This hands-on and interactive session addresses knowledge gaps for individuals who wish to delve deeper into challenges associated with pediatric nutrition support. Building on foundational knowledge, speakers will present information that provides the scaffolding to expand expertise through the discussion of complex clinical situations. Participants can move among stations covering a variety of topics that will help them create individualized nutrition support plans in challenging circumstances.
LEARNING OBJECTIVES
- Discuss neonatal parenteral nutrition (PN) prescribing in the face of clinical challenges for neonates in the NICU.
- Summarize the unique challenges of managing fluids, electrolytes, and nutritional needs in neonates.
- Discuss pediatric enteral formulas and their indications for different complex clinical scenarios.
- Discuss human milk fortification and commercial high calorie pediatric enteral formulas.
- Summarize the benefits and concerns with the various lipid injectable emulsions (ILEs).
- Discuss pediatric PN troubleshooting, cycling, and components of standardized commercially available PN products.
- Identify central venous access devices (CVADs) commonly used with PN in pediatric patients.
- Identify enteral access devices (EADs) commonly used with enteral nutrition (EN) in pediatric patients.
- Identify common gastrostomy site skin complications and describe management strategies based on clinical evaluation.
- Summarize the concepts of intestinal rehabilitation and the various methods used to facilitate reaching intestinal autonomy.
- Identify the components of a nutrition focused physical exam (NFPE).
- Describe methods to obtain accurate and focused nutritional assessment in children with neurodevelopmental disabilities and motor impairments.
- Discuss the safety of the clinical practice of nutrition support prescribing and ensure nutrition support ordering practices meet all federal, state, and local standards.
PRESENTERS AND TOPICS
Pediatric Enteral Nutrition: Choosing and Managing Appropriate Devices
Ruba Abdelhadi, MD, CPNS, CNSC, NASPGHAN-F, Professor of Pediatrics, University of Missouri-Kansas City School of Medicine; Director of Nutrition Support, Children's Mercy Kansas City, Kansas City, MO
The Art of Intestinal Rehabilitation: Dotting the I’s and Crossing the T’s During the Journey to Enteral Autonomy
William San Pablo, MD, Medical Director of the Intestinal Rehab Program, Children's Mercy Kansas City, Kansas City, MO
Neonatal Nutrition Challenges and Parenteral Nutrition Order Writing in the Face of Clinical Challenges
Teresa Puthoff, PharmD, BCNSP, Advanced Patient Care Pharmacist, NICU, Nationwide Children’s Hospital, Columbus, OH
Parenteral Nutrition Order Writing: Which Lipid Is the Right One? Review
of Injectable Lipid Emulsions (Iles) in Parenteral Nutrition Prescribing
Nancy Green, RD, LD, MS, Senior Clinical Nutrition Specialist IV, Children's
Mercy Kansas City, Kansas City, MO
Choices in the Face of Challenges: Human Milk, Formulas, and Higher Calorie Preparations
Irmalis Flores Gonzalez, RD, LD, MS, Neonatal Registered Dietitian, Cincinnati Children’s Hospital, Cincinnati, OH
Anna Busenburg, RD, LD, CSP, CLC, Pediatric
Registered Dietician, Cincinnati Children’s Hospital, Cincinnati, OH
Fluid and Electrolyte and Nutritional Challenges in the Neonatal Period: Integrating the Neonatal Malnutrition Guidelines into Clinical Practice
Jacqueline Wessel, MEd, RDN, CNSC, CSP, CLE, Neonatal Nutritionist, Cincinnati Children’s Hospital, Cincinnati, OH
Pediatric Parenteral Nutrition: Delving Deeper Into Clinical Scenarios, Including Troubleshooting and Cycling
Kyle Hampson, PharmD, BCNSP, BCPPS, CNSC, Assistant Professor, Pharmacy Practice, Arnold and Marie Schwartz College of Pharmacy, Long Island University, Brooklyn, NY
Central Venous Access Devices and Troubleshooting Recurrent Line Infections
Patrice Czerkawski, RN, BSN, Clinical Nursing Coordinator for the Intestinal Rehab Program, Children's Mercy Kansas City, Kansas City, MO
Gastrostomy Site Problems: Solving Clinical Challenges in Skin Management
Tara Otterson, RN, BSN, Enteral Access Team Clinical Nurse Coordinator, Children's Mercy Kansas City, Kansas City, MO
Pediatric Enteral Formulas: Not All Formulas Are Created Equal - Choosing Wisely in the Face of Medical Complexity
Elizabeth Bobo, MS, RD, LDN, CNSC, Pediatric Clinical Dietitian, Department of Gastroenterology and Nutrition, Nemours Children’s Health, Jacksonville, FL
Nutritional Assessment in Children with Mobility Impairment and Neurodevelopmental Challenges: Is This Child with Medical Complexity Nutritionally Ready for a Big Operation?
Gina Rempel, MD, FRCPC, Medical Lead, Nutrition Support and Complex Care, Children’s Hospital of Manitoba at Health Science Centre Winnipeg/Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
Nutrition Focused Physical Examination
Laura Green, MS, RD, LD, CNSC, Clinical Nutrition Specialist II, GI/Nutrition Support/Intestinal Rehab Team, Children's Mercy Kansas City, Kansas City, MO
Meera Al-Rajabi, High School Student Volunteer and Case Presenter, The Barstow School, Kansas City, MO
Moderator
Ruba Abdelhadi, MD, CPNS, CNSC, NASPGHAN-F
CE Credit: 1.5 hours
Level: Basic/Intermediate
UAN: JA0002345-0000-24-057-L99-P