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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.
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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.
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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.
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