Summer 2022 Course Overview

*Please note the dates and times for each individual session as they may vary from week to week. All time zones are U.S. Eastern Time.

Learning Objectives

1. Assess personal knowledge of nutrition support and identify areas requiring further study for the nutrition support specialty certification examination or other professional growth.
   
2. Review core nutrition support topics including GI disorders, nutrition assessment, parenteral nutrition, and enteral nutrition.
   
3. Highlight specialty areas of nutrition support such as pediatric nutrition support, home care, critical care, and fluids and electrolytes.

Topics / Speakers:

Indirect Calorimetry - How Can I Measure Up?
Laura Niederer, RDN, LDN, Clinical Research Coordinator & Registered Dietitian, Duke University Hospital, Durham, NC

Application of Acid-Base Principles in Nutrition Support
Angela Bingham, PharmD, BCPS, BCNSP, BCCCP, FASPEN, FCCP, FASHP, Vice Chair and Associate Professor of Clinical Pharmacy, Philadelphia College of Pharmacy, Philadelphia, PA

Refeeding Syndrome: it's Nutritious, so Suspicious
Rachel Leong, PharmD, Emory Nutrition Support Pharmacy Fellow, Emory University Hospital, Atlanta, GA

Enteral Nutrition 101 - Choosing the Right Enteral Formula
Ashley DePriest, MS, RD, LD, CNSC, Clinical Nutrition Manager Wellstar Kennestone Hospital, Marietta, GA

Enteral Feeding and the Oncology Patient
Nathan Schober, MS, RD, LD, CNSC, CET, Lead Clinical Oncology Dietitian, Comprehensive Care and Research Center – Atlanta, Newnan, GA

Transitions of Care: Reimbursement for the Patient on Parenteral and Enteral Nutrition Support Therapies
Laura Costlow, MA, RD, LD, CNSC, Regional Nutrition Manager, Optum Infusion Pharmacy, Atlanta, GA

Homeward Bound: Transition of Nutrition Support Therapies from Hospital to Home
Alison Evans, RD, LD, CNSC, Regional Nutrition Support Dietitian, Optum Infusion Pharmacy, GA

Marlene Neville, MMSc, RD, LD, CNSC, Nutrition Support Dietitian, Northside Hospital, Atlanta, GA

CE: 5.5 Hours CE Credit for Dietitians, Nurses, Physicians and Pharmacists

Location: Virtual (via Zoom)

In-Person at Roam Lenox

3535 Peachtree RD NE #320

Atlanta, GA 30326

Summer 2022 Course Overview

*Please note the dates and times for each individual session as they may vary from week to week. All time zones are U.S. Eastern Time.

Learning Objectives

1. Assess personal knowledge of nutrition support and identify areas requiring further study for the nutrition support specialty certification examination or other professional growth.
   
2. Review core nutrition support topics including GI disorders, nutrition assessment, parenteral nutrition, and enteral nutrition.
   
3. Highlight specialty areas of nutrition support such as pediatric nutrition support, home care, critical care, and fluids and electrolytes.

Summer 2022 Course Overview

*Please note the dates and times for each individual session as they may vary from week to week. All time zones are U.S. Eastern Time.

Learning Objectives

1. Assess personal knowledge of nutrition support and identify areas requiring further study for the nutrition support specialty certification examination or other professional growth.
   
2. Review core nutrition support topics including GI disorders, nutrition assessment, parenteral nutrition, and enteral nutrition.
   
3. Highlight specialty areas of nutrition support such as pediatric nutrition support, home care, critical care, and fluids and electrolytes.

Summer 2022 Course Overview

*Please note the dates and times for each individual session as they may vary from week to week. All time zones are U.S. Eastern Time.

Learning Objectives

1. Assess personal knowledge of nutrition support and identify areas requiring further study for the nutrition support specialty certification examination or other professional growth.
   
2. Review core nutrition support topics including GI disorders, nutrition assessment, parenteral nutrition, and enteral nutrition.
   
3. Highlight specialty areas of nutrition support such as pediatric nutrition support, home care, critical care, and fluids and electrolytes.

Summer 2022 Course Overview

*Please note the dates and times for each individual session as they may vary from week to week. All time zones are U.S. Eastern Time.

Learning Objectives

1. Assess personal knowledge of nutrition support and identify areas requiring further study for the nutrition support specialty certification examination or other professional growth.
   
2. Review core nutrition support topics including GI disorders, nutrition assessment, parenteral nutrition, and enteral nutrition.
   
3. Highlight specialty areas of nutrition support such as pediatric nutrition support, home care, critical care, and fluids and electrolytes.

Summer 2022 Course Overview

*Please note the dates and times for each individual session as they may vary from week to week. All time zones are U.S. Eastern Time.

Learning Objectives

1. Assess personal knowledge of nutrition support and identify areas requiring further study for the nutrition support specialty certification examination or other professional growth.
   
2. Review core nutrition support topics including GI disorders, nutrition assessment, parenteral nutrition, and enteral nutrition.
   
3. Highlight specialty areas of nutrition support such as pediatric nutrition support, home care, critical care, and fluids and electrolytes.

Nutrition screening within the community for older adults continues to be a challenge despite tremendous advances through the years. This webinar will address nutrition screening (past, present and future) and will specifically address undernutrition in the aging adult. Available community intervention resources, which target undernutrition in the older adult population, will also be discussed.

Learning Objectives

1. Describe past and present challenges in screening for undernutrition in the community dwelling adult and review how challenges have been addressed over the years
2. Identify key concepts of a successful nutrition screening process for undernutrition in the aging adult
3. Discuss strategies to improve nutrition interventions in older adults at nutrition risk in the community setting

Faculty and Topics
Nutrition Screening for Undernutrition in Older Adults: Past, Present and Future
Gordon Jensen, MD, PhD, Senior Associate Dean for Research; Professor of Medicine and Nutrition, The Larner College of Medicine, University of Vermont, Burlington, VT

Benefits of Community-Based Intervention Programs for the Older Adult
Ucheoma Akobundu, PhD, RD, Senior Director, Nutrition Strategy and Impact; Director, National Resource Center on Nutrition and Aging, Meals on Wheels America, Arlington, VA

Moderator
Rose Ann DiMaria-Ghalili, PhD, RN, FASPEN, FAAN, FGSA, Professor or Nursing and Associate Dean of Interprofessional Research and Development, Drexel University College of Nursing and Health Professions, Philadelphia, PA

Supported by
Nestlé Health Science

UAN: JA0002345-0000-22-137-L04-P
CE Credit: 1 hour
Learning Level: Intermediate

This webinar was chosen as a platform for providing updates regarding the ASPEN 2022 Nutrition Assessment Survey, validation of the AND/ASPEN characteristics for diagnosing malnutrition, as well as discussing the practicalities of integration of the AND/ASPEN and GLIM criteria for diagnosing malnutrition into clinical practice.

Learning Objectives

1. Describe nutrition assessment methods, the current state of practice, and implementation of these methods into clinical practice
2. Discuss the validation process, challenges, and current validation results for the AND/ASPEN malnutrition characteristics
3. Demonstrate practical methods for integrating the AND/ASPEN characteristics and GLIM Criteria in diagnosing malnutrition

Faculty and Topics
ASPEN 2022 Nutrition Assessment Survey, Review of Results
Peggi Guenter, PhD, RN, FAAN, FASPEN, Special Projects Consultant, American Society for Parenteral and Enteral Nutrition, Silver Spring, MD

Malnutrition Diagnostic Approaches, Validation Updates
Kris Mogensen, MS, RD-AP, LDN, CNSC, Lead Dietitian Specialist, Department of Nutrition, Brigham and Women’s Hospital, Boston, MA

Incorporating GLIM Diagnostic Criteria into the Electronic Health Record
Marianne Aloupis, MS, RD, CNSC, LDN, Director, Clinical Nutrition Support Services, Hospital of the University of Pennsylvania

Moderator
Ainsley Malone, MS, RD, LD, CNSC, FAND, FASPEN, Clinical Practice Specialist, ASPEN; Nutrition Support Dietitian, Mt. Carmel East Hospital, Columbus, OH

Supported by
BAXTER

UAN: JA0002345-0000-22-138-L04-P
CE Credit: 1.25 hours
Learning Level: Intermediate

As both malnutrition research and information related to malnutrition interventions evolve, it has been proposed that standardization of diagnosing, intervening, and monitoring is feasible and beneficial for patient outcomes. This webinar will discuss the Global Malnutrition Composite Score and what it means for current practice as well as the Canadian Malnutrition Standard in addressing malnutrition utilizing quality measures.

Learning Objectives

1. Describe the key components of the Global Malnutrition Composite Score and the impact on hospital malnutrition care performance
2. Explain how standardized scores can be used to identify gaps in assessing and treating malnutrition in acute care settings for quality improvement
3. Explain how implementation of standardization in addressing malnutrition may improve patient care and outcomes during hospitalizations and beyond

Faculty and Topics
Understanding the Global Malnutrition Composite Score and its Impact on Hospitals
Mujahed Khan, Senior Manager, Quality Improvement, The Academy of Nutrition and Dietetics, Chicago, IL

The Canadian National Malnutrition Standard – Improving Malnutrition Care in Canada and Beyond
Leah Gramlich, MD, Professor, Department of Medicine, Division of Gastroenterology, University of Alberta, Alberta, Canada

Moderator
Wendy Phillips, MS, RD, CLE, NWCC, FAND, Regional Vice President, Morrison Healthcare, Cleveland, OH

UAN: JA0002345-0000-22-139-L04-P
CE Credit: 1 hour
Learning Level: Intermediate

This webinar will serve as a platform for selected researchers to expound on their notable, cutting-edge publications from 2021-2022 relating to the characteristics and factors of malnutrition with regard to diagnosing and outcomes of malnutrition within the adult and pediatric populations. It will also serve as a method for audience members to correspond with the authors on how these publications may be applicable to their practice.

Learning Objectives

1. Describe differences in length of stay, readmission, and discharge destination between those with and those without malnutrition
2. Identify factors present upon admission into the Pediatric ICU that are associated with decline in nutrition status and could be used as part of nutrition screening tool
3. List characteristics that are specific to starvation-related malnutrition, which may differ from inflammation-related malnutrition
4. Describe how the Global Leadership Initiative on Malnutrition criteria have been utilized in published literature and how reported validation methods compare to published guidance

Faculty and Topics
Prevalence and Impact of Malnutrition on Length Of Stay, Readmission, And Discharge Destination
Lucy Lengfelder, MPH, RD, LD, Clinical Dietitian, Memorial Herman Texas Medical Center, Houston, TX

Prevalence and Characteristics of Starvation-Related Malnutrition in A Mid-Atlantic Healthcare System: A Cohort Study
Luke O. Smith, BS, Graduate Research Assistant, Doctoral Candidate, Department of Behavioral Health and Nutrition, University of Delaware, Newark, DE

Admission Factors Associated with Nutritional Status Deterioration and Prolonged Pediatric Intensive Care Unit Stay in Critically Ill Children: PICU-Screen Multicenter Study
Julia Carvalho Ventura, RD, PhD, Graduate Program in Nutrition, Federal University of Santa Catarina, Florianópolis (SC), Brazil

Utilization and Validation of the Global Leadership Initiative on Malnutrition (GLIM): A Scoping Review
Isabel Correia, MD, PhD, FASPEN, Professor of Surgery, Food Science Post Graduation Program; Surgery Department, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil Gerais

Moderator
Jay Mirtallo, MS, RPh, FASPEN, Clinical Practice Specialist, The American Society for Parenteral and Enteral Nutrition; Professor Emeritus, The Ohio State University, Columbus, OH

UAN: JA0002345-0000-22-140-L04-P
CE Credit: 1 hour
Learning Level: Intermediate

Treatment interventions for malnutrition differ depending on a patient’s disease state and age. In this webinar, two challenging disease states, hepatic and renal diseases, and the differences in treatment for malnutrition will be discussed. A focus on both adult and pediatric patients will be incorporated to highlight the differences in malnutrition management across the age spectrum in the setting of these two disease states.

Learning Objectives

1. Describe the challenges in diagnosing malnutrition in adults with hepatic disease, specifically weight loss and body composition
2. Explain protein requirements and utilization for malnourished patients with renal disease undergoing hemodialysis, continuous renal replacement therapy or with acute kidney injury
3. Identify unique components in treating malnourished pediatric patients with hepatic and renal disease

Faculty and Topics
Diagnosing Malnutrition in Adults with Hepatic Disease: Overcoming Challenges
Jeanette M. Hasse, PhD, RD, LD, CNSC, CCTD, FASPEN, FADA, Editor-in-Chief, Nutrition in Clinical Practice; Transplant Nutrition Manager, Baylor University Medical Center Simmons Transplant Institute, Dallas, TX

Malnutrition in Pediatric Hepatic Disease
Beth Scott, RD, CNSC, CSP, Hepatology/Liver Transplant Dietitian; Liver/Intestinal Transplant Program, Division of Gastroenterology, Hepatology, and Nutrition, Children's Hospital Los Angeles, Los Angeles, CA

Addressing Nutrition Challenges in Adults Undergoing Renal Replacement Therapy
Haley L. Kavelak, PharmD, BCCCP, Critical Care Clinical Pharmacy Specialist, St. Luke's University Health Network; Adjunct Clinical Assistant Professor - Pharmacology, Temple University Lewis Katz School of Medicine, Bethlehem, PA

Key Nutrition Interventions in Malnourished Pediatric Patients with Kidney Disease
Molly Wong Vega, MS, RDN, CSP, CSSD, LD, Senior Pediatric Renal Dietitian, Renal and Pheresis Services, Texas Children’s Hospital, Houston, TX

Moderator
Carolyn Newberry, MD, Assistant Professor of Medicine, Innovative Center for Health and Nutrition in Gastroenterology, Division of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, NY

UAN: JA0002345-0000-22-141-L04-P
CE Credit: 1.5 hours
Learning Level: Intermediate

The Wisconsin Society for Parenteral and Enteral Nutrition Presents:
2022 Fall Symposium

Location:
The Ingleside Hotel and Conference Center
2810 Golf Road
Pewaukee, WI 53072

Parenteral Nutrition (PN) is a form of nutrition support that requires clinicians to have specific competencies. This webinar aims to achieve these competencies by providing a practical guide of “rules” for PN order writing for clinicians. These competencies will include a guide for the clinicians in transitioning PN from inpatient to home. Consideration of compatibility issues for medications with the components of PN, whether 2-in-1 or 3-in-1 solution and lipids, will also be addressed.

Learning Objectives

1. Determine best practices for PN ordering writing and apply these practices to your institution
   
2. Summarize the competencies needed to transition from inpatient to home PN
   
3. Explain compatibility issues which should be considered when compounding 2-in-1 and 3-in-1 PN admixtures with a special emphasis on provision to neonatal/pediatric patients
   

Faculty and Topics
Transitions of Care in Parenteral Nutrition "Pearls for Ordering"
Phil Ayers, BS, PharmD, BCNSP, FMSHP, FASHP, Chief, Clinical Pharmacy Services, Mississippi Baptist Medical Center, Clinical Associate Professor, University of Mississippi School of Pharmacy, Jackson, MI

Compatibilities in Parenteral Nutrition
Mary Petrea Cober, PharmD, BCNSP, BCPPS, FASPEN, Clinical Coordinator – NICU, Akron Children’s Hospital; Professor of Pharmacy Practice and Director of Professional Development, Northeast Ohio Medical University, College of Pharmacy, Akron OH

Moderator
Sandra Kless, RPh, PharmD. BCNSP, Clinical Pharmacist Specialist Adult Nutrition Support, Adjunct Assistant Professor Wayne State University Eugene Applebaum College of Pharmacy and Health Science, Royal Oak, MI

UAN: JA0002345-0000-22-134-L04-P
CE Credit: 1.5 hours
Learning Level: Intermediate

The Ohio Society for Parenteral and Enteral Nutrition Presents:
2022 FALL NUTRITION SYMPOSUM
Malnutrition Revisited

Symposium will be a Hybrid Conference with In-Person (Youngstown, OH) & Virtual Options

Thursday, 10/20/2022, 8 am to 12 noon EDT

Presentation will be:

• Serum Albumin – What Does It Mean? – Vincent Vanek, MD, FACS, FASPEN

• How Do You Assess Systemic Inflammation? – David Evans, MD, FACS, FASPEN

• Key Approaches to Malnutrition Diagnosis – Kris M. Mogensen, MS, RD-AP, LDN, CNSC

Clinicians everywhere struggle with to care for the diverse array of patients with GI disorders. Patients with gastrointestinal (GI) diseases are at risk for compromised nutrition status. Alterations in GI function and physiology, either because of surgery or an underlying disease state, can result in a serious decline in one's nutrition status and quality of life. Understanding GI disorders and the tools available for their diagnosis and treatment allows the clinician to design an appropriate nutrition regimen and provide the best care to patients. This 2022-2023 lecture series will include presentations of common or very complex GI topics by clinicians who have worked at the bedside with these patients, and hence developed knowledge and skills that are not always in the textbook. Topics to be presented include:

1. Diet and Management of Nutritional Deficiencies in Inflammatory Bowel Disease
   
2. Nutritional Aspects of Gastroparesis
   
3. Feeding the Patient with an Injured Pancreas
   
4. The Myth of Tube Feeding Intolerance—Hint: It’s Not the Tube Feeding
   

Each session will be moderated by the course director and GI nutrition support expert, Carol Rees Parrish, MS, RDN.

Overall Course Learning Objectives

1. Summarize details involved in the nutritional care of patients with GI disorders.
   
2. Identify reliable resources to explore more information regarding nutrition support and GI nutrition as it relates to various GI disease states.
   
3. Differentiate appropriate drugs and their dosing for specific GI disease states.
   
4. Improve collaboration between gastroenterologists and nutrition professionals.

2022–2023 Series

Date: Tuesday, November 8, 2022
Time: 3:00–4:00 PM ET

Topic: Diet and Management of Nutritional Deficiencies in Inflammatory Bowel Disease

Faculty: Dejan Micic, MD, Assistant Professor of Medicine, Department of Internal Medicin, Section of Gastroenterology, Hepatology and Nutrition University of Chicago Medicine, Chicago, IL

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Discuss the prevalence of inflammatory bowel disease (IBD) and the impact of diet and the environment on disease development.
   
2. Provide evidence-based rationale for the role of diet in the management of IBD.
   
3. Formulate a practical algorithm for nutrition assessment and repletion of nutritional status in the patient with IBD.
   

UAN: JA0002345-0000-22-135-L01-P
CE Credit: 1 hour

Date: Wednesday, December 7, 2022
Time: 3:00–4:00 PM ET

Topic: Nutrition Aspects of Gastroparesis

Faculty: Andrew Ukleja, MD, AGAF, Assistant Professor of Medicine, Harvard Medical School, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Explain both the underlying mechanisms of gastroparesis as well as how to diagnose gastroparesis.
   
2. Summarize available medical therapy and surgical options for refractory gastroparesis.
   
3. Select the best nutrition interventions for patients with gastroparesis.
   

UAN: JA0002345-0000-22-136-L01-P
CE Credit: 1 hour

Date: Thursday, January 12, 2023
Time: 3:00–4:00 PM ET

Topic: Feeding the Patient with an Injured Pancreas

Faculty: Ross Buerlein, MD, Assistant Professor of Medicine, Division of Gastroenterology and Hepatology Section of Interventional/Advanced Endoscopy, UVA Health, Charlottesville, VA

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Differentiate between mild and severe acute pancreatitis and describe the differences in downstream complications.
   
2. Identify the complications from pancreatitis that might impact tube feeding (type and location of feeding).
   
3. Predict when, and describe why, enteral feeding may be unsuccessful in acute severe pancreatitis.

UAN: JA0002345-0000-23-013-L01-P
CE Credit: 1 hour

Date: Wednesday, February 8, 2023
Time: 3:00–4:00 PM ET

Topic: The Myth of Tube Feeding Intolerance—Hint: It’s Not the Tube Feeding

Faculty: Carol Rees Parrish MS, RDN, GI Nutrition Support Specialist, UVA Health, Charlottesville, VA; Andrew P. Copland, MD, Assistant Professor of Medicine, Division of Gastroenterology and Hepatology, UVA Health, Charlottesville, VA

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Recognize barriers to effective enteral nutrition (EN) delivery in the hospitalized patient.
   
2. Dispel myths surrounding EN intolerance by discussing GI physiology in the context of EN delivery.
   
3. Develop a systematic approach to identify the commonly missed causes of EN intolerance in order to improve enteral feeding delivery.

UAN: JA0002345-0000-23-014-L04-P
CE Credit: 1 hour

Clinicians everywhere struggle with to care for the diverse array of patients with GI disorders. Patients with gastrointestinal (GI) diseases are at risk for compromised nutrition status. Alterations in GI function and physiology, either because of surgery or an underlying disease state, can result in a serious decline in one's nutrition status and quality of life. Understanding GI disorders and the tools available for their diagnosis and treatment allows the clinician to design an appropriate nutrition regimen and provide the best care to patients. This 2022-2023 lecture series will include presentations of common or very complex GI topics by clinicians who have worked at the bedside with these patients, and hence developed knowledge and skills that are not always in the textbook. Topics to be presented include:

1. Diet and Management of Nutritional Deficiencies in Inflammatory Bowel Disease
   
2. Nutritional Aspects of Gastroparesis
   
3. Feeding the Patient with an Injured Pancreas
   
4. The Myth of Tube Feeding Intolerance—Hint: It’s Not the Tube Feeding
   

Each session will be moderated by the course director and GI nutrition support expert, Carol Rees Parrish, MS, RDN.

Overall Course Learning Objectives

1. Summarize details involved in the nutritional care of patients with GI disorders.
   
2. Identify reliable resources to explore more information regarding nutrition support and GI nutrition as it relates to various GI disease states.
   
3. Differentiate appropriate drugs and their dosing for specific GI disease states.
   
4. Improve collaboration between gastroenterologists and nutrition professionals.

2022–2023 Series

Date: Tuesday, November 8, 2022
Time: 3:00–4:00 PM ET

Topic: Diet and Management of Nutritional Deficiencies in Inflammatory Bowel Disease

Faculty: Dejan Micic, MD, Assistant Professor of Medicine, Department of Internal Medicin, Section of Gastroenterology, Hepatology and Nutrition University of Chicago Medicine, Chicago, IL

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Discuss the prevalence of inflammatory bowel disease (IBD) and the impact of diet and the environment on disease development.
   
2. Provide evidence-based rationale for the role of diet in the management of IBD.
   
3. Formulate a practical algorithm for nutrition assessment and repletion of nutritional status in the patient with IBD.
   

UAN: JA0002345-0000-22-135-L01-P
CE Credit: 1 hour

Date: Wednesday, December 7, 2022
Time: 3:00–4:00 PM ET

Topic: Nutrition Aspects of Gastroparesis

Faculty: Andrew Ukleja, MD, AGAF, Assistant Professor of Medicine, Harvard Medical School, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Explain both the underlying mechanisms of gastroparesis as well as how to diagnose gastroparesis.
   
2. Summarize available medical therapy and surgical options for refractory gastroparesis.
   
3. Select the best nutrition interventions for patients with gastroparesis.
   

UAN: JA0002345-0000-22-136-L01-P
CE Credit: 1 hour

Date: Thursday, January 12, 2023
Time: 3:00–4:00 PM ET

Topic: Feeding the Patient with an Injured Pancreas

Faculty: Ross Buerlein, MD, Assistant Professor of Medicine, Division of Gastroenterology and Hepatology Section of Interventional/Advanced Endoscopy, UVA Health, Charlottesville, VA

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Differentiate between mild and severe acute pancreatitis and describe the differences in downstream complications.
   
2. Identify the complications from pancreatitis that might impact tube feeding (type and location of feeding).
   
3. Predict when, and describe why, enteral feeding may be unsuccessful in acute severe pancreatitis.

UAN: JA0002345-0000-23-013-L01-P
CE Credit: 1 hour

Date: Wednesday, February 8, 2023
Time: 3:00–4:00 PM ET

Topic: The Myth of Tube Feeding Intolerance—Hint: It’s Not the Tube Feeding

Faculty: Carol Rees Parrish MS, RDN, GI Nutrition Support Specialist, UVA Health, Charlottesville, VA; Andrew P. Copland, MD, Assistant Professor of Medicine, Division of Gastroenterology and Hepatology, UVA Health, Charlottesville, VA

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Recognize barriers to effective enteral nutrition (EN) delivery in the hospitalized patient.
   
2. Dispel myths surrounding EN intolerance by discussing GI physiology in the context of EN delivery.
   
3. Develop a systematic approach to identify the commonly missed causes of EN intolerance in order to improve enteral feeding delivery.

UAN: JA0002345-0000-23-014-L04-P
CE Credit: 1 hour

Children with complex medical needs and developmental disabilities are surviving longer and making the transition to adult care. This webinar will address the challenges and opportunities associated with the transition to adult care. It will specifically cover nuances to the nutrition assessment and plan for these patients and address tips and tricks to help families with a smooth transition to adult medical care.

Learning Objectives

1. Explain the special nutritional considerations when individuals with intellectual and developmental disorders transition from the pediatric to the adult life stage
   
2. Choose the correct method of assessing the anthropometrics and estimating nutritional needs for adults with intellectual and developmental disorders
   
3. Develop an appropriate nutrition support plan for an adult with intellectual and developmental disorders
   

Faculty and Topics
Nutrition Assessment and Plan for Adults with Developmental Disabilities
Carol Skerbitz, RD, Gillette Children's Specialty Healthcare, St. Paul, MN

Making the Transition from Pediatric to Adult Care for Patients with Developmental Disabilities
Tori Bahr, MD, Associate Medical Director of Pediatrics, Gillette Children’s Hospital, St. Paul, MN

Moderator
Christopher M. Sprinzyk, MSEd, RDN, LD, CD, CNSC, Clinical Dietitian, Home Infusion Pharmacy, Kaiser Permanente Northwest, Portland, OR

UAN: JA0002345-0000-22-165-L04-P
CE Credit: 1.5 hours
Learning Level: Intermediate

Clinicians everywhere struggle with to care for the diverse array of patients with GI disorders. Patients with gastrointestinal (GI) diseases are at risk for compromised nutrition status. Alterations in GI function and physiology, either because of surgery or an underlying disease state, can result in a serious decline in one's nutrition status and quality of life. Understanding GI disorders and the tools available for their diagnosis and treatment allows the clinician to design an appropriate nutrition regimen and provide the best care to patients. This 2022-2023 lecture series will include presentations of common or very complex GI topics by clinicians who have worked at the bedside with these patients, and hence developed knowledge and skills that are not always in the textbook. Topics to be presented include:

1. Diet and Management of Nutritional Deficiencies in Inflammatory Bowel Disease
   
2. Nutritional Aspects of Gastroparesis
   
3. Feeding the Patient with an Injured Pancreas
   
4. The Myth of Tube Feeding Intolerance—Hint: It’s Not the Tube Feeding
   

Each session will be moderated by the course director and GI nutrition support expert, Carol Rees Parrish, MS, RDN.

Overall Course Learning Objectives

1. Summarize details involved in the nutritional care of patients with GI disorders.
   
2. Identify reliable resources to explore more information regarding nutrition support and GI nutrition as it relates to various GI disease states.
   
3. Differentiate appropriate drugs and their dosing for specific GI disease states.
   
4. Improve collaboration between gastroenterologists and nutrition professionals.
   

2022–2023 Series

Date: Tuesday, November 8, 2022
Time: 3:00–4:00 PM ET

Topic: Diet and Management of Nutritional Deficiencies in Inflammatory Bowel Disease

Faculty: Dejan Micic, MD, Assistant Professor of Medicine, Department of Internal Medicin, Section of Gastroenterology, Hepatology and Nutrition University of Chicago Medicine, Chicago, IL

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Discuss the prevalence of inflammatory bowel disease (IBD) and the impact of diet and the environment on disease development.
   
2. Provide evidence-based rationale for the role of diet in the management of IBD.
   
3. Formulate a practical algorithm for nutrition assessment and repletion of nutritional status in the patient with IBD.
   

UAN: JA0002345-0000-22-135-L01-P
CE Credit: 1 hour

Date: Wednesday, December 7, 2022
Time: 3:00–4:00 PM ET

Topic: Nutrition Aspects of Gastroparesis

Faculty: Andrew Ukleja, MD, AGAF, Assistant Professor of Medicine, Harvard Medical School, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Explain both the underlying mechanisms of gastroparesis as well as how to diagnose gastroparesis.
   
2. Summarize available medical therapy and surgical options for refractory gastroparesis.
   
3. Select the best nutrition interventions for patients with gastroparesis.
   

UAN: JA0002345-0000-22-136-L01-P
CE Credit: 1 hour

Date: Thursday, January 12, 2023
Time: 3:00–4:00 PM ET

Topic: Feeding the Patient with an Injured Pancreas

Faculty: Ross Buerlein, MD, Assistant Professor of Medicine, Division of Gastroenterology and Hepatology Section of Interventional/Advanced Endoscopy, UVA Health, Charlottesville, VA

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Differentiate between mild and severe acute pancreatitis and describe the differences in downstream complications.
   
2. Identify the complications from pancreatitis that might impact tube feeding (type and location of feeding).
   
3. Predict when, and describe why, enteral feeding may be unsuccessful in acute severe pancreatitis.

UAN: JA0002345-0000-23-013-L01-P
CE Credit: 1 hour

Date: Wednesday, February 8, 2023
Time: 3:00–4:00 PM ET

Topic: The Myth of Tube Feeding Intolerance—Hint: It’s Not the Tube Feeding

Faculty: Carol Rees Parrish MS, RDN, GI Nutrition Support Specialist, UVA Health, Charlottesville, VA; Andrew P. Copland, MD, Assistant Professor of Medicine, Division of Gastroenterology and Hepatology, UVA Health, Charlottesville, VA

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Recognize barriers to effective enteral nutrition (EN) delivery in the hospitalized patient.
   
2. Dispel myths surrounding EN intolerance by discussing GI physiology in the context of EN delivery.
   
3. Develop a systematic approach to identify the commonly missed causes of EN intolerance in order to improve enteral feeding delivery.

UAN: JA0002345-0000-23-014-L04-P
CE Credit: 1 hour

Clinicians everywhere struggle with to care for the diverse array of patients with GI disorders. Patients with gastrointestinal (GI) diseases are at risk for compromised nutrition status. Alterations in GI function and physiology, either because of surgery or an underlying disease state, can result in a serious decline in one's nutrition status and quality of life. Understanding GI disorders and the tools available for their diagnosis and treatment allows the clinician to design an appropriate nutrition regimen and provide the best care to patients. This 2022-2023 lecture series will include presentations of common or very complex GI topics by clinicians who have worked at the bedside with these patients, and hence developed knowledge and skills that are not always in the textbook. Topics to be presented include:

1. Diet and Management of Nutritional Deficiencies in Inflammatory Bowel Disease
   
2. Nutritional Aspects of Gastroparesis
   
3. Feeding the Patient with an Injured Pancreas
   
4. The Myth of Tube Feeding Intolerance—Hint: It’s Not the Tube Feeding
   

Each session will be moderated by the course director and GI nutrition support expert, Carol Rees Parrish, MS, RDN.

Overall Course Learning Objectives

1. Summarize details involved in the nutritional care of patients with GI disorders.
   
2. Identify reliable resources to explore more information regarding nutrition support and GI nutrition as it relates to various GI disease states.
   
3. Differentiate appropriate drugs and their dosing for specific GI disease states.
   
4. Improve collaboration between gastroenterologists and nutrition professionals.

2022–2023 Series

Date: Tuesday, November 8, 2022
Time: 3:00–4:00 PM ET

Topic: Diet and Management of Nutritional Deficiencies in Inflammatory Bowel Disease

Faculty: Dejan Micic, MD, Assistant Professor of Medicine, Department of Internal Medicin, Section of Gastroenterology, Hepatology and Nutrition University of Chicago Medicine, Chicago, IL

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Discuss the prevalence of inflammatory bowel disease (IBD) and the impact of diet and the environment on disease development.
   
2. Provide evidence-based rationale for the role of diet in the management of IBD.
   
3. Formulate a practical algorithm for nutrition assessment and repletion of nutritional status in the patient with IBD.
   

UAN: JA0002345-0000-22-135-L01-P
CE Credit: 1 hour

Date: Wednesday, December 7, 2022
Time: 3:00–4:00 PM ET

Topic: Nutrition Aspects of Gastroparesis

Faculty: Andrew Ukleja, MD, AGAF, Assistant Professor of Medicine, Harvard Medical School, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Explain both the underlying mechanisms of gastroparesis as well as how to diagnose gastroparesis.
   
2. Summarize available medical therapy and surgical options for refractory gastroparesis.
   
3. Select the best nutrition interventions for patients with gastroparesis.
   

UAN: JA0002345-0000-22-136-L01-P
CE Credit: 1 hour

Date: Thursday, January 12, 2023
Time: 3:00–4:00 PM ET

Topic: Feeding the Patient with an Injured Pancreas

Faculty: Ross Buerlein, MD, Assistant Professor of Medicine, Division of Gastroenterology and Hepatology Section of Interventional/Advanced Endoscopy, UVA Health, Charlottesville, VA

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Differentiate between mild and severe acute pancreatitis and describe the differences in downstream complications.
   
2. Identify the complications from pancreatitis that might impact tube feeding (type and location of feeding).
   
3. Predict when, and describe why, enteral feeding may be unsuccessful in acute severe pancreatitis.

UAN: JA0002345-0000-23-013-L01-P
CE Credit: 1 hour

Date: Wednesday, February 8, 2023
Time: 3:00–4:00 PM ET

Topic: The Myth of Tube Feeding Intolerance—Hint: It’s Not the Tube Feeding

Faculty: Carol Rees Parrish MS, RDN, GI Nutrition Support Specialist, UVA Health, Charlottesville, VA; Andrew P. Copland, MD, Assistant Professor of Medicine, Division of Gastroenterology and Hepatology, UVA Health, Charlottesville, VA

Moderator: Carol Rees Parrish, MS, RDN

Learning Objectives:

1. Recognize barriers to effective enteral nutrition (EN) delivery in the hospitalized patient.
   
2. Dispel myths surrounding EN intolerance by discussing GI physiology in the context of EN delivery.
   
3. Develop a systematic approach to identify the commonly missed causes of EN intolerance in order to improve enteral feeding delivery.

UAN: JA0002345-0000-23-014-L04-P
CE Credit: 1 hour

This is an international meeting that brings together clinicians and scientists from around the world whose interest is intestinal rehabilitation and/or transplant. There will be educational sessions, scientific sessions with original research(clinical and basic science)presented in oral and poster formats, debates, and workshops. Continuing educational credits will be granted for physicians, pharmacists, nurses and dietitians.