Enteral Feeding “Intolerance”: It's NOT About the Tube Feeding
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Date: August 17, 2021
Time: 2:00 – 3:30 PM ET
Enteral nutrition (EN) is an effective way to nourish patients; however, many barriers exist that prevent consistent and effective delivery of EN in the hospitalized patient. Many of these barriers are patient specific issues, often referred to as "EN intolerance" or "complications of EN." These terms are extremely vague and require further exploration by the clinician. The real problem may be related to the underlying disease state or may be due to inadequate or inappropriate medication treatment. In some cases, the patient may not be able to articulate what is wrong, and it is easy to attribute the patient's symptoms to the EN. Identifying the root cause of these patient specific barriers allows the clinician to intercede appropriately and to ensure that patients receive the EN intended. In this era of high-tech medicine, clinical skills may be eclipsed by new technologies, diagnostics, and therapeutic advances; however, basic clinical assessment skills are critical for accurate assessment of the enterally-¬fed patient. Many current practices surrounding the provision and monitoring of EN are not evidenced-based, nor physiologically sound. This webinar will explore common patient specific barriers (gastric residual volumes, diarrhea, nausea, vomiting, pain, constipation, and initiation and progression of EN), arm the clinician with strategies to manage such obstacles to improve nutritional delivery to patients, and change the paradigm from "EN intolerance/complications" to "root cause analysis of GI symptoms.
Learning Objectives
- Recognize barriers to successful enteral feeding in the hospitalized patient
- Identify common myths surrounding EN “intolerance or complications” including diarrhea, constipation, gastric residual volumes, hyperosmolar formulas, and flow rates
- Develop a systematic approach to identify the root cause of the patient specific barrier in order to improve enteral feeding delivery
Faculty and Topics
Feeding Patients Through a Tube: Clinical & Physiological Considerations – Part I
Carol Rees Parrish, MS, RDN, Nutrition Support Specialist, University of Virginia Health System, Charlottesville, VA
Feeding Patients Through a Tube: Clinical & Physiological Considerations – Part II
Andrew Copland, MD, Assistant Professor of Medicine, Division of Gastroenterology and Hepatology, University of Virginia Health System, Charlottesville, VA
Moderator
Stacey McCray, RDN, Nutrition Support Specialist, Nutrition Services, University of Virginia Health System, Charlottesville, VA
UAN: JA0002345-0000-21-088-L04-P
Level: Intermediate
CE Credits: 1.5 hours
Pricing
| | Member | Non-Member | ASPEN Chapter | Site |
| Early Registration | $19 | $39 | $99 | $149 |
| 3 days prior to webinar | $29 | $49 | $199 | $249 |
**Please note: Sites and chapters registering for a webinar site should follow all local ordinances/mandates regarding the gathering of individuals.**
ASPEN Recommendations for Photoprotection of Parenteral Nutrition for Premature Infants: A Live Podcast
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Date: August 23, 2021
Time: 4:00 – 5:00 PM ET
This live podcast, based on Recommendations for Photoprotection of Parenteral Nutrition for Premature Infants: An ASPEN Position Paper, will answer questions on the need to photoprotect parenteral nutrition in premature infants, the recommendations made by an ASPEN workgroup, how to implement these recommendations, and the need for additional medical devices to put these new practices safely and efficiently into place. The podcast will include findings from an ASPEN member survey on current practices.
Faculty
Daniel T. Robinson, MD, MSc, Northwestern University Feinberg School of Medicine and Lurie Children’s Hospital, Chicago, IL
Beth Deen, PharmD, BCNSP, BCPPS, Senior Clinical Pharmacy Specialist, Cook Children’s Medical Center Fort Worth, TX
Katie Haggerty, RD/LD, RN, BSN, MBA, Neonatal Intensive Care Nurse, Cook Children’s Medical Center, Fort Worth, TX
Moderator
Allison Blackmer, PharmD, BCPS, BCPPS, FCCP, FASPEN, Director, Clinical Practice, Quality, and Advocacy, American Society for Parenteral and Enteral Nutrition, Silver Spring, MD
PricingThis live podcast is free for all participants.
Sponsored by
Electronic Health Record (EHR) Webinar Series
This virtual roundtable series provides opportunities for participants to network with colleagues who utilize the same electronic health record (EHR) platform and obtain practical tips and tricks for integration of clinical nutrition into the systems. There will be four total webinars for each of the following EHR platforms: Epic and Cerner. Two webinars will focus on parenteral nutrition (PN) issues and two on general nutrition support (malnutrition documentation, oral nutrition supplements (ONS) and enteral nutrition (EN) ordering and documentation).
Each webinar will be one hour in duration. Participants will be segmented into groups specific to either Epic or Cerner. Virtual roundtables will be held via the Zoom platform to allow for interactivity among faculty and participants. The total capacity for each webinar is limited to 100. Recordings of webinars will not be available after the event.
Learning Objectives
- Improve nutrition assessment documentation within the EHR.
- Describe processes for ONS or EN ordering within the EHR.
- Outline challenges and solutions to ordering PN within the EHR.
- Optimize EHR functionality for PN compounding and administration.
Electronic Health Record (EHR) Webinar Series
PN Prescribing
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Date: August 30, 2021
Time: 1:00 – 2:00 PM ET
| Faculty and Topics |
Epic: PN Prescribing
|
| Facilitator: | Vince Vanek, MD, FACS, FASPEN, Regional Medical Informatics Officer, Mercy Health, Youngstown Region Associate Program Director, General Surgery Residency, St. Elizabeth Youngstown Hospital, Youngstown, OH
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| Moderator: | Mike Kraft, PharmD, BCNSP, FASPEN, Assistant Director-Education & Professional Development, Michigan Medicine; Clinical Professor, University of Michigan College of Pharmacy, Ann Arbor, MI |
Cerner: PN Prescribing
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| Facilitator: | Michael L. Christensen, PharmD, Professor, Department of Clinical Pharmacy, University of Tennessee, and Director, Parenteral Nutrition Service, Le Bonheur Children’s Hospital Memphis, TN
|
| Moderator: | Julianne Harcombe, RPh, BCNSP; Clinical Pharmacist-Nutrition Support, St Joseph’s Hospital, St. Joseph’s Children’s Hospital, BayCare Health System, Tampa, FL |
UAN: JA0002345-0000-21-138-L04-P
Level: Basic
CE Credits: 1 hour
Pricing
| | Member | Non-Member |
| Early Registration | Free | $19 |
| 3 days prior to webinar | Free | $29 |
**Please note: Site and chapter registrations will not be offered for the Electronic Health Record webinar series.**
Electronic Health Record (EHR) Webinar Series
Nutrition Screening/Assessment Documentation and Pathways
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Date: August 31, 2021
Time: 12:00 – 1:00 PM ET
| Faculty and Topics |
Epic: Nutrition Screening/Assessment Documentation and Pathways
|
| Facilitator: | Jessica Engelbrecht, MS, RDN, LD, CNSC, Clinical Dietitian, Mercy Hospital Systems, Tulsa, OK
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| Moderator: | Emily Brown Richards, RD, LDN, CNSC, Per Diem Clinical Dietitian, Rhode Island Hospital, Providence, RI |
Cerner: Nutrition Screening/Assessment Documentation and Pathways
|
| Facilitator: | TBD
|
| Moderator: | Cheryl Smith, MS, RD, LD, CNCS, Clinical Dietitian, Oklahoma City VA Health Care System, Oklahoma City, OK |
UAN: JA0002345-0000-21-139-L04-P
Level: Basic
CE Credits: 1 hour
Pricing
| | Member | Non-Member |
| Early Registration | Free | $19 |
| 3 days prior to webinar | Free | $29 |
**Please note: Site and chapter registrations will not be offered for the Electronic Health Record webinar series.**
Electronic Health Record (EHR) Webinar Series
PN Preparation
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Date: September 7, 2021
Time: 1:00 – 2:00 PM ET
| Faculty and Topics |
Epic: PN Preparation
|
| Facilitator: | Phil Ayers, PharmD, BCNSP, FMSHP, FASHP, Chief, Clinical Pharmacy Services, Mississippi Baptist Medical Center, Jackson, MS
|
| Moderator: | Sara Bliss, PharmD, BCNSP, Duke University, Durham, NC
|
Cerner: PN Preparation
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| Facilitator: | Mark Barricklow, RPh, BCSCP, Pharmacy Manager, Indiana University Health Methodist and University Hospital, Indianapolis, IN |
| Moderator: | Brandi Weller, PharmD, Intestinal Rehabilitation and Nutrition Support Clinical Pharmacist, Department of Pharmacy, Children’s Mercy Kansas City, Kansas City, MO |
UAN: JA0002345-0000-21-140-L04-P
Level: Basic
CE Credits: 1 hour
Pricing
| | Member | Non-Member |
| Early Registration | Free | $19 |
| 3 days prior to webinar | Free | $29 |
**Please note: Site and chapter registrations will not be offered for the Electronic Health Record webinar series.**
Electronic Health Record (EHR) Webinar Series
Oral Nutrition Support, Modulars, and Enteral Nutrition Issues
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Date: September 8, 2021
Time: 12:00 – 1:00 PM ET
| Faculty and Topics |
Epic: Oral Nutrition Support, Modulars, and Enteral Nutrition Issues
|
| Facilitator: | Michelle Kozeniecki, MS, RD, CNSC, Lead Clinical Dietitian, Froedtert Hospital and Faculty/Adjunct Instructor, Graduate Program in Dietetics, Mount Mary University, Milwaukee, WI
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| Moderator: | Elizabeth Schuerman, RDN, CNSC, Olympic Medical Center, Port Angeles, WA
|
Cerner: Oral Nutrition Support, Modulars, and Enteral Nutrition Issues
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| Facilitator: | Sandra Wolfe Citty, PhD, APRN-BC, CNE-BC, Clinical Associate Professor, University of Florida College of Nursing, Gainesville, FL
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| Moderator: | Elaina Szeszycki, PharmD, BCNSP, Clinical Pharmacist – Nutrition Support and Pediatric Gastroenterology, Riley Hospital for Children at IU Health, Indianapolis, IN
|
UAN: JA0002345-0000-21-141-L04-P
Level: Basic
CE Credits: 1 hour
Pricing
| | Member | Non-Member |
| Early Registration | Free | $19 |
| 3 days prior to webinar | Free | $29 |
**Please note: Site and chapter registrations will not be offered for the Electronic Health Record webinar series.**
Managing the Hematopoietic Cell Transplant Patient
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Date: November 2, 2021
Time: 2:00 – 3:30 PM ET
This webinar will highlight nutrition assessment components, review nutrition support practices, and describe nutritional implications associated with gastrointestinal GVHD in hematopoietic cell transplantation (HCT) recipients. Patients undergoing HCT are a highly heterogenous population in terms of their nutrient needs and requirement for nutrition intervention. The implications of dose-intensive conditioning regimens, coupled with the debilitating effects of graft-versus-host disease (GVHD), can be extremely complex and adversely effect a patient's nutritional status. Decreased oral intake, increased nutrient requirements, and impaired nutrient utilization often necessitate medical nutrition therapy. The use of standard supportive care measures, including parenteral nutrition and enteral nutrition, have varied over the past four decades and are highly dependent upon the type of transplant being utilized.
Learning Objectives
- Identify necessary components of a comprehensive nutritional assessment for patients undergoing hematopoietic cell transplantation
- Construct appropriate nutritional plan of care for patients undergoing hematopoietic cell transplantation
- Describe nutritional implications associated with gastrointestinal graft versus host disease
Faculty
Kerry McMillen, MS, RD, CSO, FAND, Manager, Nutrition Therapy Services, Seattle Cancer Care Alliance, Seattle, WA
Paula Charuhas Macris, MS, RD, CSO, FAND, Nutrition Education Coordinator/Pediatric Nutrition Specialist, Seattle Cancer Care Alliance, Seattle
David M. Hockenbery, MD, Medical Director, Procedure Suite, Head, Gastroenterology/Hepatology, Seattle Cancer Care Alliance, Professor, Divisions of Clinical Research, Human Biology, Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA
Moderator
Joel Rush MS, RD, LD, CNSC, Neonatal Dietitian St. Joseph Medical Center, Houston, TX
UAN: JA0002345-0000-21-090-L01-P
Level: Intermediate
CE Credits: 1.5 hours
Supported in part by
Pricing
| | Member | Non-Member | ASPEN Chapter | Site |
| Early Registration | $19 | $39 | $99 | $149 |
| 3 days prior to webinar | $29 | $49 | $199 | $249 |
**Please note: Sites and chapters registering for a webinar site should follow all local ordinances/mandates regarding the gathering of individuals.**