Change management: the power of simplicity and small incremental steps
Nutrition from the ICU to recovery
In this talk from ESPEN 2026, Prof. Paul Wischmeyer from Duke University School of Medicine explains why nutrition should be seen as therapy, not support, for critically ill patients. Drawing on a powerful patient story and his own personal experience as an ICU patient, he shows how small gaps in nutrition care can add up with devastating results for patients and their families, and how teams can turn guidelines into daily practice.
What you will learn
- Why nutrition deserves the same attention as other ICU therapies
- Common gaps in care, such as late enteral feeding, feeding interruptions and removing feeding tubes too early
- How his team at Duke used a simple pathway to address barriers and beliefs among clinicians
- Why ownership, measuring progress and celebrating success help drive change
- The role of early mobility, oral nutritional supplements (ONS) and follow-up after discharge in recovery
Watch the full talk
Watch the full video to hear how Prof. Wischmeyer and his team improved nutrition delivery in their hospital, one step at a time. The talk includes practical tips on simple protocols, bedside checklists, and follow-up care to support patients during and after critical illness.
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Change management: the power of simplicity and small incremental steps
ESPEN 2026
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