This essential reference covers the fundamental principles of clinical nutrition and metabolic support, as well as nutrition-related practice recommendations for adult patients. Coinciding with the 50th anniversary of ASPEN, this fourth edition has been newly revised and updated by over 70 expert contributors to reflect the ways that the science and practice of clinical nutrition have evolved in the last half-century.

Each chapter features updated learning objectives and review questions, making this volume an indispensable resource for both certification and general practice.

New or updated contents:

• Incorporates recent research and the latest evidence-based clinical practice guidelines, including those from ASPEN and ESPEN
• Practical scenarios that illustrate real-world clinical decision-making
• Updated disease-specific and population-related topics in clinical nutrition, including the optimal use of PN and EN
• An expanded chapter on ethics and legal principles as well as their application in practice
• The role of moral, cultural, and religious beliefs in nutrition therapies
• Improved and expanded coverage of micronutrients
• Over 300 informational images, including tables, figures, and exhibits