Critical illness is one of the most physiologically demanding states that a person can endure and typically requires admission to an intensive care unit (ICU) when being actively treated. Critical illness in the ICU has been widely researched at a nutritional level. However, the transition to the general wards and the home environment remains under-recognised, despite its clinical significance. Recognising the nutritional challenges at these transition points and the role of critical care dietitians in addressing them is essential to supporting recovery and improving patient outcomes through targeted nutritional strategies.

  1. Stanojcic M, Finnerty C, Jeschke M. Anabolic and anticatabolic agents in critical care. Curr Opin Crit Care. 2016. 22: 325-331
  2. Xiu F, Stanojcic M, Diao L, Jeschke M. Stress Hyperglycaemia, insulin treatment and innate immune cells. Int J Endocrinol. 2014. 486403
  3. Yoshida M, Yamamoto R, Izumino H et al. Nutrition therapy for physical impairment in critically ill patients: a narrative review of the latest evidence. Clinical Nutrition. 2025. 52:134-153
  4. Elke G, van Zanten A, Lemieux M et al. Enteral versus parenteral nutrition in critically ill patients: an updated systematic review and meta-analysis of randomized controlled trials. Crit Care. 2016.20:117
  5. Terblanche E. The role of dietitians in critical care. Journal of the Intensive Care Society. 2019.20:255-257
  6. The Faculty of Intensive Care Medicine/ Intensive Care Society. Guidelines for the Provision of Intensive Care Services. 2026. Available here: https://www.ficm.ac.uk/sites/ficm/files/documents/2026-01/GPICS%20V3%202026_0.pdf
  7. Ingstad K, Uhrenfeldt L, Kymre I et al. Effectiveness of individualised nutritional care plans to reduce malnutrition during hospitalisation and up to 3 months post discharge: a systematic scoping review. BMJ Open. 2020.10. e040439
  8. Rawal G, Yadav S, Kumar R. Post-intensive Care Syndrome: an Overview. J Transl Int Med. 2017.5:90-92
  9. Connolly B, Milton-Cole R, Adams C et al. Recovery, rehabilitation and follow-up services following critical illness: an updated UK national cross-sectional survey and progress report. BMJ Open. 2021.11: e052214

About the Author: Holly Monday-Jones, RD

Holly is a Clinical Acute Dietitian and Student Lead for Betsi Cadwaladr University Health Board Central area and founder of HMJ Nutrition Services and HMJ Wellbeing Solutions.

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Critical illness is one of the most physiologically demanding states that a person can endure and typically requires admission to an intensive care unit (ICU) when being actively treated. Critical illness in the ICU has been widely researched at a nutritional level. However, the transition to the general wards and the home environment remains under-recognised, despite its clinical significance. Recognising the nutritional challenges at these transition points and the role of critical care dietitians in addressing them is essential to supporting recovery and improving patient outcomes through targeted nutritional strategies.

  1. Stanojcic M, Finnerty C, Jeschke M. Anabolic and anticatabolic agents in critical care. Curr Opin Crit Care. 2016. 22: 325-331
  2. Xiu F, Stanojcic M, Diao L, Jeschke M. Stress Hyperglycaemia, insulin treatment and innate immune cells. Int J Endocrinol. 2014. 486403
  3. Yoshida M, Yamamoto R, Izumino H et al. Nutrition therapy for physical impairment in critically ill patients: a narrative review of the latest evidence. Clinical Nutrition. 2025. 52:134-153
  4. Elke G, van Zanten A, Lemieux M et al. Enteral versus parenteral nutrition in critically ill patients: an updated systematic review and meta-analysis of randomized controlled trials. Crit Care. 2016.20:117
  5. Terblanche E. The role of dietitians in critical care. Journal of the Intensive Care Society. 2019.20:255-257
  6. The Faculty of Intensive Care Medicine/ Intensive Care Society. Guidelines for the Provision of Intensive Care Services. 2026. Available here: https://www.ficm.ac.uk/sites/ficm/files/documents/2026-01/GPICS%20V3%202026_0.pdf
  7. Ingstad K, Uhrenfeldt L, Kymre I et al. Effectiveness of individualised nutritional care plans to reduce malnutrition during hospitalisation and up to 3 months post discharge: a systematic scoping review. BMJ Open. 2020.10. e040439
  8. Rawal G, Yadav S, Kumar R. Post-intensive Care Syndrome: an Overview. J Transl Int Med. 2017.5:90-92
  9. Connolly B, Milton-Cole R, Adams C et al. Recovery, rehabilitation and follow-up services following critical illness: an updated UK national cross-sectional survey and progress report. BMJ Open. 2021.11: e052214

About the Author: Holly Monday-Jones, RD

Holly is a Clinical Acute Dietitian and Student Lead for Betsi Cadwaladr University Health Board Central area and founder of HMJ Nutrition Services and HMJ Wellbeing Solutions.

Leave A Comment