CNW Tuesday Schedule

Rhoads Research Lecture and Awards Ceremony: Clinical Research in an Age of Collaboration – Together We Can Do Bigger and Better!
Intestinal Failure and Parenteral Nutrition Associated Liver Disease (IFALD/PNALD) – When to Worry
Pediatric Basic Skills Lab
Parenteral Nutrition Appropriateness Consensus Recommendations
Managing Nutrition Support in the EHR Era – We’re All in This Together!
Optimizing Nutrition Therapy: Crossing Borders – Tackling Barriers  
Nutrition in the Age of Personalized Medicine  
Basics of Interpreting Acid Base Status With and Without Blood Gases
Introduction to and Update of Intestinal Transplantation
To Feed or Not to Feed: Ethical and Palliative Considerations for Nutrition Support
Understanding Large Clinical Trials: How Can We Be Informed When the Results Are Not Definitive?
Choose the Right Vascular Access Device for Hospital and Home - What is the Evidence?
Nutrition at the Extremes: When and What Should I Feed the Patient?
Clinical Nutrition in Critical Care: New Insights
Password: A Gameshow of Inter-Professional Nutrition Support Communication

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

Learn more about this session here 


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

LEARNING 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/PNALDin pediatric and adults and emerging therapies

FACULTY & TOPICS
Pediatric Intestinal Failure and Parenteral Nutrition Associated Liver Disease
Ajay Jain, MD

Intestinal Failure and Parenteral Nutrition Associated Liver Disease
Puneet Puri, MBBS, MD, FACP

Current Approach and Emerging Therapies in the Management of Intestinal Failure and Parenteral Nutrition Associated Liver Disease
Kathleen Gura, PharmD, BCNSP, FASHP, FPPAG, FASPEN

LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-038-L01-P
CE CREDIT: 1.5 hours


Pediatric Basic Skills Lab

DESCRIPTION
This program addresses a gap in knowledge for those who are new to pediatric nutrition support. It is geared to provide basic information that can be used as a foundation for understanding complex concepts in pediatric nutrition support and help participants integrate the knowledge from the various pediatric sessions at CNW. Designed to behands-on and interactive, attendees can choose topics of interest and can feel free to drop in at any station during the skills lab. Join us for this interdisciplinary session and meet a diverse group of presenters from different nutrition support teams across North America.

LEARNING OBJECTIVES
1. Integrate the pediatric malnutrition guidelines into pediatric nutrition
assessments for children with typical development and those with neurodevelopmental challenges
2. Develop an appropriate plan of care for a neonate or child requiring enteral nutrition support including consideration of enteral formulas and access devices
3. Formulate nutrition care plan for a neonate or child receiving parenteral
nutrition, including an appropriate parenteral nutrition formulation and access devices

FACULTY & TOPICS
Neonatal Parenteral Nutrition Order Writing
Teresa Puthoff, PharmD
M. Petrea Cober, PharmD, BCNSP, BCPPS
Steven Plogsted, BS, PharmD, BCNSP, CNSC
Frederick Schwenk, MD, FASPEN

Central Venous Access Devices for Parenteral Nutrition
Alexis Potemkin, RN, BSN

Pediatric Enteral Access Devices and Management
Katina Rahe, BSN, RN, CPN

Enteral Nutrition Formula Administration and Enteral Tube Location Verification
Beth Lyman, RN, MSN, CNSC

Pediatric Enteral Formulas
Elizabeth Bobo, CNSC, MS, RD, LDN

Human Milk and Fortification
Jacqueline J. Wessel, MEd, RDN, CSP, CNSC, CLE

Neonatal and Infant Formulas and High Calorie Preparations
Lucy Muskthel, RD, CNSC

Nutritional Assessment in Non-Ambulant Children with Neurodevelopmental Challenges
Gina Rempel, MD, FRCPC, FAAP

Pediatric Nutritional Assessment
Sarah Peters, MS, RD

MODERATORS: Beth Lyman, MSN, RN, CNSC and Gina Rempel, MD, FRCPC, FAAP
LEARNING LEVEL: Basic
UAN: 0216-0000-17-039-L04-P
CE CREDIT: 1.5 hours

Presented by the ASPEN Pediatric Section


Parenteral Nutrition Appropriateness Consensus Recommendation

LEARNING OBJECTIVES
1. Discuss the challenges for identifying evidence-based indications for PN therapy
2. List clinical factors that should be considered when assessing appropriate candidates for PN
3. Describe practical strategies for the appropriate use of PN in a variety of clinical situations
4. Identify monitoring parameters to assess progress toward therapeutic goals, the need to adjust the PN prescription, and when to wean or discontinue this therapy

FACULTY & TOPICS
The Challenge of Delineating Evidence-Based Indications for Parenteral Nutrition
Patricia Worthington, MSN, RN, CNSC

Clinical Factors to Consider When Identifying Appropriate Candidates for Parenteral Nutrition
Daniel Robinson, MD

Strategies for the Appropriate Use of Parenteral Nutrition in a Variety of Clinical Situations and Settings
Sharon M. Durfree, RPh, BCNSP

Monitoring Parameters to Promote Optimal Parenteral Nutrition Therapy
Angela Bingham, PharmD, BCPS, BCNSP, BCCCP

MODERATOR: Patricia Worthington, MSN, RN, CNSC
LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-040-L04-P
CE CREDIT: 1.5 hours


Managing Nutrition Support in the EHR Era – We’re All in This Together!

LEARNING OBJECTIVES
1. Summarize the findings and recommendations from the 2014 ASPEN/Academy Follow Up Electronic Health Record (EHR) List Survey
2. Define EHR interoperability, the role of interoperability in nutrition care,
and why it matters
3. Discuss the ASPEN/Academy joint recommendations regarding key required EHR functionalities needed to safely order and administer parenteral nutrition

FACULTY & TOPICS
Are EHRs Improving in Safety and Efficiency?
Vincent Vanek, MD, FACS, FASPEN

How can we get EHRs to talk to one another?
Margaret Dittloff, MS, RDN, Research Project Manager, Nutrition Care Process Terminology, Academy of Nutrition and Dietetics, Chicago, IL

What Are the Key Functionalities Necessary in EHRs to Safely Provide Parenteral Nutrition (PN) to Our Patients?
Phil Ayers, PharmD, BCNSP, FASHP

MODERATOR: Vincent Vanek, MD, FACS, FASPEN
LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-041-L04-P
CE CREDIT: 1.5 hours

Presented by the ASPEN Clinical Nutrition Informatics Committee


Optimizing Nutrition Therapy: Crossing Borders – Tackling Barriers

LEARNING OBJECTIVES
1. Describe the benefits of a collaborative global approach to optimize nutrition therapy and practice
2. Analyze the methods of global nutrition education
3. Examine case studies from international centers that successfully screen and assess Disease Related Malnutrition (DRM)

FACULTY & TOPICS
How Can an International Education Program Improve Clinical Practice? The European Experience
Stanislaw Klek, MD, PhD,Associate Professor and Head, General and Oncology Surgery Unit, Stanley Dudrick's Memorial Hospital; Chair, Polish Society for Parenteral and Enteral Nutrition and Metabolism, Skawina, Cracow, Poland

How Can an International Education Program Improve Clinical Practice? The Greek Experience: From Education to Regulation Changing
Michael Chourdakis, PhD

How Do We Translate Successful Dietetic Practice from One Country to Another?
Adrienne Speedy, NZRD

Pediatric Nutrition Research: How to Grow in the International Setting?
Theodoric Wong, BMedSc, MBBS, FRACP

MODERATOR: Gil Hardy, PhD, FASPEN
LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-042-L04-P
CE CREDIT: 1.5 hours

Presented by the ASPEN International Clinical Nutrition Section


Nutrition in the Age of Personalized Medicine

LEARNING 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

FACULTY & TOPICS
The Concept of Personalized Nutrition
Danielle Bear, RD

Personalized Indirect Calorimetry
Elisabeth DeWael, MD, PhD

Integrative Nutrigenomics
Kenneth Christopher, MD

Precision Medicine in Nutrition
Kris Mogensen, MS, RD, LDN, CNSC

MODERATOR: Sadeq A. Quraishi, MD
LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-043-L01-P
CE CREDIT: 1.5 hours


Basics of Interpreting Acid Base Status With and Without Blood Gases

LEARNING OBJECTIVES
1. Determine the type of acid base disorder present and explain how that may affect recommendations for PN additives
2. Discuss the likely acid base disorder present
3. Predict the effect of changes in the clinical scenario on acid base status
4. Discuss the effect of acid base status on additives selected for PN

FACULTY & TOPICS
Interpreting Acid Base Status With Blood Gases
Amber Verdell, PharmD, BCPS, BCNSP

Interpreting Acid Base Status Without Blood Gases
Carol Rollins, MS, RD, PharmD, FASHP, FASPEN, BCNSP

MODERATOR: Carol Rollins, MS, RD, PharmD, FASHP, FASPEN, BCNSP
LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-044-L04-P
CE CREDIT: 1.5 hours


Introduction to and Update of Intestinal Transplantation

LEARNING OBJECTIVES
1. List the reasons why a patient may or may not be a candidate for intestinal transplantation
2. Differentiate among types of intestinal transplants and the reasoning behind why a particular type of intestinal transplant graft is employed as well as the
complications associated with each type of graft
3. Outline the nutritional support required of an intestinal transplant recipient, and identify the latest and most current data both nationwide and worldwide on the short-term and long-term results/outcomes of intestinal transplantation

FACULTY & TOPICS
Cal S. Matsumoto, MD
Stuart S. Kaufman, MD

MODERATOR: Cal S. Matsumoto, MD
LEARNING LEVEL: Basic
UAN: 0216-0000-17-045-L01-P
CE CREDIT: 1.5 hours


To Feed or Not to Feed: Ethical and Palliative Considerations for Nutrition Support

LEARNING OBJECTIVES
1. Outline principles of ethics relevant to decisions regarding initiation, withdrawal, or withholding of enteral or parenteral nutrition
2. Define the growing specialty of palliative care and its scope
3. Apply ethical principles to the management of challenging cases and identify scenarios that would benefit from a palliative care consult

FACULTY & TOPICS
Palliative Care and Medical Ethics in Nutrition Support
Keith Swetz, MD
Case: Complex Abdominal Pain
Adele Pattinson, RD

Case: The Noncompliant HPN patient
Manpreet S. Mundi, MD

MODERATOR: Erin Nystrom, PharmD
LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-046-L04-P
CE CREDIT: 1.5 hours


Understanding Large Clinical Trials: How Can We Be Informed When the Results Are Not Definitive?

LEARNING OBJECTIVES
1. Identify key methodological issues in the study design of large RCTs of nutritional interventions and understand how data from these studies are
interpreted in the development of best practice guidelines
2. Calculate sample sizes for large RCTs and their influence on interpreting study results
3. Describe the future direction of nutrition research using alternative,
appropriate, and innovative outcome measures

FACULTY & TOPICS
Identifying Weaknesses in Large RCTs: Examples from Nutrition Studies
Stephen McClave, MD, FASPEN

Mortality: Are We Using the Wrong Endpoint?
Lee-anne Chapple, PhD Candidate

The Future of RCTs and What Outcomes Will We Be Measuring?
Adam Deane, MBBS, PhD, FCICM, FRACP

MODERATOR
: Todd Rice, MD
LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-047-L04-P
CE CREDIT: 1.5 hours


Choose the Right Vascular Access Device for Hospital and Home - What is the Evidence?

LEARNING OBJECTIVES
1. State the appropriate indication for use by the type of vascular access device
2. Describe how to incorporate MAGIC guides into clinical practice
3. Discuss the literature results of the ASPEN Clinical Guidelines task force
to determine the best catheter for adult home PN patients and apply through case study approach

FACULTY & TOPICS
Inserting the Correct Vascular Access Device for the Correct Indication
Vineet Chopra, MD, MBBS

How Strong is the Evidence for the Best VAD for the Adult Home Parenteral Nutrition Patient?
Debra Kovacevich, MPH, RN

The Challenges of Transitioning the Patient with a Central Line from Hospital to Home
Vicki Ross, PhD, RN, CNSC

MODERATOR: Mandy L. Corrigan, MPH, RD, LD, CNSC, FAND
LEARNING LEVEL: Advanced
UAN: 0216-0000-17-048-L05-P
CE CREDIT: 1.5 hours

Presented by the ASPEN Nutrition Support Nurses Section


Nutrition at the Extremes: When and What Should I Feed the Patient

LEARNING OBJECTIVES
1. Describe the impact of vasopressor agents, hypothermia, prostaglandins, or extracorporeal membrane oxygenation (ECMO) on the patient’s metabolic rate and function of the gastrointestinal tract
2. Determine the appropriate method of nutrition support provision and nutrient requirements in the critically ill patient receiving vasopressors agents, hypothermia, prostaglandins, or ECMO
3. Develop a nutrition regimen for the critically ill patient receiving vasopressors agents, hypothermia, prostaglandins, or ECMO

FACULTY & TOPICS
Are You Feeling the Pressure? Feeding While On Vasopressors
Livia Allen, PharmD, BCCCP

I am Cold! Feeding While Receiving Hypothermia
Celina Scala, MS, RD, CNSC, LDN

How Do You Feed a Broken Heart? Feeding While on Prostaglandins or Extracorporeal Membrane Oxygenation
M. Petrea Cober, PharmD, BCNSP, BCPPS

MODERATOR: M. Petrea Cober, PharmD, BCNSP, BCPPS
LEARNING LEVEL: Advanced
UAN: 0216-0000-17-049-L04-P
CE CREDIT: 1.5 hours

 
Presented by the ASPEN Pediatric Section


Clinical Nutrition in Critical Care: New Insights

LEARNING OBJECTIVES
1. Discuss the results of a survey of Latin American ICU patients to assess nutritional status based on Subjective Global Assessment (SGA)
2. Identify maximal energy deficit to prevent the occurrence of underfeeding-related complications while determining the best feeding approach
3. Summarize the role of the gut microbiota and the effects of manipulating the gut microbiota in critically ill patients

FACULTY & TOPICS
Caloric Deficit in Critically Ill Patients – New Data from Screening Day in Latin America
M. Isabel Correia, MD, PhD, Professor of Surgery, Universidade Federal de Minas Gerais; Chief of the Nutrition Therapy Team, Alfa Institute of Gastroenterology and Surgery , University Hospital, Belo Horizonte, Brazil

Supplemental Parenteral Nutrition: Closing the Caloric Deficit in Critically Ill Patients

New Insights in Microbiota in Critically Ill Patients: What Are They Doing and Should We Interfere?
Gail Cresci, PhD, RD, LD, CNSC, Staff, Pediatric Research Center, Lerner Research and Digestive Disease and Surgery Institutes, Department of Gastroenterology and Pathobiology, Cleveland Clinic, Cleveland, OH

LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-050-L01-P
CE CREDIT: 1.5 hours

Contributed by the Latin American Federation of Nutritional Therapy, Clinical Nutrition, and Metabolism (FELANPE)


Password: A Gameshow of Inter-Professional Nutrition Support Communication

DESCRIPTION
ASPEN embodies the ideal approach to clinical nutrition, sponsoring a dialogue between professionals of all disciplines. Unfortunately, our interdisciplinary communication skills need some work. In the tradition of Clinical Pearls and
the very successful CNW game shows in past years, we are presenting the Password Game or Multidisciplinary Communication. The goal is to focus on three key-topic areas: Refeeding Syndrome, Drug Nutrient Interactions, and Nutritional Deficiencies. Our contestants will consist of a pharmacist, nurse, physician, and dietitian. They will form two teams to get their teammate to identify the symptom using only one-word clues. At the end of each game, a sponsor will present a didactic review of the targeted topic.

LEARNING OBJECTIVES
1. List the key electrolytes depleted in a refeeding syndrome patient
2. Predict potential drug-nutrient interactions based on the kinetics of the drug absorption
3. Identify nutritional deficiencies based on clinical insight afforded by this program

FACULTY & TOPICS
Contestant #1
Rafael Barrera, MD, Section Director – Surgical Critical Care Medicine, Pulmonary Critical Care and Sleep Medicine, Long Island Jewish Medical Center, New York, NY

Contestant #2
Gerald Schmidt, PharmD, BCNSP, Pharmacist, Clinical Associate Professor and Nutrition Support Practitioner, Department of Pharmacy, University of Florida Health, Jacksonville FL

Contestant #3
Carol Ireton-Jones, PhD, RDN, LD, CNSC, FAND, FASPEN, Nutrition Therapy Specialist/Consultant in Private Practice, Professional Nutrition Therapists, Dallas, TX

Contestant #4
Carol McGinnis, DNP, APRN-CNS, CNSC, Clinical Nurse Specialist, Sanford USD Medical Center, Sioux Falls, SD

Refeeding Syndrome
Charles Mueller, PhD, RDN, CDN, CNSC, Clinical Assistant Professor of Clinical Nutrition, New York University, New York, NY

Drug-Nutrient Interactions
Kathleen Gura, PharmD, BCNSP, FASHP, FPPAG, FASPEN, Clinical Pharmacist GI/Nutrition Team Leader, Surgical Programs, Boston Children’s Hospital, Boston, MA

Nutritional Deficiencies
Lillian Harvey Banchik, MD, FACS, CNSC, Assistant Clinical Professor, Surgery, New York University School of Medicine, Great Neck, NY

MODERATOR: Mark Klang, MS, RPh, BCNSP, PhD
LEARNING LEVEL: Intermediate
UAN: 0216-0000-17-051-L04-P
CE CREDIT: 1.5 hours

Presented by the ASPEN Drug-Nutrient Interaction, Dietetics, and Medical Practice Sections