President's Address and Honoring of Dr. Stanley J. Dudrick, MD, FACS, FASPEN

Feb 18, 2017 4:15pm ‐ Feb 18, 2017 6:15pm

Identification: R10

Join ASPEN’s 41st president, Charlene Compher, PhD, RD, CNSC, LDN, FAND, FASPEN, as she kicks off Clinical Nutrition Week 2017. Dr. Compher is Professor of Nutrition Science at the University of Pennsylvania School of Nursing and Advanced Practice Clinical Dietitian Specialist with the Home Parenteral Nutrition Program at the Hospital of the University of Pennsylvania. A committed interdisciplinary team member, Dr. Compher values mentorship and inter-professional collaboration and carries these values into her teaching. Her popular Case Study in Clinical Nutrition course brings faculty colleagues across the Penn campus to share their professional expertise with nursing students who seek a broad exposure to nutrition care in diverse clinical settings. The Advanced Nutrition and Metabolism capstone course for nutrition students at Penn also brings important late-breaking research findings in nutrition science into the knowledge base of students. In her President’s Address, Dr. Compher will discuss ASPEN’s rich history in clinical research and project essential elements needed for continued success into the future. At the conclusion of Dr. Compher’s address, ASPEN will honor Stanley J. Dudrick, MD, FACS, FASPEN, the Father of Intravenous Feeding, with the first-ever ASPEN Lifetime Achievement Award. You won’t want to miss this opportunity to hear from one of the most influential people in the nutrition support community.

Speaker(s):


Late Breaking Studies in Clinical Nutrition: The Future of Clinical Nutrition

Feb 19, 2017 10:30am ‐ Feb 19, 2017 12:30pm

Identification: S20

Objectives:

  1. Explain the most cutting edge data from late breaking clinical trials in clinical nutrition
  2. Discover how data from late breaking clinical trials can be applied to bedside practice

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Persistent Inflammation Immunosuppression Catabolic Syndrome (PICS)

Feb 19, 2017 4:00pm ‐ Feb 19, 2017 6:00pm

Identification: S40

Objectives:

  1. Describe PICS
  2. Define protein catabolism and the importance of nutritional support in PICS
  3. Provide critical care management of these patients from a nutritional objective
  4. Analyze the inferences that we can make from the literature to help combat this disease process

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Speaker(s):


Dudrick Symposium - Pediatric Intestinal Failure: Frontiers in Intestinal Adaptation

Feb 20, 2017 8:00am ‐ Feb 20, 2017 10:00am

Identification: M10

The 2016 Dudrick Award Winner, Paul Wales, BSc, MD, MSc, FRCSC, FACS, is a Neonatal and Pediatric Surgeon at The Hospital for Sick Children (SickKids). He completed medical school and his general surgery residency at the University of British Columbia. He then completed a Pediatric General Surgery Fellowship at SickKids in Toronto followed by a Master's of Science in Clinical Epidemiology at The University of Edinburgh, Scotland/UK. Since beginning his practice in 2002, Dr. Wales has been interested and invested in the care of infants and children with short bowel syndrome and intestinal failure. Dr. Wales was instrumental in the establishment of the GIFT (Group for Intestinal Function and Treatment) program at SickKids, which remains the only formal intestinal rehabilitation program in Canada and where he remains Director of Operations. Being in such a position allowed Dr. Wales to bring to light the impact of intestinal rehabilitation programs on reducing mortality from both intestinal failure and associated liver disease and the need for liver transplantation. He also founded the Intestinal Failure fellowship at SickKids Hospital, recognizing the need to develop clinicians with the expertise and skills set to care for infants with intestinal failure. Dr. Wales has assembled a panel of experts to present on intestinal failure and intestinal adaptation. You will not want to miss this opportunity learn from leaders in the field.

Objectives:

  1. Describe the physiological mechanisms associated with intestinal adaptation
  2. Summarize the role of the microbiome in health and disease as it pertains to intestinal failure.
  3. Utilize the study of metabolites to understand intestinal physiology and a potential target for future therapies
  4. Identify appropriate prebiotic sources for use in patients with short bowel syndrome associated intestinal failure

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Premier Nutrition and Metabolism Research Paper Session and VARS Award Competition

Feb 20, 2017 10:30am ‐ Feb 20, 2017 12:30pm

Identification: M20

Speaker(s):


Malnutrition Prevalence and Outcomes: State of the Science Across the Lifespan

Feb 20, 2017 2:30pm ‐ Feb 20, 2017 4:00pm

Identification: M30

Objectives:

  1. Identify US hospitalized patient prevalence of malnutrition based on AHRQ databrief and relation to diagnoses/procedures and readmissions
  2. Outline the results from the ASPEN survey on assessment parameters and use of EHRs in documentation
  3. Describe nutrition assessment variables and relationship with outcomes according to latest literature

Speaker(s):


Protein, Muscle and ICU Outcomes

Feb 20, 2017 4:15pm ‐ Feb 20, 2017 5:45pm

Identification: M40

Objectives:

  1. Describe the nutritional approach to limit muscle wasting in the ICU
  2. Analyze the effect of nutrition therapy on protein turnover in critically ill patient
  3. Implement enhanced protein delivery in patients to improve ICU survivor outcomes

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Rhoads Research Lecture and Awards Ceremony: Clinical Research in an Age of Collaboration - Together We Can Do Bigger and Better!

Feb 21, 2017 8:00am ‐ Feb 21, 2017 9:15am

Identification: T10

As health care professionals interested in clinical nutrition, we face numerous challenges as we try and provide optimal nutrition to individual patients in our health care system. Some of the difficulties in achieving optimal nutritional policies and practices arise from the devaluation or de-prioritization of nutrition issues relative to other clinical problems our patients face. As a consequence, malnutrition continues to go unassessed, significant underfeeding continues in institutionalized care, and patients experience the attendant negative consequences of poor or inadequate nutritional management. I posit that a large part of the problem can be attributed to a weak or absent evidentiary basis that informs our clinical practice guidelines. Evidence for this assertion comes from a review of recent clinical practice guidelines and the nature of the evidence informing these guidelines that reveals few strong clinical recommendations and numerous small, low-moderate quality single center randomized trials. Moreover, existing large-scale RCTs study selected patients and have limited applicability to the broader practice setting. What can be done to rectify this situation and ultimately improve patient outcomes? I will offer 4 potential solutions that will elevate the practice of clinical nutrition and make it easier to get our job accomplished and aid our patients in achieving the best possible outcomes: 1) the creation of registry-based, volunteer supported, large-scale, clinical trials; 2) the creation of research networks and protocol development meetings; 3) a shift away from physiological measurements and mortality to more rigorous patient centered outcomes including activity and performance-based measures; and 4) family engagement and capacitation in nutrition care of their loved ones. Collectively, these efforts have the possibility to transform the nature of the evidence underpinning our nutrition recommendations and how nutrition is valued by our peers, patients, and their families.

Objectives:

  1. List some barriers and facilitators to achieving best clinical nutrition practice
  2. Describe the process by which we as a clinical nutrition community can collaborate to generate high levels of evidence to support our nutrition practice
  3. Summarize the role of family capacitation and engagement in improving nutrition practice

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Intestinal Failure and Parenteral Nutrition Associated Liver Disease (IFALD/PNALD) - When to Worry

Feb 21, 2017 9:45am ‐ Feb 21, 2017 11:15am

Identification: T20

Objectives:

  1. Outline the mechanisms, clinical presentations, challenges, and approach to adult IFALD/PNALD
  2. Describe the pathophysiology, clinical profile and implications including liver failure and transplant in pediatric population
  3. Summarize the prevention and treatment of IFALD/PNALD in pediatric and adults and emerging therapies

Speaker(s):

Speaker(s):


Nutrition in the Age of Personalized Medicine

Feb 21, 2017 12:30pm ‐ Feb 21, 2017 2:00pm

Identification: T30

Objectives:

  1. Describe the concept of precision medicine in nutrition assessment and delivery
  2. Identify how indirect calorimetry can be integrated into personalized nutrition in the ICU
  3. Summarize how systems biology will impact the assessment and delivery of nutrition to critically ill patients

Speaker(s):

Speaker(s):