Malnutrition Awareness Week 2021

Oct 3, 2021 ‐ Oct 7, 2021

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Malnutrition Diagnosis and Documentation: Strategies for Success

Oct 4, 2021 11:00am ‐ Oct 4, 2021 12:15pm

Despite the continued research and education on malnutrition, there remain challenges in accurately diagnosing and documenting this diagnosis correctly for patient and financial reimbursement benefit. This webinar was chosen as a platform for providing success stories and strategies on how physicians, dietitians and clinical documentation specialists can collaborate together to diagnosis and document malnutrition appropriately. The faculty will present collaboratively by interacting with one another to address malnutrition and diagnosis and documentation strategies.

Learning Objectives:

  • Explain the importance of diagnosing and documenting malnutrition correctly and how it relates to a medical institution.
  • Expound on strategies utilized by the dietitian in relaying the malnutrition diagnosis to the physician, so that the diagnosis is documented in the patient’s chart.
  • Describe how the provider and documentation specialist can work together to ensure accurate, complete and appropriate coding/billing for the malnutrition diagnosis.

Moderator(s): Speaker(s):
  • Ashley Strickland, RDN, LDN, CNSC, Adult Clinical Dietitian Supervisor, Trauma/Surgical Intensive Care Dietitian, Vidant Medical Center, Greenville, NC
  • Vaughn Matacale, MD, CCDS, Director, Clinical Documentation Advisor Program; Chair, PSI Committee; Hospitalist; ACDIS Advisory Board Member, Vidant Medical Center, Greenville, North Carolina
  • Jennifer Quartarolo, MD, Clinical Professor, Division of Hospital Medicine, Medical Director, Clinical Documentation, UC San Diego

Addressing Malnutrition in COVID-19 Patients – from Hospital to Home

Oct 5, 2021 11:00am ‐ Oct 5, 2021 12:30pm

The ASPEN Malnutrition Committee has identified knowledge gaps pertaining to the continued treatment and care of individuals who suffered from COVID-19 and the long-term effects the virus causes. There is limited research addressing the nutritional, physical and psychological long-term effects COVID-19 has on these patients and family once they are transferred out of the ICU and discharged from the hospital. This webinar aims to provide information pertaining to care and management of malnutrition in patients recovering from COVID-19 as they transition from the ICU to rehabilitation and/or home.

Learning Objectives:

  • Demonstrate understanding of Post-Intensive Care Syndrome (PICS) in the setting of Covid-19 care and management after the ICU.
  • Describe challenges to meeting the nutritional, physical, and psychological needs of hospitalized patients being treated for COVID-19 as they are transitioned from the ICU to rehabilitation or home.
  • List available resources in the community for individuals who have been treated for COVID-19 and their families which aid in the continued treatment and prevention of malnutrition.

  • Rya Clark, RDN, LDN, CNSC, Clinical Nutrition Manager, TIRR Memorial Hermann, Houston, TX
  • Martin Rosenthal, MD, Assistant Professor; Director of Abdominal Wall and Reconstruction and Intestinal Rehab, Trauma and Acute Care Surgery, University of Florida Health, Gainesville, FL
  • Amber Leon, MS, RDN, LD, Clinical Dietitian III, Nutrition Department, TIRR Memorial Hermann, Houston, TX
  • Valerie Machinist, MS, RDN, LDN, Nutrition Services Manager, Community Servings, Jamaica Plain, MA

Collaborating with Non-Nutrition Clinicians on Malnutrition Strategies

Oct 6, 2021 11:00am ‐ Oct 6, 2021 12:00pm

Malnutrition is a complex condition which requires a multidisciplinary treatment approach for the best outcomes. Due to the ever-changing environment within institutions and available resources, many nutrition experts find themselves working with members of the healthcare team who may not be aware of the latest research and recommendations specific to malnutrition interventions. To ensure the patient’s care is not adversely impacted, the nutrition experts must adapt to these environmental changes and identify the best way to successfully contribute to the nutrition plan of care in treating malnutrition alongside all team members caring for the patients. This webinar will focus on the multidisciplinary team approach to identifying and treating malnutrition when expertise varies across the members of the team and will consist of application of content through case presentations.

Learning Objectives:

  • Explain the importance of a multidisciplinary approach in identifying and treating malnutrition in the hospitalized adult.
  • Demonstrate understanding of healthcare professionals’ role in identifying and treating malnutrition.
  • Describe how nutrition professionals can address malnutrition with a physician in order to successfully initiate nutrition support, either enterally or parenterally.

  • Ainsley Malone, MS, RDN, LD, CNSC, FAND, FASPEN, Clinical Practice Specialist, ASPEN; Nutrition Support Dietitian, Mt. Carmel Health System, Columbus, OH
  • Stephanie Cutrell, MS, RDN, LDN, CNSC, Nutrition Support Dietitian, Pharmacy, Vidant Medical Center, Winterville, NC
  • Carol McGinnis, DNP, APRN-CNS, CNSC, Sanford USD Medical Center, Sioux Falls, SD
  • Sarah Cogle, PharmD, BCNSP, BCCCP, Associate Professor, Department of Pharmacy Practice, Auburn University, Auburn, AL

Zoom Room: Feeding the Patient with Obesity in the Critical Care Setting

Oct 6, 2021 2:00pm ‐ Oct 6, 2021 3:00pm

Learning Objectives:

  • Describe the patient with obesity with a critical care lens (perceived biases to early nutrition, setting the stage)
  • Define sarcopenic obesity (what it is and why it’s a problem)
  • Define the nutritional impact - how does the nutrition condition worsen in the ICU and what is the impact of sarcopenic obesity
  • Discuss intervention recommendations and considerations
  • Discuss how to optimize the transition out of the ICU

  • David C. Evans, MD, FACS, FASPEN, PNS, Trauma, Critical Care, and Acute Care Surgeon, OhioHealth; Adjunct Clinical Professor of Surgery, Ohio University, Columbus, OH
  • Charlene Compher, PhD, RD, LDN, FADA, FASPEN, Shearer Endowed Term Chair in Healthy Community Practices, Professor of Nutrition Science; Director of Nutrition Programs, University of Pennsylvania, School of Nursing, Philadelphia, PA

Zoom Room: Student & Trainee Section's Malnutrition Case Study

Oct 6, 2021 3:30pm ‐ Oct 6, 2021 4:45pm

Learning Objectives:

  • Assess the risk of malnutrition in an obese individual by conducting a nutrition assessment and NFPE
  • Understand how alcohol can affect metabolism and contribute to malnutrition
  • Identify nutrients of concern with chronic alcohol abuse
  • Discuss how patients in critical care are at increased risk for malnutrition

Global Perspectives: Nutrition Care as a Human Right

Oct 7, 2021 11:00am ‐ Oct 7, 2021 12:15pm

Despite ongoing efforts by several nutrition societies and researchers around the world, the impact of hospital related malnutrition remains a significant healthcare concern. While there are multiple contributing factors that vary in each setting, there is a common desire across nations to influence public policy to improve nutrition care for hospitalized patients. A recent, large international effort has led to the recognition of the right to nutritional care being a fundamental human right that is closely linked to the right to health and food. Nutritional care rights include being screened for malnutrition, diagnosis and assessment, and food and evidence-based nutrition therapy.

In this session, experts from ASPEN, BAPEN and CNS will introduce the Medical Nutrition Therapy Act and a new Malnutrition Standard for Hospitals as examples of cutting-edge initiatives upon which public policy for improved nutrition care and dietitian access can be built. Strategies on how to engage patients to advocate for nutrition and lessons from current national efforts on gathering patient perspectives will also be shared.

Learning Objectives:

  • Be able to state why nutrition care is a human right.
  • Become familiar with the Medical Nutrition Therapy Act and its potential impact on improving patient access to dietitians.
  • Learn about the recommendations from the new Malnutrition Standard for acute care hospitals.
  • Gain an understanding of how patient engagement can be utilized to advocate for better nutrition.

  • Diana Cardenas, MD, Editor in Chief, Revista de Nutrición Clínica y Metabolismo; Professor in the Faculty of Medicine, Universidad El Bosque, Bogotá, Colombia
  • Leah Gramlich, MD, Professor, Department of Medicine, Division of Gastroenterology, University of Alberta, Alberta, Canada
  • Jay Mirtallo, MS, RPh, FASPEN, Clinical Practice Specialist, American Society for Parenteral and Enteral Nutrition; Professor Emeritus, Pharmacy Practice and Science, The Ohio State University, Columbus, OH
  • Trevor Smith, DM, FRCP, Department of Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom

Ramifications of Nutrient Shortages in the Neonatal Population

Oct 7, 2021 2:30pm ‐ Oct 7, 2021 3:45pm

Nutrient shortages are an on-going issue which healthcare providers are routinely facing. Immediate challenges of these shortages are obvious. However, the long-term effects or consequences are not as easily identifiable, especially in the neonatal population. This webinar hopes to address some of the impacts nutrient shortages have on this population and its correlation to malnutrition.

Learning Objectives:

  • Explain the necessary nutrition support and progression of feeding in the early life stage of the neonate, including nutrient requirements for proper growth.
  • Describe the challenges and strategies of nutrient shortages in providing adequate intake in the neonate requiring nutrition support.
  • Demonstrate understanding of the long-term effects nutrient shortages have on the normal growth of a neonate.

  • Ruba A. Abdelhadi, MD, CNSC, NASPGHAN-F, Professor of Pediatrics, University of Missouri-Kansas City School of Medicine; Director, Nutrition Support and Nutrition Services Programs, Children's Mercy Kansas City, Kansas City, MO
  • Mary Petrea Cober, PharmD, BCNSP, BCPPS, FASPEN, Clinical Pharmacy Specialist - NICU/Professor - Pharmacy Practice, Department of Pharmacy, Akron Children's Hospital/Northeast Ohio Medical University, Akron, OH
  • Celina M. Scala, MS, PD, CSPCC, LD, CNSC, Manager of Nutrition Services, Akron Children’s Hospital, Akron, OH

ILAS Zoom Room: Declaración de Cartagena. Un antes y Un después (Session in Spanish)

Oct 7, 2021 7:00pm ‐ Oct 7, 2021 8:30pm

Learning Objectives:

  • To review the importance of disease related malnutrition and the studies of malnutrition in Latin America.
  • To address the importance of nutritional care as a human right that needs to be met in all the patients at different levels of care.
  • To describe Cartagena Declaration and the projects that have developed in order to take this declaration into practice and make it a reality.
  • To discuss the difficulty to define and classify malnutrition taking into account the ICD codes (International Classification of Diseases).

  • Diana Cárdenas Braz, MD, PhD, Chief Editor, Revista de Nutrición Clínica y Metabolismo from Asociación Colombiana de Nutrición Clínica, Bogota, Colombia

Applying Latest Findings from Notable Malnutrition Publications to Your Practice

Oct 8, 2021 11:00am ‐ Oct 8, 2021 12:30pm

This webinar was chosen as a platform for selected researchers to expound on their notable, cutting edge publications from 2020-2021 relating to the screening, assessment and diagnosis 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:

  • Describe the utilization and benefit of nutrition care pathways for patients from hospital to the community, as well as from primary care to the community as they relate to malnutrition.
  • Demonstrate methods for diagnosing malnutrition and nutritional status among hospitalized adults, and any related medical outcomes.
  • List tools utilized in pediatric patients for nutrition screening, assessing and diagnosing of malnutrition.

  • Mary Marian, DCN, RDN, CSO, FAND, Assistant Professor of Practice; Director, Didactic Program in Dietetics, Department of Nutritional Sciences, University of Arizona, Tucson, AZ
  • Heather Keller, RD, PhD, FDC, FCAHS, Schlegel Research Chair, Nutrition and Aging, Schlegel-University of Waterloo Research Institute for Aging, Department of Kinesiology, University of Waterloo, Waterloo, ON, Canada
  • Camila Ferri Burgel, MsC, Registered Dietitian of Hospital Complex Santa Casa de Misericórida of Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
  • Christy Hannah Sanini Belin, BS, Child and Adolescent Health Program, Department of Nutrition, Universidade Federal do Rio Grande do Sul, Brazil
  • Rachel Phong, MS, RD, Pediatric Outpatient Dietitian, Department of Food and Nutrition Services, University of California Davis Health, Sacramento, CA