Saturday, October 19
CPNP Nutrition Symposium

Session 1:  8:30am-10:00am

Nutrition support teams  
  Home parenteral nutrition: The journey from inpatient consultation to a successful discharge home
  Alexandra Carey MD
      Objectives:
  • Initiation of the home parenteral nutrition consult
  • Patient selection, medical, social work and case management clearance
  • Parenteral nutrition prescription readiness
  • The 5-session teach and simulation laboratory
  • Pre-discharge meeting
  • Outpatient transition: telemedicine and beyond
  Development of a nutrition support team: Addressing inpatient and outpatient needs
  Andrea Armellino MS, RDN, CNSC, LD and Julie Buchholtz RDN, LD 
      Objectives:
  • Identify the tools used to justify development of an institutional-specific Nutrition Support Team
  • Understand implementation of an inpatient and outpatient Nutrition Support Team
  • Discuss how success of a new Nutrition Support Team can be measured

Session 2:  10:30am – 12:00pm 

Nutrition and transplant  
  Heart to heart: A discussion about nutrition in pediatric patients undergoing heart transplant
  Melissa Froh, MS, RD, LDN, CD
     Objectives:
  • Understand the impact of malnutrition in patients waiting for transplant
  • Understand the differences in nutrition needs before and after transplant
  Navigating the phases of liver transplant: A nutrition roadmap
  Jill Rockwell RD, CSP, LD, CNSC
     Objectives:
  • Identify nutritional consequences of end stage liver disease
  • Discuss strategies for optimizing nutritional status pre-liver transplant
  • Review nutritional requirements pre- and post- liver transplant
  Nutrition in chronic liver disease
  Jame Heubi MD
     Objectives:
  • To describe the nutritional challenges and treatment in chronic childhood liver disease before liver transplant
  • To describe nutritional challenges and treatment after liver transplantation
  • To define gaps in our knowledge about nutritional challenges in childhood liver disease that can be addressed in the future

Session 3:  1:00pm-2:00pm

Nutrition in the Cystic Fibrosis patient  
  Optimizing nutrition in the CF child: The gastroenterologist’s role in a multidisciplinary care team
  Véronique Morinville MD
     Objectives:
  • Identify potential causes of suboptimal nutrition in a child with CF with a focus on gastrointestinal etiologies
  • Assess a child for nutritional adequacy as part of a multidisciplinary CF team
  • Manage gastrointestinal and nutritional aspects over time to optimize outcomes in CF
  Optimizing nutrition in children with Cystic Fibrosis; The dietitian’s role in the interdisciplinary team
  Virginia Anderson RD 
     Objectives:
  • Summarize why nutrition is important in people with Cystic Fibrosis
  • Review the specific nutritional needs of people with Cystic Fibrosis
  • Discuss Pancreatic Enzyme Replacement Therapy and Vitamin Supplementation in patients with Cystic Fibrosis
  • Understand a case study describing a newly diagnosed infant with Cystic Fibrosis

Session 4:  2:00pm-2:45pm

Malnutrition in the NICU        
  Jackie Wessel, RD

Breakout sessions: 3:30pm-5:00pm

Session repeat: 3:30pm-4:00 pm, 4:00pm-4:30pm & 4:30pm-5:00pm

  Breakout 1: Nutrition follow-up of the NICU graduate:  Practical strategies for monitoring and intervention  
        Linda Stephenson Somers, RD
        Objectives:
  • Monitor and assess the adequacy of post discharge weight gain velocity, linear growth velocity and feedings
  • Assess the impact of GERD and dysphagia on feeding and growth
  • Provide intervention strategies to maintain growth or promote growth restoration while also providing psychosocial support to families/caregivers who appear overwhelmed or anxious
Breakout 2: Thickening in pediatrics: Why and how
       Katie Walsh SLP
       Objectives:
  • Participants will be able to identify and discuss potential clinical rationale for thickening
  • Participants will be able to discuss at least 3 common products (commercial and food based) being used to thicken in pediatrics
Breakout 3: Resource sharing: The low FODMAP diet
       Kirsten Jones RD
       Objectives:
  • Exchange ideas and resources used to develop Low FODMAP diet educations
  • Share ways to increase patient compliance during the elimination phase of the diet
  • Compare high FODMAP reintroduction methods