CNW Sunday Schedule

Keynote Address
Late Breaking Studies in Clinical Nutrition
Basic Skills in Parenteral Nutrition Management
Medical Management of Adult Short Bowel Syndrome
Food as Therapy vs. Foe: Understanding the Food We Eat
2017 Pediatric Critical Care Guidelines
Nutrition and Metabolism Research Paper Sessions  
Persistent Inflammation Immunosuppression Catabolic Syndrome (PICS)
Enteral Access – Hot Topics and Hands-On Updates
Micronutrient Supplementation for Parenteral Nutrition Dependent Adult and Pediatric Patients
The Gut Microbiome from Infancy to Adulthood
Roundtables

Keynote Address

Keynote Address for Clinical Nutrition Week 2017 by Gary D. Wu, MD. Learn more here


LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-009-L04-P
CE CREDIT: 1 hour 


Late Breaking Studies in Clinical Nutrition 

LEARNING 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

FACULTY & TOPICS
PEPANIC Trial
Greet Van den Berghe, MD, PhD, Head of Laboratory of Intensive Care Medicine, Professor of Medicine, KU Leuven - University of Leuven, Leuven, Belgium

ANZICS Supplemental Parenteral Nutrition Trial
Emma Ridley, MPH, APD, PhD Candidate and ICU Nutrition Program Manager, The Australian and New Zealand Intensive Care Research Centre (ANZIC-RC), School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia

The Extreme Dysbiosis of Critical Illness: The ICU Microbiome Projects First Publication

Paul Wischmeyer, MD, EDIC, Professor of Anesthesiology and Surgery, Associate Vice Chair for Clinical Research, Dept. of Anesthesiology; Director of Perioperative Research, Duke Clinical Research Institute, Duke University Medical Center, Durham, NC

NOURISH Trial

Nicolaas Deutz, MD, PhD, Director, Center for Translational Research in Aging and Longevity, Department of Nutrition and Food Science, College of Agriculture and Life Sciences, Texas A&M University, College Station, TX

Global Malnutrition Initiative
Gordon Jensen, MD, PhD, FASPEN, Senior Associate Dean for Research, University of Vermont College of Medicine; Professor of Medicine and Professor of Nutrition and Food Sciences, College of Agriculture and Life Sciences, University of Vermont, Burlington, VT

Tommy Cederholm, MD, PhD, Professor, Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Uppsala, Sweden

MODERATORS:
Stephen McClave, MD, FASPEN, Professor of Medicine, Division of Gastroenterology/Hepatology, Director, Nutrition Support Team, University of Louisville Hospital, Louisville, KY
Paul Wischmeyer, MD, EDIC
LEARNING LEVEL: Advanced
UAN: 0216-0000-17-010-L04-P
CE CREDIT: 2 hours


Basic Skills in Parenteral Nutrition Management 

DESCRIPTION
Many clinicians new to nutrition support require vital basic information in order to safely and effectively deliver parenteral nutrition to patients. This skills lab is set up to allow participants to move among stations to hear focused, interactive presentations. All presenters will use a case-based approach allowing for enhancement of clinical practice skills.

LEARNING OBJECTIVES

1. Identify assessment and treatment strategies to manage electrolytes, acid base disorders, and fluid status in parenteral nutrition patients
2. Create a safe parenteral nutrition formulation per compound and stability limits
3. Compare and contrast various types of intravenous access

FACULTY & TOPICS
Prevention of Electrolyte Disorders: Refeeding and Beyond
Renee Walker, MS, RD, LD, CNSC, FAND

To Add or Not to Add: Treatment of Electrolyte Imbalance in the PN Patient
Jessica Monczka, RD, LDN, CNSC

It’s All About that Acid Base, No Trouble: Part 1 Identification and Treatment of Complex Acid Base Disorders: Part 2
Angela Bingham, PharmD, BCPS, BCNSP, BCCCP

Compounding Strategies for 3-in-1 Solutions: No Cracking Here
Joseph Ybarra, PharmD, BCNSP
Draw the Line – Vascular Access Best Practice
Antoinette Neal, RN, CRNI, CNSC, VA-BC

Fluid Assessment and Sodium Homeostasis
Anne Tucker, PharmD, BCPS, BCNSP

Oh No, My PN Solution Looks Like a Snow Globe: What Went Wrong?
M. Petrea Cober, PharmD, BCNSP, BCPPS

MODERATOR:
Todd Canada, PharmD, BCNSP, FASHP
LEARNING LEVEL: Basic
UAN: 0216-0000-17-011-L05-P
CE CREDIT: 2 hours


Medical Management of Adult Short Bowel Syndrome 

LEARNING OBJECTIVES
1. Identify measures to safely transition a newly diagnosed patient with SBS from hospital to home
2. Develop strategies to assist patients with overcoming barriers in achieving dietary modification for SBS
3. Describe methods for reducing PN dependence and managing complications in patients with SBS

FACULTY & TOPICS
Getting Started: Transitioning the SBS Patient from Hospital to Home
Vanessa Kumpf, PharmD, BCNSP

Dietary Management of SBS: Strategies to Overcome Barriers
Jill Murphree, RD, MS, CNSC

Reducing PN Dependence and Managing Complications

Douglas Seidner, MD, AGAF, FACG, CNSC

MODERATOR: Douglas Seidner, MD, AGAF, FACG, CNSC
LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-012-L01-P
CE CREDIT: 1.5 hours 


Food as Therapy vs. Foe: Understanding the Food We Eat

LEARNING OBJECTIVES
1. Identify food additives that have been associated with GI tract inflammation
2. Summarize the implications of food additives on human disease
3. Describe the value of food preservation techniques
4. Describe the design of formulas for children and adults
5. Define the evaluation safety for whole foods and processed foods, including formulas
6. Outline the biotransformation of dietary products

FACULTY & TOPICS
Food Additives and Inflammation in the GI Tract
Dale Lee, MD, MSCE

How Does Processing Impact the Food We Eat?
Jairam Vanamala, PhD

Designing Foods and Testing Toxicity
Joseph Lambert, PhD

MODERATOR: Dale Lee, MD, MSCE
LEARNING LEVEL: Intermediate/Advanced
UAN: 0216-0000-17-013-L04-P
CE CREDIT: 1.5 hours


2017 Pediatric Critical Care Guidelines

FACULTY
Jorge A. Coss Bu, MD
Elizabeth Farrington, PharmD, FCCP,
FCCM, FPPAG, BCPS
Praveen Goday, MD
Sharon Y. Irving, PhD, RN, CRNP, FCCM,
Nilesh M. Mehta MD
Heather E. Skillman, MS, RD, CSP, CNSC
Sarah Vermilyea, MS, RD, CSP, LD, CNSC

LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-014-L01-P
CE CREDIT: 1.5 hours


Nutrition and Metabolism Research Paper Sessions

DESCRIPTION
Today’s medical environment demands evidence-based practice, replicable results, and improved patient outcomes. Our abstract authors conduct research to help meet these challenges and provide breakthroughs in our knowledge and in our patient care. These sessions are dedicated to presentations of highranking abstracts. The abstracts will be presented by topic so you can explore cutting-edge research on issues that interest you. The abstracts will also be published in the Journal of Parenteral and Enteral Nutrition (JPEN), making them a part of the body of evidence you have to guide your clinical patient care.

LEARNING LEVEL:
Advanced
UAN: 0216-0000-17-015-L04-P
0216-0000-17-016-L04-P
0216-0000-17-017-L04-P
0216-0000-17-018-L04-P
0216-0000-17-019-L04-P
0216-0000-17-020-L04-P
CE CREDIT: 1.5 hours each


Persistent Inflammation Immunosuppression Catabolic Syndrome (PICS) 

LEARNING 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

FACULTY & TOPICS
PICS, the New Phenotype of Multiple Organ Failure
Frederick Moore, MD, FACS, MCCM

Nutritional Therapy for PICS: The Role of Aggressive Protein Supplementation
Robert Martindale, MD, PhD, FACS

Adjuncts to Nutritional Support for PICS
Martin Rosenthal, MD

MODERATOR: Martin Rosenthal, MD
LEARNING LEVEL: Advanced
UAN: 0216-0000-17-021-L04-P
CE CREDIT: 2 hours


Enteral Access - Hot Topics and Hands-On Updates

DESCRIPTION
After a brief update on the GEDSA “Stay Connected” transition, participants will learn state-of-the-art management strategies for enteral devices in a fast-paced round-robin format. Participants will have the opportunity to engage in an interactive learning experience with experts that will provide the most current
information on care of patients and their enteral access devices.

LEARNING OBJECTIVES
1. Provide an update on the current implementation of the universal enteral connectors
2. Describe lessons learned in the implementation with regard to safety impact
3. Outline next steps to implementing GEDSA universal connectors for other medical devices

FACULTY & TOPICS
Lessons Learned: Update on the GEDSA STAY CONNECTED Transition for Enteral Devices
Peggi Guenter, RN, PhD, FAAN

TABLE HOSTS
Carol McGinnis, DNP, APRN-CNS, CNSC
Katina Rahe, BSN, RN, CPN
Patricia Worthington, MSN, RN, CNSC
Karen Gilbert, MSN, RN, CRNP, CNSC
Joseph Boullata, PharmD, RPh, BCNSP,FASPEN, FACN
Linda Lord, NP, CNSC, MSN, ACNP-C

MODERATOR: Renay Tyler, DNP, ACNP, CNSC, RN
LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-022-L04-P
CE CREDIT: 1.5 hours

Presented by the ASPEN Nutrition Support Nurses Practice Section


Micronutrient Supplementation for Parenteral Nutrition Dependent Adult and Pediatric Patients 

LEARNING OBJECTIVES
1. Explain possible responses to abnormal monitoring results and most appropriate options in a given case scenario, including options during shortages
2. Discuss appropriate micronutrient monitoring parameters for patients requiring prolonged PN therapy and differences in monitoring for adult and pediatric patients
3. Describe enteral supplementation strategies, including oral and tube feeding routes, for treating micronutrient deficiencies, and differences in strategy for adult versus pediatric patients
4. Describe parenteral supplementation strategies, including in-PN and outside-PN for treating micronutrient deficiencies, and differences in strategy for adult
versus pediatric patients

FACULTY & TOPICS
Management of Micronutrients in the Adult Patient Requiring Long-term PN
Vanessa Kumpf, PharmD, BCNSP

Management of Micronutrients in the Pediatric Patient Requiring Long-term PN
Conrad Cole MD, MPH, MSC

MODERATOR: Beth Lyman, RN, MSN, CNSC
LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-023-L01-P
CE CREDIT: 1.5 hours

 
Presented by the ASPEN Pediatric Section 


The Gut Microbiome from Infancy to Adulthood 

LEARNING OBJECTIVES
1. Define the impact of human milk on the developing immune system and protection against infectious disease
2. Summarize the effect of enteral infections on the gut microbiome and the impact on risk for subsequent infections
3. Describe immediate and long-term impacts of enteric infections on the gut microbiome
4. Critique the impact of enteric infections on the risk of developing food allergies
5. Describe the state of targeting changes in the gut microbiome for therapeutic effect
6. Examine the future of using food and the gut microbiome to prevent and treat disease

FACULTY & TOPICS
The Intestinal Microbiome in Early Education of the Immune System
Ardythe Morrow, PhD

Manipulation of the Intestinal Microbiome and the Risk of Development of Allergies
Cathryn Nagler, PhD

Manipulating the Gut Microbiome to Modulate Disease
Gary D. Wu, MD

MODERATORS: Valeria Cohran, MD; Gary D. Wu, MD
LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-024-L04-P
CE CREDIT: 1.5 hours


Roundtables 

LEARNING OBJECTIVES
Discuss specific nutrition support topics during the Roundtables. Tables will be organized by topic and participants will have an opportunity to discuss in groups with the faculty. Each faculty presenter will meet with groups for 25 minutes before participants are asked to move to another table for discussion on a different topic. Participants will have an opportunity to visit three tables during the session.

LEARNING LEVEL: Basic for all Roundtables
UAN: No Pharmacy credit
CE CREDIT: 1.5 full session(3 roundtables)

    A. OPTIMIZING PRE-TRANSPLANT NUTRITION IN PEDIATRIC PATIENTS: CHALLENGES AND SOLUTIONS


         LEARNING OBJECTIVES
         1. Recognize the long-term risks and complications associated with Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD) and Protein Energy Wasting (PEW) in pediatric patients awaiting kidney transplant
         2. Assess the nutritional status of pediatric patients using diet history, growth trends, and nutrition-related biomarkers associated with CKD-MBD and PEW
         3. Design appropriate nutritional therapies based on assessment and outcome goals

         Jennifer Carvalho-Salemi, MPH, RD, LD

    B. INITIATION OF DONOR BREAST MILK USE: PRACTICAL TIPS FOR CONSIDERATION AND IMPLEMENTATION OF DONOR BREAST MILK

         LEARNING OBJECTIVES
         1. Identify rationale for the use of donor breast milk in the preterm infant population
         2. Recognize common challenges to the implementation of donor breast milk use

         Celina Scala MS, RD, CNSC, LDN

 
         Presented by the ASPEN Pediatric Section

    C. WHAT’S IN THE WATER? AN OVERVIEW OF IV FLUIDS

         LEARNING OBJECTIVES
         1. Identify the different types of maintenance IV fluids commonly used in hospitals

         Divya Daniel, PharmD, PGY1

    D. CYSTIC FIBROSIS: CHALLENGES AND OPPORTUNITIES FOR NUTRITIONISTS – INSIGHTS FROM PHYSICIANS’ PERSPECTIVES

         LEARNING OBJECTIVES
         1. Discuss the main gastrointestinal (GI) issues associated with CF patients
         2. Describe current evidence and controversies in GI therapeutics in CF patients
         3. Learn about impact of altered GI physiology and nutritional interventions in pre- and post-transplant CF patients

         Nauman Chaudary, MD
         Puneet Puri, MBBS, MD, FACP

    E. APPROACHES TO GLUTEN RELATED CONDITIONS

         LEARNING OBJECTIVES
         1. Identify appropriate nutritional screening and follow-up care for patients with celiac disease
         2. Describe non-celiac gluten sensitivity and potential symptoms associated with this syndrome
         3. Identify possible deficiencies and difficulties with a gluten-free diet

         Dawn Wiese, MD
         Sarah Ferguson, RD, LDN

    F. NUTRITION HOT TOPICS IN PEDIATRIC ONCOLOGY AND BONE MARROW TRANSPLANT PATIENTS


         LEARNING OBJECTIVES
         1. Describe the rationale for liberalizing the traditional low bacteria diet in pediatric bone marrow transplant patients
         2. Explain the importance of optimizing nutrition status in pediatric oncology patients as well as when to implement appropriate nutrition interventions
         3. Describe the role of speech therapy in the pediatric oncology and bone marrow transplant population

         Elizabeth Welin, MS, RD, LD

    G. SUCCESSFULLY DISSEMINATE YOUR SCIENTIFIC FINDINGS

         LEARNING OBJECTIVES
         1. Identify key components for drafting scientific abstracts and manuscripts
         2. Explore resources to improve scientific writings

         Yimin Chen, MS, RD, CNSC
         Kelly Tappenden, PhD, RD, FASPEN

         Presented by the ASPEN Research Section

    H. SPECIAL TOPICS IN DRUG–NUTRIENT INTERACTIONS: PHARMACOKINETIC IMPLICATIONS OF NUTRITION AND POST-PYLORIC DRUG ADMINISTRATION

         LEARNING OBJECTIVES
        1. Describe how the first pass effect impacts drug delivery
        2. State how differences in age may impact the absorption of orally administered medications
        3. Identify medicines that should not be administered via the post-pyloric route

        Kathleen Gura, PharmD, BCNSP, FASHP, FPPAG, FASPEN
        Mark Klang, MS, RPh, BCNSP, PhD

    I. PREGNANCY AND NUTRITION SUPPORT

         LEARNING OBJECTIVES
       1. Recognize the considerations for safe placement of enteral access and enteral feedings in pregnancy
       2. Identify the safety considerations in pregnant patients requiring parenteral nutrition

        Merin Kinikini, DNP, FNP, RD, CNSC
        Heather Lazarow, MS, RD, SCO, LDN

    J. ELIMINATION DIETS FOR EOSINOPHILIC ESOPHAGITIS

         LEARNING OBJECTIVES     
       1. List common foods associated with eosinophilic esophagitis
       2. Describe a multidisciplinary approach to caring for eosinophilic esophagitis
       3. Discuss strategies for removing and adding foods back for patients with eosinophilic esophagitis

       Michelle Shuker, MS, RD, SCP, LDN