Overview

Parenteral Nutrition Solutions: Developing a Playbook for the Multidisciplinary Team

Symposium Highlights from ASPEN 2023

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Symposium Highlights

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1.00 hr(s).

Release Date

May 31, 2023

Expires On

May 31, 2024

In these highlights from a recent nutrition conference, a multidisciplinary panel of experts discuss a range of topics, including the role of indirect calorimetry, protein requirements, intravenous lipid emulsions, and the nutrition support team. Also highlighted in this series are a real-world patient case and the questions and answers/panel discussion. An accompanying infographic on the importance of the nutrition support team and how to organize one can be downloaded and shared with your team.

The certified education is intended for physicians, pharmacists, nurses, and dietitians who manage clinical nutrition.

Despite the continued focus on underfeeding and its consequences in hospital settings, 30%-50% of hospitalized patients can be characterized as being malnourished. Further, critical illness interferes with adequate nutritional intake. A recent study of ICU patients found that approximately 30% of patients had malnutrition. Compounding these gaps include a continued fragmentation of nutrition care not only in the ICU but also during the transition of patients back home. To better overcome these ongoing gaps, this education designed for clinicians on the multidisciplinary nutrition support team will highlight the role of newer energy expenditure assessment strategies (e.g. indirect calorimetry), the latest recommendations for protein and intravenous lipid emulsions, the potential use of multichamber bags, and transitions of care.

Upon completion of this activity, learners will be able to:

Discuss advances in the use of indirect calorimetry for measuring energy expenditure in patients needing nutritional support
Identify protein requirements for optimized nutrition support for patients
Employ intravenous lipid emulsions (ILEs) into the care of patients receiving nutrition support
Explain strategies to improve transitions in care for patients receiving nutrition support

Topics discussed include:

Implementing Optimal Nutrition Support in Critically Ill Patients
Meeting Protein Requirements in Critically Ill Patients
Meeting Fatty Acid and Caloric Requirements in Critically Ill Patients
Patient Case Discussion
Panel Discussion and Questions and Answers

Provided by the Academy for Continued Healthcare Learning (ACHL).

Supported by an educational grant from Baxter.

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Elisabeth De Waele, MD, PhD
Medical Director Clinical Nutrition
Intensive Care Department
Associated Professor
Vrije University Brussel
Brussels, Belgium

Andrew Mays, PharmD, MBA, BCNSP, CNSC, FASPEN

Clinical Pharmacy Specialist, Nutrition Support

University of Mississippi Medical Center

Clinical Assistant Professor

University of Mississippi School of Pharmacy

Jackson, MS

Kris M. Mogensen, MS, RD-AP, LDN, CNSC

Team Leader Dietitian Specialist, Department of Nutrition

Brigham and Women’s Hospital

Boston, MA

The Academy for Continued Healthcare Learning (ACHL) requires that the faculty participating in an accredited continuing education activity disclose all affiliations or other financial relationships within 24 months (1) with the manufacturers of any commercial product(s) and/or provider(s) of commercial services discussed in an educational presentation and (2) with any ineligible companies. All relevant financial relationships have been mitigated prior to this activity.

The following financial relationships have been provided:

Elisabeth De Waele, MD, PhD

Sources of Funding for Research: Baxter Healthcare, Danone/Nutricia

Advisor or Review Panel member: Baxter Healthcare, Danone/Nutricia

Andrew Mays, PharmD, MBA, BCNSP, CNSC, FASPEN

Advisor or Review Panel member: Baxter

Speakers' Bureau: Fresenius Kabi

Kris M. Mogensen, MS, RD-AP, LDN, CNSC

Advisory Board: Baxter

Discussion of Off-Label, Investigational, or Experimental Drug/Device Use: None

ACHL staff members and others involved with the planning, development, and review of the content for this activity have no relevant affiliations or financial relationships to disclose.

The content for this activity was developed independently of any ineligible companies. All materials are included with permission. The opinions expressed are those of the faculty and are not to be construed as those of the publisher or grantor(s).

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Recommendations involving clinical medicine in a continuing medical education (CME/CE) activity must be based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients. All scientific research referred to, reported, or used in CME/CE in support or justification of a patient care recommendation must conform to the generally accepted standards of experimental design, data collection, and analysis.

This CME/CE activity might describe the off-label, investigational, or experimental use of medications and/or devices that may exceed their FDA-approved labeling. Physicians should consult the current manufacturers’ prescribing information for these products. ACHL requires the speaker to disclose that a product is not labeled for the use under discussion.

This activity will take approximately 60 minutes to complete. To receive credit, learners are required to complete the pretest, view the online activity, and complete the posttest and evaluation. To receive credit, 80% must be achieved on the posttest. A certificate will be immediately available. There is no fee to participate in the activity or for the generation of the certificate.

Partial credit may not be awarded for CPE/CBRN credit; participation in the complete activity is required to receive credit. CDR credentialed practitioners may also submit evaluations on the CDR website.

The Academy for Continued Healthcare Learning is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Academy for Continued Healthcare Learning designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurse practitioners may participate in this educational activity and earn a certificate of completing as AANP accepts AMA PRA Category 1 Credits™ through its reciprocity agreements.

The Academy for Continued Healthcare Learning is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

This activity has been approved for 1.0 contact hours.

ACPE Universal Activity Number: 0396-0000-23-006-H01-P

Activity Type: Application

CPE credit will be submitted to CPE Monitor® on the first business day of each month.

Provider approved by the California Board of Registered Nursing, Provider Number 17273 for 1.00 contact hours.

The Academy for Continued Healthcare Learning is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). CDR Credentialed Practitioners will receive 1.50 Continuing Professional Education units (CPEUs) for completion of this activities/materials. Level 2. CDR Accredited Provider #AC001.

RDs and DTRs may submit additional evaluations of the quality of this program/material at QualityCPE@eatright.org.

The activity number for this activity is 176755

Karen Catino
kcatino@achlcme.org

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Parenteral Nutrition Solutions: Developing a Playbook for the Multidisciplinary Team

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