APGNN Annual Meeting

Slides: The session titles are now links to a download of all the slides for that session.

Friday,November 7

7:30-8:00am: Breakfast & Welcome 

8:00-9:15am: Session I – Keynote Speaker & APGNN Year in Review 

8:00-9:00am: Keynote 
                        When Healing Hurts: Moral Distress and the Unseen Impact of Reform in Pediatric Healthcare
                        Dr. Paquette, MD, JD, MBe, HEC-C, FAAP - Lurie Children’s Hospital of Chicago
Learning Objectives:

• Discuss how policy reform is contributing to moral distress for health care providers.
• Explore the psychological and professional consequences of moral distress on healthcare providers, including burnout, compassion fatigue, and turnover
• Review therapeutic framework to utilize when moral distress and burnout occur
• Discuss the unique vulnerability of pediatric patients in ethically complex care environments compared to adult populations
• Encourage interdisciplinary dialogue around balancing systemic reform with ethical patient care, especially in the pediatric patient population

                        Kerry Reed, MS, RN, CPNP-PC, APGNN President

9:15-9:30am Committee Meetings & Break

9:30-11:00am Session II -Intestinal Rehab-The Long and the Short of Guts

9:30-10:00am From Learning to Living: Equipping Intestinal Failure Patients for Safe Discharge
                         Jenn McClelland, BSN, MS, RN, FNP-BC- Boston Children’s Hospital 
                         Learning Objectives:

• Illustrate a multi-disciplinary approach to identifying, educating and safely discharging pediatric intestinal failure patients/caregivers, particularly those on home parenteral nutrition.
• Describe inpatient education protocol designed to mitigate risks of hospital readmissions, ambulatory CLABSI and CVC complications.
• Identify effective education techniques for patients/caregivers to manage high-risk complex therapies at home.

10:00-10:30am Short Bowel Syndrome: A triage protocol
                           Laurette Minagawa, MSN, CPNP-AC- Rady Children's 
                            Learning Objectives:

• Briefly review common conditions in short bowel syndrome/intestinal failure patients that require triage.
• Review important concepts in triaging patients with short bowel syndrome
• Demonstrate the application of the triage protocol through case-based scenario(s)

10:30-11:00am The Ins and Outs of Parenteral Nutrition
                           Flori Brioni, MS, RD - Lurie Children’s Hospital of Chicago
                           Learning Objectives:

• Evaluate parenteral nutrition (PN) indications and assess associated risks.
• Discuss appropriate lab monitoring in PN patients.
• Highlight relevant PN additives and their clinical significance.
• Highlight nutritional additives that are unable to be added to PN solutions.
• Summarize safe prescribing of PN solutions

11:00am-12:00pm: Session III - The 101 on an APP Run Service

11:00- 11:30am: Improving Outcomes for Patients with Pediatric Feeding Disorders (PFD) Transitioning from Hospital to Home: A Nurse Practitioner Led Service
                             Jessica Owens, CPNP-PC, MSN - UNC Medical Center Chapel Hill
                             Learning Objectives:

• Identify gaps in care between hospital to the home setting in patients with PFD
• Understand how early feeding interventions can improve outcomes in the 4 domains of the PFD
• Identify measurable outcomes and areas for expansion of the NP led service

11:30-12:00pm: Transforming Inpatient Care: Implementing an APP-Lead Team in Hepatology/Liver Transplant.
                             Jody D. Mackling, APRN, MSN, CPNP-AC, CPNP-PC - UT Southwestern Medical Center/Children’s Health
                            Learning Objectives:

• Describe the rationale for implementing an APP-lead inpatient service, particularly in high acuity service lines such as hepatology.
• Outline steps and considerations in the design, staffing, scheduling, and operationalizing an effective APP inpatient team.
• Evaluate performance outcomes and sustainability through clinical metrics/outcomes, patient experience and provider integration.

12:00-1:30pm: Lunch and Poster Session

1:30-3:00pm: Session IV - Hot Topics

1:30-2:00pm: Living Donor Liver Transplant: A Way to Work Towards Zero Waitlist Mortality
                        Dr. Amy Feldman - Children’s Hospital Colorado 
                        Learning Objectives:

• Understand the various graft options for children in need of liver transplant
• Be aware of disparities that exist in pediatric liver transplantation
• Understand ways to advocate for each pediatric liver transplant candidate

2:00-2:30pm Beyond the Hoofbeats
                     Millie Boettcher, MSN, PPCNP-BC- Children's Hospital of Philadelphia
                     Learning Objectives:

• Review history of presenting symptoms of CODEs (congenital onset diarrhea and enteropathies
• Discuss previous treatments and endoscopy findings
• Discuss WNT2B mutation
• Review of recent endoscopies and new diagnosis

2:30pm-3:00pm: Should We Be Freaking Out? Decoding the Drama Around Ultra Processed Foods, Seed Oils, Natural Flavors, and Food Dyes
                           Venus Kalami, MNSP, RD, CSP - Venus Kalami Nutrition
                           Learning objectives:

• Define and demystify the science behind ultraprocessed foods, seed oils, natural flavors, and foods
• Critically evaluate claims and concerns regarding these ingredients to separate fact from fiction
• Explore practical frameworks to nutrition and lifestyle counseling that are evidence-based and human-centered

3:00- 3:30pm: APGNN Awards & Presentations

• Patient and Professional Education Award
• Poster of Distinction
• Susan Moyer Research Grant
  • Announcing current year’s winner
  • Presentation (grant update) from 2023 winner

3:30-5:30pm: Session V - Updates in IBD

3:30-4:00pm: New Kids on the Block-Updates in IBD Medications
                        Dr. Brent Polk - University of California/Rady Children’s San Diego 
                         Learning Objectives:

• Understand the differences across therapeutic targets in IBD
• List FDA approved drug treatments for pediatric IBD
• Identify two resources available for patients or providers to remain up to date on FDA-approved IBD medications

4:00-4:30pm: Functional or Factual? Deciphering symptoms in IBD patients
                         Emmala Ryan Waduge, FNP-C - Levine Children’s Hospital/Atrium Health
                         Learning Objectives:

• Describe the clinical presentation and diagnostic criteria of functional symptom overlap in IBD patients
• Identify clinical, laboratory, endoscopic, and imaging features that help distinguish active inflammation from functional symptoms
• Explain the role of gut-brain axis, microbiome changes, visceral hypersensitivity, and psychosocial factors
• Explore evidence-based management strategies for functional symptoms in IBD patients
• Recognize the impact of functional symptoms on patient quality of life and mental health

4:30-5:00pm: Young Guts, Hidden Risks: VTE Prevention in pediatric IBD
                        Dr. Kim Chien - Weill Cornell Medicine New York 
                         Learning Objectives:

• Describe the pathophysiology and presentation of VTEs in IBD
• Discuss prevalence and incidence of VTEs in pediatric IBD
• Discuss risk factors of VTEs in pediatric IBD
• Discuss safety of VTE prophylaxis in children with IBD
• Discuss current recommendations for VTE prophylaxis in children in IBD

5:00-5:30pm: Growing Pains - Transitioning your IBD Patient to Adult Care 
                        Maureen Kelly, DNP, RN, CPNP- University of North Carolina at Chapel Hill
                        Learning Objectives:

• Identify three barriers to successful health maintenance and transition to adult care
• Describe three health maintenance practices and their effect on transition of care
• Discuss examples of content to be included in a health maintenance/transition clinic
• Identify tools that can be used for transition assessment, planning and transfer
• Explain the importance of planning for future health needs and identify resources for support.

6:00pm: APGNN Social Event

Saturday,November 8

8:00-8:30am: Breakfast & Welcome 

8:30-10:00am: Session VI - Gastroenterology Procedures

8:30- 9:00am: Anorectal Manometry: What You Need to Know
                         Carly Mondillo, RN, BSN, CPN & Kristen Beck, RN, BSN, CPN - Cincinnati Children’s
                         Learning Objectives:

• Describe the basics of anorectal manometry
• Explain how to prepare patients and families for what to expect during an anorectal manometry procedure

9:00- 9:30am: Enhancing Bowel Preparations with Standard and Nonstandard Approaches
                         Martha Sprague, MSN, RN, CPNP -PC & Lindsey Rosenblit, MSN, RN, FNP-BC - Boston Children’s
                         Learning Objectives:

• Discuss the importance of effective and tolerable bowel preps in pediatric population for diagnosis and management
• Briefly review standard bowel preps by weight
• Discuss special considerations/populations that merit modified preps
• Review special studies and their preps (motility / capsule studies)
• Discuss common questions and concerns that arise during the preps
• When to admit for prep, and how to start the process

                           Dr. Michael Dolinger - NYU Grossman School of Medicine
                           Learning Objectives:

• Describe the role of intestinal ultrasound (IUS) in the real-time assessment of disease activity in pediatric inflammatory bowel disease (IBD)
• Compare the accuracy and utility of IUS with other imaging modalities and monitoring tools
• Identify practical applications of IUS across clinical contexts in tight control monitoring strategies to improve outcomes for children with IBD
• Understand IUS implementation strategies and access barriers USA

10:00-10:30am Break

10:30am- 12:00pm: Session VII - Reflux - Follow the Pathway

10:30- 11:00am: Beyond the Burp: Diagnostic Approach for Reflux in Children
                              Dr. Alejandro Llanos-Chea - UT Southwestern
                              Learning Objectives:

• Explain the pathophysiological mechanisms underlying gastroesophageal reflux (GER) in infants and children
• Describe the various diagnostic tools and tests used to evaluate GER/GERD in children, highlighting their indications, advantages, and limitations
• Discuss the clinical approach to selecting appropriate diagnostic methods based on age, symptoms, and severity, integrating evidence-based guidelines and current pediatric gastroenterology practices.

11:00- 11:30am: Treating GERD: Acid suppression and Beyond
                              Dr. Seema Khan - Lucille Packard Children’s Hospital Stanford 
                              Learning Objectives:

• Describe the clinical efficacy, safety and limitations of standard acid suppressive therapy
• Discuss complicated and refractory pediatric GERD
• Review the emerging pharmacological therapies including potassium competitive acid blockers in GERD therapy
• Identify the role of procedural interventions in the management of GERD

                                   Dr. Shaunte McKay - Emory University School of Medicine
                                   Learning Objectives:

• To define advances in understanding the pathophysiology of reflux hypersensitivity
• To review clinical symptoms and diagnosis of reflux hypersensitivity
• To review current insights on neuromodulation treatment modalities for reflux hypersensitivity

12:00-2:00pm: Lunch and Poster Session

2:00 - 6:00pm: NASPGHAN Concurrent Sessions

Population Health in IBD

Current Approaches to Eosinophils in the Gut