Program Descriptions


April 

Critical Care Nutrition: Adults and Pediatrics

April 18, 2018 | 5:00-6:30 PM ET

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Description
Since publication of the 2016 American Society for Parenteral and Enteral Nutrition and Society of Critical Care Medicine’s Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient, numerous randomized controlled trials have challenged the recommendation for early enteral nutrition, suggesting early exclusive parenteral nutrition is safe, feasible, and associated with equal outcomes.  New data has also challenged the recommendation for supplemental parenteral nutrition in the critically ill adult and will be discussed thoroughly in this webinar.  

Additionally, there will be an evaluation of the 2017 ASPEN Comprehensive Nutritional Guidelines for Critically Ill Pediatric Patients and their application to patients in the inpatient and outpatient clinical settings.  Highlights include laboratory monitoring parameters for long-term parenteral nutrition, ideal additives and supplementation to parenteral nutrition and recommendations to reduce the incidence of central-line associated blood stream infections.

Learning Objectives

  1. Describe guideline recommendations for use of exclusive and supplemental parenteral nutrition in the critically ill adult.
  2. Identify and appraise landmark randomized controlled trials comparing early enteral versus early exclusive parenteral nutrition in critically ill adults.
  3. Identify and appraise landmark randomized controlled trials comparing early enteral plus supplemental parenteral nutrition to enteral nutrition alone.
  4. Cogitate on scenarios for exclusive and supplemental parenteral nutrition.
  5. Describe long-term parenteral nutrition lab monitoring in the inpatient and outpatient settings
  6. Define the role of levocarnitine in parenteral nutrition
  7. Identify strategies to reduce the incidence of Central Line Associated Blood Stream Infections related to parenteral nutrition use in the pediatric critical care setting

Faculty and Topics
Updates on Use of Early Exclusive and Supplemental Parenteral Nutrition in the Critically Ill Adult
Jayshil Patel, MD, Associate Professor of Medicine, Division of Pulmonary and Critical Care Medicine, Medical College of Wisconsin, Milwaukee, WI

Parenteral Nutrition in the Pediatric Critical Care Setting
Michael Haight, MD, MHA, Director Chief, Pediatric Gastroenterology, UCSF Fresno Pediatrics, Fresno, CA

Moderator
Harlan Husted, PharmD, MBA, BCPS, Pediatric Clinical Pharmacist, NICU, Community Regional Medical Center, Fresno, CA

CE Credit: 1.5 hours
Level: Intermediate
UAN:  JA0002345-0000-18-061-L01-P

 

 

May

 

 Nutrition Assessment: Nutrition Focused Physical Exam

May 10, 2018 | 2:00-3:30 PM ET

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Description
This webinar will provide an overview of the Nutrition Focused Physical Exam (NFPE) for both the adult and pediatric patient populations.  The speakers will discuss characteristics of malnutrition such as muscle wasting, fat loss, edema and micronutrient abnormalities and how to identify them.  They will provide examples of how they have incorporated NFPE into their current practice and how they have overcome the barriers to get to this point.  They will examine case studies to put the entire NFPE to use and review coding for malnutrition.

Learning Objectives

  1. Summarize the use of a nutrition focused physical exam in identifying malnutrition in both pediatric and adult patients.
  2. Identify clinical signs of malnutrition, including muscle wasting, fat loss, edema and micronutrient abnormalities.
  3. Determine how to incorporate the nutrition focused physical exam into practice.

Faculty and Topics
Nutrition Assessment in Adults
Elizabeth “Betsy” Gallant, RD, LD, CNSC, Nutrition Support Dietitian, Nutrition Support Team, Cleveland Clinic, Cleveland, OH

Nutrition Assessment in Pediatrics
Bette Klein, MS, RD, CSP, LD, Advanced Practice Pediatric Dietitian, Pediatric Nutrition Support Team, Pediatric Gastroenterology Cleveland Clinic Children’s Hospital, Cleveland, OH

Moderator 
Rose K. DeLaGarza RD, CNSC, CPHQ, Clinical Dietitian for Transplant Services, Dignity Health St. Joseph's Hospital, Phoenix, AZ

CE Credit: 1.5 hours
Level: Intermediate
UAN:  JA0002345-0000-18-062-L04-P 

 

 

June

 

Promoting Safety of the PN Use Process Through Nutrition Support Competencies

 June 7, 2018 | 2:00-3:30 PM ET

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Description
Parenteral nutrition (PN) is a high alert medication that is commonly used in the hospital and home care settings and is a life-sustaining therapy for patients who cannot meet their nutrition and hydration needs by oral or enteral means or have contraindications to enteral therapy. The PN use process (ordering, order review, compounding, and administration) is associated with risk, however the use of evidence based protocols for PN management focus on minimizing PN related errors and have demonstrated that PN can be safely used in appropriate patients. Safe and effective use of PN requires input from skilled clinicians of multiple disciplines. Ensuring the competency of all team members is essential to promoting safe practices and maximizing clinical outcomes throughout the PN use process. This webinar will focus on strategies for ensuring competency in PN ordering, order review and verification, compounding, and administration to patients. It will also discuss methods of evaluating the competency of clinicians involved in providing PN within an institution. 

Learning Objectives

  1. Identify procedures for PN ordering, order verification, compounding, and administration that promote safe PN practices.
  2. Describe risk mitigation strategies for PN ordering, order verification, compounding, and administration
  3. Construct a method to assess and maintain competency for clinicians involved in providing PN

Faculty and Topics
Competency in the Pharmacy with Parenteral Nutrition
Joseph Boullata, PharmD, RPh, BCNSP, FASPEN, FACN, Pharmacy Specialist in Nutrition Support, Hospital of the University of Pennsylvania and Clinical Professor, Department of Nutrition Sciences, Drexel University, Philadelphia, PA 

Maximizing Safety Through Parenteral Nutrition Administration Competency
David Keeler, BSN, RN, CPN, Intestinal Rehabilitation Program Coordinator, Division of Gastroenterology, Hepatology, and Nutrition, Children's Mercy Kansas City, Kansas City, MO

Applying Nutrition Support Competencies to Your Institution
Kyle Hampson, PharmD, BCNSP, CNSC, Clinical Pharmacy Specialist, Nutrition Support and Intestinal Rehabilitation, Department of Pharmacy, Children's Mercy Kansas City, Kansas City, MO 

Moderator
Kyle Hampson, PharmD, BCNSP, CNSC, Clinical Pharmacy Specialist, Nutrition Support and Intestinal Rehabilitation, Department of Pharmacy, Children's Mercy Kansas City, Kansas City, MO

CE Credit: 1.5 hours
Level: Intermediate
UAN: JA0002345-0000-18-066-L05-P

 

 

July

Enteral Nutrition Access and Medication Administration

July 13, 2018 | 2:00-3:30 PM ET

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Description
This webinar will explore enteral nutrition (EN) access and caring for enteral feeding tubes. The first part of the webinar will include education on the identification of medications that are incompatible with or may have potential negative interactions with EN that warrants the holding of EN. Concerns regarding the pharmacokinetics of different forms of medication and the use of pharmacologic agents to unclog feeding tubes will also be discussed. The second part of the webinar will focus on the different types of commonly placed enteral feeding tubes and considerations on the choice of formula and infusion rate to prevent complications. Both sessions will focus on practical tips using case-based scenarios and up-to-date research studies.

Learning Objectives

  1. Assess three risk issues for medications which will present difficulties when administered via feeding tube.
  2. Evaluate a feeding tube clog using the recommended procedures and processes and select remedies to restore flow.
  3. Recognize and differentiate between types of enteral access and the key components of each.

Faculty and Topics
Tips from a Plumber’s Helper: A Guide to Drug Administration Through Feeding Tubes
Mark G. Klang, MS, RPh, BCNSP, PhD, Core Manager Research Pharmacy, Memorial Sloan Kettering Cancer Center, Lynbrook, NY

The In’s & Outs of Enteral Access
Liz Page RD, CNSC, LDN, Clinical Nutrition Manager, Baptist Downtown & Wolfson Children's Hospital, Jacksonville, FL

Moderator
Berri Burns, RD, CNSC, LD, Advanced Practice Registered Dietitian, Infusion Pharmacy at Home, Cleveland Clinic, Cleveland, OH

CE Credit: 1.5 hours
Level: Intermediate
UAN:  JA0002345-0000-18-064-L04-P 

 

CardinalHealth

Supported in part by an educational grant from Cardinal Health.

 

 

August 

Use of Alternative Lipid Injectable Emulsions: A Whole New World of Products 

August 21, 2018 | 3:00-4:30 PM ET

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Description
Lipid injectable emulsions (ILEs) are a dense source of calories and are a source of the essential fatty acids (EFAs), important for cell membrane development and precursors to key modulators involved in cellular pathways of the immune response. In the early 1970s, the ILE approved for use in the United States was a solely soybean oil-based fat emulsion (SOFE) and until recently was the only FDA approved product available in the US market. While very little has changed in the provision of ILEs over the last four decades in the United States, multiple products have come to market in other areas of the world such as Latin America, each with the intent of being an ideal oil source.  With the recent approval of newer ILEs in the US market, opportunities for expanded use of alternative lipid sources have been possible.  This webinar will include a discussion of the use of recently FDA approved ILE products, particularly the mixed-oil based fat emulsion (MOFE) with practical tips from those with experience using the products. 

Learning Objectives

  1. Compare and contrast the various lipid injectable emulsions currently available.
  2. Describe the benefits and challenges in using the newer lipid injectable emulsions.
  3. Determine the appropriate use of newer alternative lipid injectable emulsions in neonatal, pediatric, and adult populations. 

Faculty and Topics
Practical Aspects for Prescribing Alternative Lipids Emulsions In Adults Based on the Latin-American Experience
Diego Arenas Moya, MD, Director, Clinical Nutrition and Functional Medicine, SANVITE, Zapopan, Jalisco, Mexico 

Alternative Lipid Emulsions in Neonatal and Pediatric Patients: Evidence for Use and  Our 1-year Experience
Beth Deen, PharmD, BCNSP, BCPPS, Senior Clinical Pharmacy Specialist, Nutrition Support Cook Children’s Medical Center, Fort Worth, TX

Moderator
Mary Petrea Cober, PharmD, BCNSP, BCPPS, Clinical Coordinator – NICU, Akron Children’s Hospital/Associate Professor – Pharmacy Practice, Northeast Ohio Medical University, Akron, OH

CE Credit: 1.5 hours
Level: Intermediate
UAN:  JA0002345-0000-18-065-L04-P 

 

September

MALNUTRITION AWARENESS WEEK 

  

Diagnosing Malnutrition in the Obese Patient: A General Approach

September 24, 2018 | 4:00 - 5:00 PM ET 

Description
This year's Malnutrition Awareness Week will be focused on the nutrition screening process and diagnosing malnutrition within specialty populations. The programs will also address continued treatment of malnourished individuals after discharge.

This webinar will address the misunderstandings of how an obese patient can be malnourished despite not presenting as the stereotypical cachectic malnourished individual. It will also detail the process of assessment and diagnosing of malnutrition in this population. 

Learning Objectives

  1. Explain how an obese patient can still be malnourished 
  2. Provide examples of challenges or obstacles in identifying malnutrition in obese patients
  3. Define how the nutrition assessment may be different for obese patients, including the assessment process
  4. List components of the NFPE which are more or less specific to the obese patient 

Faculty & Topics
Malnutrition and the Obese Patient in the Hospital Setting: The Hidden Issue
Anna Burrowes, RD, Master's Candidate, Registered Dietitian, Nutritional Services, Mather Hospital at Northwell Health, Medford, NY

Nutrition Focused Physical Exam of the Obese Patient: Putting it into Practice
Sara Perdue, MS, RDN, CSG, LD, Clinical Nutrition Manager, Nutrition & Food Services, Oklahome City VA Health Care System, Edmond, OK

Moderator
Stephanie Cutrell, MS, RDN, LDN, CNSC, Nutrition Support Dietitian, Pharmacy, Vidant Medical Center, Winterville, NC

CE Credit: 1 hour
Level: Intermediate
UAN: JA0002345-0000-18-080-L01-P

 

  

Indicators of Malnutrition in the Neonate and Preterm Infant

September 25, 2018 | 4:00 - 5:00 PM ET 

Description
This year's Malnutrition Awareness Week will be focused on the nutrition screening process and diagnosing malnutrition within specialty populations. The programs will also address continued treatment of malnourished individuals after discharge. 

This webinar will address the criteria for defining infants as neonate and/or preterm. It will also detail the process of assessment and diagnosing of malnutrition in this population. 

Learning Objectives

  1. Define the criteria by which infants are classified as neonate and/or preterm
  2. Provide detailed discussion of each recommended indicator of malnutrition
  3. Outline the thresholds used to define mild, moderate, and severe malnutrition  

Faculty & Topics
Identification of Malnutrition in the Term Infant
Dena Goldberg, PhD, RD, Neonatal Nutrition Specialist, Carilion Clinic Children's Hospital; Assistant Professor, Department of Pediatrics, Virginia Tech Carilion School of Medicine, Roanoke, VA

Putting the Neonatal/Preterm Infant Malnutrition Indicators into Practice
Susan Carlton, MMSc RD, CSP, LD, Neonatal Dietitian, University of Stead Family Children's Hospital, Iowa City, IA

Moderator
Diane Barsky, MD, Gastroenterologist, Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA

CE Credit: 1 hour
Level: Intermediate
UAN: JA0002345-0000-18-081-L04-P 

 

Community Nutrition Resources: What is Available for the Discharged Patient?

September 26, 2018 | 4:00 - 5:00 PM ET 

Description
This year's Malnutrition Awareness Week will be focused on the nutrition screening process and diagnosing malnutrition within specialty populations. The programs will also address continued treatment of malnourished individuals after discharge. 

This webinar will address the continuum of malnutrition from the hospital to the home and highlight available community nutrition resources to aid in combating community malnutrition. 

Learning Objectives

  1. Explain how addressing malnutrition in the community setting can reduce hospital readmission rates
  2. List nutrition resources which are available for the malnourished patient after discharge from the hospital
  3. Highlight programs aimed to reduce or prevent malnutrition and improve outcomes 

Faculty & Topics
Meeting the Nutrition Needs of Seniors Transitioning Along the Clinical to Community Continuum of Care
Ucheoma O. Akobundu, PhD, RD, Senior Director, Nutrition Strategy and Impact; Director, National Resource Center on Nutrition and Aging; Meals on Wheels America, Arlington, VA

ProMedica Food Clinic: Addressing Hunger as a Health Issue
Chole Plummer, MD, RD, LD, Registered Dietitian, ProMedica Food Clinic, ProMedica, Toledo, OH

Moderator
Rose Ann DiMaria-Ghalili, PhD, RN, CNSC, FASPEN, FAAN, Associate Professor of Nursing, Doctoral Nursing Department, Nutrition Science Department, CNHP, Rydal, PA

CE Credit: 1 hour
Level: Intermediate
UAN: JA0002345-0000-18-082-L04-P


Adult and Pediatric Nutrition Screening Systematic Review: Updates from the Academy of Nutrition and Dietetics  

September 27, 2018 | 4:00 - 5:00 PM ET  

Description
This year's Malnutrition Awareness Week will be focused on the nutrition screening process and diagnosing malnutrition within specialty populations. The programs will also address continued treatment of malnourished individuals after discharge.

This webinar will provide recent updates from the recent nutrition screening systematic review for the adult and pediatric populations.

Learning Objectives

  1. Assess and analyze validity and reliability evidence to determine the most appropriate screening tool to identify those at risk for malnutrition in pediatric populations
  2. Describe application of malnutrition screening tool(s) in different setting
  3. Highlight the difference between a nutrition screen for malnutrition and a nutrition assessment for malnutrition  

Faculty & Topics
Pediatric Nutrition Screening Tools Analysis: Evaluating the Evidence
Patricia Becker, MS, RDN, CSP, CNSC, Pediatric Nutrition Specialist, Dayton Children's Hospital Medical Center Dayton Ohio, Cincinnati, OH

Adult Nutrition Screening: Updates to Practice
Anne Coltman, MS, RD, LDN, CNSC, Clinical Nutrition Coordinator, Clinical Nutrition, Loyola University Medical Center, New Lenox, IL

Moderator
Ainsley Malone, MS, RD, LD, CNSC, FAND, FASPEN, Nutrition Support Dietitian, Mt. Carmel West Hospital, Columbus, OH

CE Credit: 1 hour
Level: Intermediate
UAN: JA0002345-0000-18-083-L04-P 


 

October

The Gut Microbiome - Taking a Nutrition Approach to Modify Disease

October 10, 2018 | 3:00 - 4:30 PM ET

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Description
The microbiome is an important modulator and contributor to presence of disease as well as severity and recovery. Nutrient intake can affect the microbiome. In this webinar, the speakers will provide advanced information for clinicians in the evolving world of the microbiome. 

This webinar is targeted at an advanced level and builds upon webinars that were offered in 2016 and 2017. Recordings of these webinars are available in ASPEN's eLearning Center and can provide a foundation of knowledge prior to this webinar. Modifying the Gut Microbiota: Clinical Applications and Current Evidence and Microbiome: Research Update and Cutting Edge Applications.  

Learning Objectives

  1. Summarize the effects of antibiotics on gut microbiota, its metabolic byproducts, and intestinal health
  2. Define targeted efforts to maintain gut health and mitigate intestinal pathogenic bacteria colonization induced by antibiotic therapy as well as SIBO
  3. Describe whether gut microbiome composition predicts low FODMAP diet efficacy in irritable bowel syndrome (IBS)
  4. Determine whether a low FODMAP diet alters gut microbiome composition and/or metabolite profiles in those with IBS

Faculty & Topics
Gail Cresci, PhD, RDN, CNSC, Staff, Pediatric Research Center, Department of Pediatric Gastroenterology & Pathobiology, Cleveland Clinic, Cleveland, OH
 
The FODMAP Diet, Irritable Bowel Syndrome, and the Gut Microbiome
Bruno Chumpitazi, PhD, Associate Professor, Baylor College of Medicine; Director, Neurogastroenterology and Motility Program, Texas Children's Hospital, Houston, TX

 
Moderator
Carol Ireton-Jones, PhD, RDN, LD, CNSC, FASPEN, Nutrition Therapy Specialist, Private Practice, Carrollton, TX
 
CE Credit: 1.5 hours
Level: Advanced
UAN: JA0002345-0000-18-063-L04-P

 


November 

Oncology and Nutrition Support
Details to be announced soon!