Saturday, October 19
CPNP Nutrition Symposium

Session 1:  8:30am-10:00am 
 Speaker Slides Here

Nutrition support teams  
  Home parenteral nutrition: The journey from inpatient consultation to a successful discharge home
  Alexandra Carey MD
  • 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, CNSC 
  • 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 
Speaker Slides Here

Nutrition and transplant  
  Heart to heart: A discussion about nutrition in pediatric patients undergoing heart transplant
  Melissa Froh, MS, RD, LDN, CD
  • 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
  • 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
  James Heubi MD
  • 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
 Speaker Slides Here

Nutrition in the Cystic Fibrosis patient  
  Optimizing nutrition in the CF child: The gastroenterologist’s role in a multidisciplinary care team
  Véronique Morinville MD
  • 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
  • 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
Speaker Slides Here

Neonatal Malnutrition
  Jackie Wessel, MEd, RDN, CNSC, CSP, CLE
  • The learner will be able to state why growth of head circumference is not used as a malnutrition indicator
  • The learner will be able to tell when in days of life are the primary indicators used
  • The learner will be able to list helpful computer programs to use in conjunction with the neonatal malnutrition indicators

Session 5: 2:45pm-3:25pm

2:45pm Evaluation of iron-deficiency anemia treatment in intestinal failure patients on parenteral nutrition
                Anna Tuttle
2:55pm To eat or not to eat: is food insecurity prevalent in households with children experiencing feeding difficulties?
                Christine Sullivan
3:05pm High FODMAP meals and abdominal pain in school children
                Cara Axelrod

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
  • 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
  • Participants will be able to identify and discuss potential clinical rationale for thickening
  • Participants will be able to discuss at least three common products (commercial and food based) being used to thicken in pediatrics
Breakout 3: Resource sharing: The low FODMAP diet
        Kirsten Jones RD
  • 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

New This Year: Friday Annual Meeting Sessions Approved for CPEs

Friday, October 18

We are excited to announce the following sessions, held during the general NASPGHAN Annual Meeting, were approved for CPEUs as an added value to our members.

7:00am-8:00am Meet the Professor Breakfast
Nutritional therapy in IBD
Anthony Otley, MD, Dalhousie University
Jen Smith, MS, RD, CSP, LD, LMT 

10:30am – 12:00pm Concurrent Session I
Moderators: Debora Duro, MD, MS, Salah Foundation Children's Hospital and Valeria Cohran, MD, Ann & Robert H Lurie Children's Hospital

10:30am Potential role of new fat emulsions
                        John Kerner, MD, Stanford University
  • Discuss the role of phytosterols in the etiology of intestinal failure associated liver disease
  • Review the differences between fat emulsions available in the U.S.
  • Describe specific indications for the two new fat emulsions
10:55am        Getting in line: Towards a clinical practice guideline for central venous catheter salvage in home parenteral nutrition patients
                        Bram Raphael, MD, Boston Children's Hospital
  • Preserving venous access can be critical to patient long-term survival
  • Factors impacting rates of success in central venous catheter salvage
  • Developing a central venous catheter salvage management algorithm, including antimicrobial locks
  • Future quality improvement opportunities
11:20am Oral abstract presentation
11:32am Trophic growth factors: A practical view
                        Beth Carter, MD, Children's Hospital of Los Angeles

2:30pm – 4:00pm Concurrent Session II (two options) (Concurrent Session II Handouts Here)
Moderators: Matthew Ryan, MD, Children's Hospital of Philadelphia and Michael Stephens, MD, Mayo Clinic

2:30pm A survival guide to blenderized formulas
                        Margaret (Mimi) Girten, RD, LDN, FAND, Children's Hospital of Philadelphia
  • Recognize the importance of blenderized formulas
  • Identify & compare commercial blenderized formulas
2:55pm Oral abstract presentation
3:07pm Treatment refusal: A medical and ethical conundrum
                        Daniel Kamin, MD, Boston Children's Hospital
3:32pm Financial realities of IBD care
        Andrew Grossman, MD, Childrens Hospital of Philadelphia
  • Understand the multiple contributors to escalating cost of care for IBD
  • Distinguish between direct and indirect costs to pediatric IBD patients and families

Moderators: Nikhil Pai, MD, McMaster Children's Hospital and Sarah Fleet, MD, Boston Children's Hospital

2:30pm IBD: Diets that work
                        Lindsey Albenberg, DO, Children's Hospital of Philadelphia
  • Understand epidemiological data linking diet to the development of inflammatory bowel disease
  • Understand what is known regarding diet and its effects on the gut microbiome and its metabolome and the relevance to inflammatory bowel disease
  • Describe dietary management approaches for IBD – past, present, and future
2:55pm Channeling your rage: How can I make this !$%@ insurance company cover enteral nutrition for my patient?
                        Bryan Rudolph, MD, MPH, FAAP, The Children’s Hospital at Montefiore
  • Understand the insurance and policy barriers to getting patients on enteral nutrition
  • Be familiar with how these barriers vary by state
  • Know what NASPGHAN is doing to solve this problem and what you can do to help patients
3:20pm Oral abstract presentation
3:32pm At the crossroads of nutrition and liver disease: How to optimize the nutritional status of patients with chronic liver diseases
                        Marialena Mouzaki, MD, Cincinnati Children's Hospital Medical Center
  • Recognize the limitations of traditional approaches to assessing nutritional status in the context of chronic liver disease
  • Evaluate the role of functional assessments of nutritional status
  • Successfully implement a nutritional rehabilitation protocol for the support of patients with end stage liver disease