Providing nutrition care is an integral part of providing care for a child, yet each child has unique needs for their age, co-morbidities, and social environment. This session will focus on improving clinician skills in providing nutrition care to pediatric patients across the age spectrum.

A variety of challenging and timely topics will be discussed, including the impact of drug shortages on pediatric patients, micronutrient monitoring in patients with autism spectrum disorders, probiotic use in neonates, avoidant restrictive food intake disorder, patient and caregiver education, novel lipid emulsions, optimization of bone health, and nutrition in bone marrow transplant. Attendees will leave the session with insight into nutrition support topics for a variety of clinical scenarios and will be able to implement this knowledge to improve care for pediatric patients.

Learning Objectives:

1. Describe novel nutrition formulations and the impact of drug shortages on pediatric nutrition care
2. Identify best practices in patient and family education and behavioral interventions to improve nutrition care
3. Compare and contrast clinical issues in providing pediatric nutrition care and select appropriate management strategies

Impact of Drug Shortages on Pediatric Nutrition Support
Mary Petrea Cober, PharmD, BCNSP, BCPPS, FASPEN, Clinical Pharmacy Coordinator, Neonatal Intensive Care Unit, Akron Children’s Hospital, Akron, OH

Micronutrient Deficiencies in Autism Spectrum Disorder
Gina Rempel, MD, FRCPC, Medical Lead, Nutrition Support and Complex Care, Children's Hospital of Manitoba at Health Sciences Centre Winnipeg, Pediatrics and Child Health Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada

Caregiver Education in the Era of Cultural and Literacy Diversity
Beth Lyman, MSN, RN, CNSC, FASPEN, FAAN, Consultant, Nutrition Support Nurse Consultant, LLC, Smithville, MO

A Practical Approach to Avoidant Restrictive Food Intake Disorder in Pediatrics
Mary Pat Turon-Findley, MEd, RD, CMHIMP, LD, Registered Dietitian III, Division of Nutrition Therapy, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

Optimizing Bone Health with Parenteral and Enteral Nutrition
Ruba 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 Hospital, Kansas City, MO

New Perspectives on Novel Lipid Emulsions
Kyle Hampson, PharmD, BCNSP, BCPPS, CNSC, Assistant Professor of Pharmacy Practice; Clinical Pharmacy Educator, Pediatrics and Nutrition Support, Arnold and Marie Schwartz College of Pharmacy and Health Sciences, Long Island University, Brooklyn, NY

Probiotics in Neonates
Lucy Pappas, MS, RD, CSP, LD, Clinical Nutrition Specialist III, Senior Neonatal Dietitian, Children’s Mercy Hospital, Kansas City, MO

In response to the automated compounding device valve shortage, ASPEN is hosting this complimentary webinar, which will be focused on educating clinicians on multi-chamber bag parenteral nutrition (MCB-PN). The webinar will review MCB-PN formulations, incorporation into practice including limitations and challenges, and ways to recognize and mitigate potential safety concerns. Both adult and pediatric considerations will be presented.

Learning Objectives:

• Discuss the multi-chamber bag parenteral nutrition (MCB-PN) formulations available in the U.S.
• Describe how to successfully incorporate MCB-PN into your practice.
• Review limitations and challenges associated with the use of MCB-PN.
• Recognize and mitigate potential safety concerns related to the use of MCB-PN.
• Present case scenarios utilizing MCB-PN in various patient populations.

There is a need for best practice recommendations for the use of supplemental parenteral nutrition (PN). The speakers will share their expertise on use of supplemental PN in critically ill patient populations, including when to use initiate it and how best to manage these patients who may receive supplemental PN. A case-based global approach will be employed using an international panel of experts.

Learning Objectives:

1. Define supplemental PN as part of the nutritional regimen in critically ill patients.
2. Review the indications for supplemental PN in critically ill patients.
3. Outline the optimal management of supplemental PN in critically ill patients.

This non-accredited program is sponsored by

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:

• Determine best practices for PN ordering writing and apply these practices to your institution
• Summarize the competencies needed to transition from inpatient to home PN
• 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 patient

This webinar is especially relevant to the healthcare team working with dietitians who would benefit from learning about implementation of the hospital reporting quality measure.

Learning Objectives:

• Define the composite score measure and its focus on components of the nutrition care process: screening, assessment, documenting diagnosis and implementing nutrition care plan
• Review how adopting the measure and using a quality improvement process can benefit patient care, providers, and hospital outcomes
• Discuss how the interprofessional team can partner with administrators to adopt and report on the composite score measure to improve patient outcomes and support health equity

This event is non-accredited and sponsored by

Abbott

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:

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

Lipids are an integral part of parenteral nutrition (PN). Despite some hesitation over the years with the daily use of lipids due to concerns with hepatic and immune function, lipids are a safe and effective daily source of essential fatty acids and energy with appropriate use. Historically, soybean oil-based lipid injectable emulsion (ILE) was the only formulation in the United States, but several other ILE formulations previously used extensively in Europe have been introduced since 2016. With these additional ILE options, it is often confusing to clinicians as to which is most appropriate for their patients and how to safely use lipids. This webinar will refresh your knowledge of fatty acid metabolism and provide you with a basis to understand the biologic effects of the available ILEs as well as current evidence regarding their impact on clinical outcomes. The session will conclude with discussion regarding the practical implementation of ILE formulations in the hospital setting.

Learning Objectives:

• Describe the differences in fatty acid metabolism of Omega 3, 6 and 9.
• Evaluate the biologic effects of various lipid injectable emulsions (ILEs).
• Describe the impact of ILE formulations on clinical outcomes in adult hospitalized patients receiving PN.
• Discuss the importance of daily ILE to provide calories, reduce hyperglycemia and prevent essential fatty acid deficiency (EFAD) in the hospitalized patient receiving PN.
• Discuss the practical implementation ILE formulations in the hospital setting.
  

This webinar is non-accredited and sponsored by Baxter.

Most bedside clinicians can identify areas of clinical nutrition practice that could be optimized if nutrition care followed the most up-to-date research. Implementation science seeks to accelerate the integration of evidence-based approaches into routine practice, helping reduce knowledge gaps, narrow variation, and improve care.

This program will review implementation science, describe frameworks that are researched in the field, and illustrate how practitioners can leverage those findings to improve practice.

Learning Objectives

1. Compare and contrast diffusion, dissemination, and implementation.
   
2. Explain areas of clinical nutrition practice where research has not been fully disseminated into practice.
   
3. List and describe Implementation Science Frameworks and potential application to areas of clinical nutrition practice.

Recent critical care nutrition trials show delivery of higher protein doses early to all critically ill patients confers no benefit, with suggestions of potential harm in some patient cohorts. So, what does this mean for clinical care? Through this webinar, we will take a deep dive into the data to understand the impact of the timing of protein delivery, how different cohorts may respond, and the future role of the clinician and protein in critically ill patients.

Learning Objectives:

1. To describe the current evidence on protein delivery in critically ill adult patients.
2. To understand how metabolism and individual patient responses to protein delivery may impact outcomes.
3. To discuss how these findings may influence clinical practice.
4. To propose potential avenues for future research and practice around protein delivery.

Faculty:

Todd Rice, MD, MSc, Assistant Professor of Medicine, Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University, Nashville, TN

Lee-anne Chapple, BMedSci, MNutrDiet, PhD, Association Professor and Senior Critical Care Dietitian, Royal Adelaide Hospital, Research Fellow, University of Adelaide, Adelaide, South Australia, Australia

Moderator

Beth Taylor, DCN, RDN-AP, CNSC, FAND, FASPEN, FCCM, Research Scientist, Department of Research for Patient Care Services, Barnes-Jewish Hospital, St. Louis, MO

This is a joint webinar held in collaboration with Dietitian Connection

This non-accredited program is sponsored by

Patients with cancer are at risk of malnutrition due to the inflammatory process, the site of the tumor, lack of appetite, problems with the tolerance of diet and nutrition support, psychological processes, and secondary effects of the oncologic therapy.

It is important to screen every patient at the cancer diagnostic appointment and perform a nutrition assessment if the risk of malnutrition is present, followed by deciding which type of nutrition support the patient should receive and subsequently monitoring for tolerance and possible complications.

This webinar will discuss the tools available for performing nutrition assessments in patients with cancer and summarize the most common nutrition complications in this population.

Learning Objectives

• Analyze the importance of controlling the nutrition status of patients with cancer
• Identify the main risk factors for the development of malnutrition
• Identify the tools available for screening and perform nutrition assessments in patients with cancer
• Summarize the most common nutrition complications in oncologic patients
• Manage the most common nutrition complications in patients with cancer