Parenteral nutrition (PN) is part of standard clinical care for preterm infants, however, many questions have remained regarding best practices for the provision of PN in this vulnerable population. In this webinar, faculty will take a deep dive into the recently published ASPEN paper, “Guidelines for parenteral nutrition in preterm infant” in JPEN (September 2023). Doctors Daniel Robinson and Kara Calkins will review the methodology used to develop the guidelines, and summarize the data used to make each recommendation in the guideline.

Learning Objectives

• Summarize the methodology utilized for developing guidelines
• Identify the optimal timing and dose of parenteral amino acids to optimize growth and neurodevelopment in preterm infants
• Describe whether the dose and composition of lipid injectable emulsions alter outcomes, including cholestasis, growth, and neurodevelopment in preterm infants
• Identify limitations and gaps in the current evidence for neonatal parenteral nutrition
  

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Understanding the palliative care process and how nutrition fits in to the overall treatment plan is essential for clinicians who are involved in the management of advanced cancer patients. This program will cover oral appetite stimulants and symptom management; nutritional interventions for the palliative care and end of life cancer patient; the risks and benefits of nutrition support therapies; and considerations for nutrition support therapies. Prognostic scoring systems and functional status/survival estimates will be reviewed to help clinicians determine appropriate candidates for artificial nutrition support in advanced, incurable cancer patients.

Objectives

• Discuss nutritional and medical interventions for cancer patients during palliative care and end of life.
• List risks and benefits of nutrition support in this patient population.
• Identify the necessary considerations for initiation and discontinuation of nutrition support in patients with incurable cancer

Parenteral nutrition (PN) is a complex therapy managed by an interprofessional healthcare team. PN can be an invaluable support for select patients undergoing anticancer treatment. This webinar will focus on the selection of appropriate patients, dosing, and monitoring of PN in the oncology patient population with a focus on an interprofessional approach to managing PN for the oncology population.

Learning Objectives

• Identify appropriate indications for use of PN in the adult oncology patient population including PN use in patients with terminal illness
• Determine macronutrient, micronutrient, and fluid composition of PN for both stable and acutely ill adult oncology patient
• Modify PN solutions to address common complications in the adult oncology population

Interprofessional teams are the foundation of collaborative healthcare to improve patient care. In this webinar, participants will be introduced to the principles of collaborative practice and core competencies associated with interprofessional education for application to nutrition support teams. With the foundation for interprofessional practice established, the formation and evolution of nutrition support teams will be reviewed, as well as core principles that embody a successful nutrition support team.

Learning Objectives:

1. Describe the foundational principles of interprofessional collaborative practice.
   
2. Explore Interprofessional Education Collaborative (IPEC) Competencies related to working effectively on nutrition support teams.
   
3. List and briefly discuss the 3 historical eras of nutrition support teams.
   
4. Outline minimal requirements for nutrition support team development and maintenance incorporating principles of interpersonal collaborative practice.
   
5. Describe the concept of transdisciplinarity and its importance in nutrition support teams.