, Assessment
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Consensus Statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Entera…
Expert Guidance 11.2014
Topics Include: Malnutrition, Pediatrics, Diagnosis, Assessment
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GLIM Criteria for the Diagnosis of Malnutrition: A Consensus Report From the Global Clinical Nutrition C…
Expert Guidance 01.2019
Topics Include: Malnutrition, Diagnosis
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Global Leadership Initiative on Malnutrition (GLIM): Guidance on Validation of the Operational Criteria …
Expert Guidance 06.2020
Topics Include: Malnutrition, Diagnosis, Adults
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Guidance for assessment of the muscle mass phenotypic criterion for the Global Leadership Initiative on …
Expert Guidance 04.2022
Topics Include: Malnutrition, Diagnosis
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Nutritional care is a human right: Translating principles to clinical practice
Expert Guidance 05.2022
Topics Include: Public policy, Malnutrition
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Malnutrition risk screening in adult oncology outpatients: An ASPEN systematic review and clinical recom…
Expert Guidance 10.2024
Topics Include: Malnutrition, Oncology, Screening, Adults
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Consensus Recommendations for Optimizing Electronic Health Records for Nutrition Care
Expert Guidance 11.2019
Topics Include: Informatics
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ASPEN Clinical Guidelines: Nutrition Support in Adult Acute and Chronic Renal Failure
Clinical Guideline 07.2010
Topics Include: Adults, Renal disease, Nutrition Support
Read Article
Archived
Safe Practices for Parenteral Nutrition
Clinical Guideline 11.2004
Topics Include: Parenteral nutrition, Parenteral formulas/compounding
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Clinical Guidelines for the Use of Parenteral and Enteral Nutrition in Adult and Pediatric Patients (200…
Clinical Guideline 04.2009
Topics Include: Pediatrics, Adults, Enteral nutrition, Parenteral nutrition
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ASPEN Clinical Guidelines: Nutrition Support Therapy During Adult Anticancer Treatment and in Hematopoie…
Clinical Guideline 08.2009
Topics Include: Adults, Oncology, Nutrition Support
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ASPEN Clinical Guidelines: Nutrition Support of Hospitalized Adult Patients with Obesity
Clinical Guideline 08.2013
Topics Include: Adults, Obesity, Nutrition Support
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ASPEN Clinical Guidelines: Nutrition Screening, Assessment, and Intervention in Adults
Clinical Guideline 01.2011
Topics Include: Adults, Screening, Assessment
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ASPEN Clinical Guidelines: Nutrition Support of Hospitalized Pediatric Patients with Obesity
Clinical Guideline 01.2010
Topics Include: Pediatrics, Obesity, Nutrition Support
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ASPEN Clinical Guidelines: Nutrition Support of Neonatal Patients at Risk for Necrotizing Enterocolitis
Clinical Guideline 06.2012
Topics Include: Neonates, Gastroenterology, Nutrition Support
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ASPEN Clinical Guidelines: Nutrition Support of Neonatal Patients at Risk for Metabolic Bone Disease
Clinical Guideline 05.2013
Topics Include: Neonates, Nutrition Support, Fluids-electrolytes/acid-base, Parenteral nutrition
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ASPEN Clinical Guidelines: Support of Pediatric Patients with Intestinal Failure at Risk of Parenteral N…
Clinical Guideline 04.2014
Topics Include: Pediatrics, Liver disease, Parenteral nutrition, Intestinal Failure
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ASPEN Clinical Guidelines: Hyperglycemia and Hypoglycemia in the Neonate Receiving Parenteral Nutrition
Clinical Guideline 12.2011
Topics Include: Neonates, Parenteral nutrition, Fluids-electrolytes/acid-base
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ASPEN Clinical Guidelines: Nutrition Support of Adult Patients with Hyperglycemia
Clinical Guideline 06.2012
Topics Include: Adults, Diabetes, Nutrition Support
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ASPEN Clinical Guidelines: Nutrition Support of Children with Human Immunodeficiency Virus Infection
Clinical Guideline 11.2009
Topics Include: Pediatrics, HIV, Nutrition Support
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ASPEN Clinical Guidelines: Nutrition Support of Neonates Supported with Extracorporeal Membrane Oxygenat…
Clinical Guideline 05.2010
Topics Include: Neonates, Nutrition Support, Cardiac disease
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Archived
ASPEN Clinical Guidelines: Nutrition Support of the Critically Ill Child (2009)
Clinical Guideline 04.2009
Topics Include: Critical care, Nutrition Support, Pediatrics
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Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Pat…
Clinical Guideline 01.2016
Topics Include: Critical care, Nutrition Support, Adults
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ASPEN Pocket Cards: Summary of the 2017 Pediatric Critical Care Guidelines
File Download 01.2017
Topics Include: Pediatrics, Critical care, Nutrition Support
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Summary of the 2021 ASPEN Adult Critical Care Guideline
File Download 01.2021
Topics Include: Critical care, Adults, Nutrition Support

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ASPEN-FELANPE Guideline: Nutrition Support of Adult Patients with Enterocutaneous Fistula
Clinical Guideline 12.2016
Topics Include: Gastroenterology, Nutrition Support, Adults
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Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill…
Clinical Guideline 07.2017
Topics Include: Pediatrics, Critical care, Nutrition Support
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Guidelines for the Provision of Nutrition Support Therapy in the Adult Critically Ill Patient: The Ameri…
Clinical Guideline 11.2021
Topics Include: Critical care, Adults, Nutrition Support
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ASPEN Guidelines for the Selection and Care of Central Venous Access Devices for Adult Home Parenteral N…
Clinical Guideline 10.2018
Topics Include: Venous access, Adults, Home nutrition support, Parenteral nutrition
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ASPEN Guidelines: The Validity of Body Composition Assessment in Clinical Populations
Clinical Guideline 06.2019
Topics Include: Body composition
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ASPEN Consensus Recommendations for Refeeding Syndrome
Expert Guidance 04.2020
Topics Include: Refeeding Syndrome, Nutrition Support, Parenteral nutrition
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Standardized Competencies for Parenteral Nutrition Prescribing
Journal Article 08.2015
Topics Include: Parenteral formulas/compounding, Parenteral nutrition
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Standardized Competencies for Parenteral Nutrition Order Review and Parenteral Nutrition Preparation, In…
Journal Article 08.2016
Topics Include: Parenteral formulas/compounding, Parenteral nutrition
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Standardized Competencies for Parenteral Nutrition Administration: The ASPEN Model
Journal Article 04.2018
Topics Include: Parenteral nutrition, Administration
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Safe care transitions for patients receiving parenteral nutrition
Expert Guidance 06.2022
Topics Include: Parenteral nutrition, Transitions of Care
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Recommendations for photoprotection of parenteral nutrition for premature infants: An ASPEN position pap…
Position Paper 10.2021
Topics Include: Parenteral nutrition, Neonates
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Update on the Use of Filters for Parenteral Nutrition: An ASPEN Position Paper
Position Paper 02.2021
Topics Include: Parenteral nutrition, Administration
Read Article
ASPEN Clinical Guidelines: Parenteral Nutrition Ordering, Order Review, Compounding, Labeling, and Dispe…
Clinical Guideline 03.2014
Topics Include: Parenteral formulas/compounding, Parenteral nutrition
Read Article
ASPEN Lipid Injectable Emulsion Safety Recommendations Part 2: Neonate and Pediatric Considerations
Expert Guidance 12.2021
Topics Include: Neonates, Pediatrics, Lipids, Parenteral nutrition
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ASPEN Lipid Injectable Emulsion Safety Recommendations, Part 1: Background and Adult Considerations
Expert Guidance 10.2020
Topics Include: Lipids, Parenteral nutrition, Adults
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ASPEN Parenteral Nutrition Safety Consensus Recommendations
Journal Article 03.2014
Topics Include: Parenteral nutrition, Parenteral formulas/compounding
Read Article
Guidelines for Parenteral Nutrition in Preterm Infants: The American Society for Parenteral and Enteral …
Clinical Guideline 09.2023
Topics Include: Parenteral nutrition, Neonates
Read Article
When Is Parenteral Nutrition Appropriate?
Expert Guidance 03.2017
Topics Include: Parenteral nutrition
Read Article
See a list of ASPEN-endorsed documents

ASPEN endorses these key resources from other organizations that align with our mission, scope of practice, and quality standards:

*These clinical guidance documents do not constitute medical or other professional advice and should not be taken as such. To the extent that the information herein may be used to assist in the care of patients, this is the result of the sole professional judgment of the attending healthcare professional whose judgment is the primary component of quality medical care. The information presented in these documents is not a substitute for the exercise of such judgment by the healthcare professional. These documents have been developed and reviewed by ASPEN committees or task forces and approved by the ASPEN Board of Directors.

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