Ashley DePriest @ashleydepriestrd.bsky.social · 30/09/2026Spent my morning in rounds w/ one of our RDs. Every care team needs a RD lens. When RDs join daily rounds, we catch nutrient gaps, optimize feeding regimens, & tailor plans to each pt’s comorbidities. This not only improves care, but also supports d/charge planning👉 🔻 LOS 010
Ashley DePriest @ashleydepriestrd.bsky.social · 28/08/2026PN Order Writing Basics: NOT so basic! @gaspenga.bsky.social #GASPEN26 000
Ashley DePriest @ashleydepriestrd.bsky.social · 28/08/2026Nutrition Support in head and neck cancer is a challenging practice! We’re learning a lot of great tidbits to improve our practice. #GASPEN26 000
Ashley DePriest @ashleydepriestrd.bsky.social · 28/08/2026Dr. Vivian Zhao: connect the anatomy with the micronutrient need. ❓Where are you feeding? What portion of the GI tract might be missing? 🧑🔬Consider all of this when assessing patients for micronutrient supplementation needs. #GASPEN26 @gaspenga.bsky.social 000
Ashley DePriest @ashleydepriestrd.bsky.social · 28/08/2026Micronutrient Deficiencies - where do you see challenges? #GASPEN26 @gaspenga.bsky.social 000
Ashley DePriest @ashleydepriestrd.bsky.social · 28/08/2026One of my favorite times of year: @gaspenga.bsky.social Conference! #GASPEN26 001
Ashley DePriest @ashleydepriestrd.bsky.social · 21/08/2026I saw someone put their colonoscopy prep into a ninja slushy machine and I honestly feel like that is the exact energy we need to reform hospital food service. 000
Ashley DePriest @ashleydepriestrd.bsky.social · 20/08/2026When hospitals talk about 📉 readmissions, nutrition is often missing from the conversation. Yet individualized nutrition therapy has been shown to 📉 nonelective readmissions by ~25–35% across multiple trials. #WhatRDsDo 001
Ashley DePriest @ashleydepriestrd.bsky.social · 04/08/2026When hospitals talk about ⬇️ readmissions, nutrition is often missing from the conversation. Yet individualized nutrition therapy has been shown to ⬇️ nonelective readmissions by ~ 25–35% across multiple trials. Ensure your high risk patients are well nourished! #WhatRDsDo 101
Ashley DePriest @ashleydepriestrd.bsky.social · 29/07/20261. Anabolic resistance 2. Urea‐Cycle Overload 3. Shutting Down Autophagy 4. Fueling a Metabolic Fire: CO₂, Hyperglycemia, Mitochondrial Strain Read more about why protein should be limited in the acute phase: open.substack.com/pub/adepries... 000
Ashley DePriest @ashleydepriestrd.bsky.social · 29/07/2026A missed opportunity for nutrition intervention is before/after dental surgeries, particularly in the elderly. Profound and severe malnutrition can happen quickly when you can’t chew or even drink due to pain. 200
Ashley DePriest @ashleydepriestrd.bsky.social · 29/07/2026For years I pushed "enteral nutrition first, PN after 7 days." Today, the conversation is becoming more nuanced: If enteral feeding isn't feasible, early short term parenteral nutrition may be a reasonable (and safe!) option. Evidence evolves. Our practice should too. 010
Ashley DePriest @ashleydepriestrd.bsky.social · 28/07/2026Low BMI has never been a prerequisite for malnutrition. The growing emphasis on muscle mass, inflammation, and reduced intake reflects what clinicians have known for years: nutrition status is more complex than weight. 010
Ashley DePriest @ashleydepriestrd.bsky.social · 28/07/2026A patient can have obesity. A patient can have severe muscle loss. Both statements can be true. That's why diagnosing malnutrition requires looking beyond the scale. #WhatRDsDo 020
Ashley DePriest @ashleydepriestrd.bsky.social · 24/07/2026Protein recommendations in critical illness are finally catching up to physiology. Instead of rushing to high protein on day one, we're increasingly talking about progressive delivery as patients stabilize. Critical illness isn't static. Nutrition shouldn't be either. 000
Ashley DePriest @ashleydepriestrd.bsky.social · 23/07/2026The phrase "feed the gut" has served us well. But "feed the patient" may be the more important principle. Sometimes that means enteral nutrition. Sometimes it means parenteral nutrition. Physiology should win over dogma. 000
Ashley DePriest @ashleydepriestrd.bsky.social · 23/07/2026Indirect calorimetry isn't just a research tool. If we're serious about personalized ICU nutrition, measuring energy expenditure may be one of the biggest opportunities to move beyond educated guesses. Are you using IC? How often do you measure? 000
Ashley DePriest @ashleydepriestrd.bsky.social · 22/07/2026Personalized nutrition isn't about starting nutrition and following up in a week. It's measuring energy expenditure when possible, recognizing physiologic phases, and adjusting nutrition as the patient changes, not forcing every patient into the same protocol. #WhatRDsDo 000
Ashley DePriest @ashleydepriestrd.bsky.social · 21/07/2026Nutrition is a science. Inpatient nutrition requires knowledge, nuance, and close monitoring. 💪Registered Dietitians are the perfect people for the job! #WhatRDsDo 010
Ashley DePriest @ashleydepriestrd.bsky.social · 15/07/2026Fiber is an underutilized nutrient in enteral nutrition management. We recommend fiber for long term health in patients who are eating but often discharge patients home on non-fiber containing enteral formulas. Don’t forget the fiber! 000
Ashley DePriest @ashleydepriestrd.bsky.social · 08/07/2026Protein provision is no longer about more is more. Protein dosing, especially for ICU, needs precision. And the dietitian is the best person to manage it. 010
Ashley DePriest @ashleydepriestrd.bsky.social · 30/06/2026Wellness trends are creeping into US inpatient care: high calorie (i.e. sugar) oral supplements for cancer patients get unfairly demonized, for example, while “natural” enteral formulas are touted as superior. We must balance patient choice with solid evidence, a nuanced discussion AI can’t mimic. 130
Ashley DePriest @ashleydepriestrd.bsky.social · 24/06/2026If you’re a dietitian looking to level up your clinical influence at the bedside, check out my Substack! I share tips and resources for how to turn your progress notes into action and move siloed expertise into collaborative systems. Subscribe for weekly articles! open.substack.com/pub/adepriestopen.substack.comAshley DePriest | SubstackRegistered dietitian helping clinicians turn evidence into action, progress notes into influence, and siloed expertise into collaborative systems. Click to read Ashley DePriest on Substack. Launched a... 010
Ashley DePriest @ashleydepriestrd.bsky.social · 22/06/2026Today’s reminder: having order-writing privileges as a dietitian is great, but it’s not the summit of dietitian impact. The real work lives in how we think about and implement nutrition care, not just whether we can sign the order. 000
Ashley DePriest @ashleydepriestrd.bsky.social · 12/06/2026As dietitians we are often trained to make our recommendations as a to do list: ▪️start tube feeds ▪️add MVI ▪️start EN But that often brings up more questions about implementation. Framing your recommendations as solving a problem vs a task is more clear & effective. 000
Ashley DePriest @ashleydepriestrd.bsky.social · 10/06/2026A rejected nutrition recommendation isn’t always about the evidence. Sometimes it’s about bleeding risk you didn’t know about. Or a respiratory status conversation happening in the background. Or a dozen other variables that never make it into a journal article. 212
Ashley DePriest @ashleydepriestrd.bsky.social · 09/06/2026What’s the male equivalent of this? Because that is the exact reaction I got from an ortho when explaining my sharp L knee pain with decreased range of motion that occasionally buckles during padel and shin loses feeling when running all he did was an xray. 😩 I can only take so much ibuprofen!!!! 120
Ashley DePriest @ashleydepriestrd.bsky.social · 08/06/2026I have a ton (maybe literally) of old cook books (a lot from the 1950s and 60s). There are so many recipes with prunes - prune cakes, prune cookies, prune juice. When did we stop eating so many prunes?! 000
Ashley DePriest @ashleydepriestrd.bsky.social · 04/06/2026There are subtle ways we are accidentally undermining our clinical authority. I wrote about it here, check it out:open.substack.comEasy to IgnoreHow Dietitians Accidentally Undermine Their Own Influence 010
Ashley DePriest @ashleydepriestrd.bsky.social · 29/05/2026ICU patients typically receive only 50–60% of recommended energy and protein in the first week. The EuroPN cohort found patients hit just 65% of protein targets across European ICUs. Why? 110
Ashley DePriest @ashleydepriestrd.bsky.social · 26/05/2026He was not happy to have been left alone! 000
Reposted by Ashley DePriestKamala Harris @kamalaharris.com · 25/05/2026Today, we pause to remember the Americans who laid down their lives in service to our nation. May we always honor their legacy and support the loved ones they left behind. 472112465
Ashley DePriest @ashleydepriestrd.bsky.social · 25/05/2026We write: “Start EN when the patient is HD stable” “Monitor tolerance closely” “Consider PN if needed” Then wonder why it isn’t followed. Specificity builds trust AND credibility. How would you adjust these phrases for better credibility? 010
Ashley DePriest @ashleydepriestrd.bsky.social · 23/05/2026I’ve started a Substack! Sure I’ll talk about data and trials (you know I love to!) But I’ll also be sharing about things we aren’t formally taught, like how to build influence with your clinical teams. Check out my first post, I hope you’ll subscribe!open.substack.comWhy Evidence Alone Rarely Changes PracticeBecause the "right" recommendation doesn’t always win. 000
Ashley DePriest @ashleydepriestrd.bsky.social · 22/05/2026Friendly reminder to wear your helmet when biking and scootering. 010
Ashley DePriest @ashleydepriestrd.bsky.social · 11/05/2026When sending patients home on EN it’s so easy to just continue what they are receiving inpatient. Consideration for usual long term nutrition, such as fiber intake, needs to be considered. Unless contraindicated, no patient should go home with fiber-free formulas for long term nutrition. #WhatRDsDo 000
Ashley DePriest @ashleydepriestrd.bsky.social · 05/05/2026🧵 A 53yo woman. BMI 15.6. GJ tube. Readmitted 3 weeks post-discharge. A new "Teachable Moment" in @jamainternalmed.com and it's frustrating because it's NOT rare. jamanetwork.com/journals/jam... 1/3jamanetwork.comGastrojejunostomy Tube IntoleranceThis Teachable Moment describes a patient who underwent a recent gastrojejunostomy tube placement, who returned to the hospital after 3 weeks with gastrointestinal distress and leakage at the insertio... 110
Ashley DePriest @ashleydepriestrd.bsky.social · 30/04/2026Which of these patients require more or less calories and protein? What if I told you they are the same height and weight? Without indirect calorimetry, it is very likely all three would receive the same! Do you agree with that approach? 000
Ashley DePriest @ashleydepriestrd.bsky.social · 29/04/2026Please save the date! We have a great lineup of speakers (more to come!) and you can join us both in person in Atlanta or virtually from anywhere. 000
Ashley DePriest @ashleydepriestrd.bsky.social · 21/04/2026Discussing essential fatty acid deficiency at our @gaspenga.bsky.social dinner tonight! Have you cared for a patient with #EFAD? How did you identify and treat? #nutritionsupport @doseofdavis.bsky.social 010
Ashley DePriest @ashleydepriestrd.bsky.social · 22/03/2026Hope you will join me today at 10:30 central for a discussion on AI in critical care nutrition! #SCCM26 010
Ashley DePriest @ashleydepriestrd.bsky.social · 20/03/2026It’s been a long time coming! Together with my co-chair, Beth Taylor DCN, RD, and council sponsor, Tony Gerlach, we are excited to announce the start of a new SCCM Nutrition Knowledge Education Group! 1/3 100
Ashley DePriest @ashleydepriestrd.bsky.social · 11/03/2026If you know a #dietitian, please tell them Happy RD Day today! 010
Ashley DePriest @ashleydepriestrd.bsky.social · 05/03/2026“Did you get a lactate?” Vs “Do we have a lactate?” makes all the difference when communicating with your team. Inclusive language helps build rapport. 000
Ashley DePriest @ashleydepriestrd.bsky.social · 04/03/2026Follow our new @gaspenga.bsky.social account for all things nutrition support! 010
Ashley DePriest @ashleydepriestrd.bsky.social · 02/03/2026We desperately need patient phenotyping for who is and not sensitive to inulin/FOS. 😣 When it works, it works. And when it doesn’t…. 💩💩💩 000
Ashley DePriest @ashleydepriestrd.bsky.social · 28/02/2026Hey, so I highly recommend watching the NFL combine while on the treadmill. 000
Ashley DePriest @ashleydepriestrd.bsky.social · 24/02/2026I can guess a patient’s height within a smaller CI/margin of error than a measured knee height sign me up for the carnival! 🎡 000