Saturday, March 16:
8:15 – 8:30 Registration / Welcome (Breakfast on your own)
8:30 – 9:30 Introduction to Evidence-Based Medicine—Joe Krenitsky, MS, RD
- Describe the advantages of evidence-based medicine
- Identify limitations that exist in medical abstracts and review articles
- List key elements of a journal article that must be reviewed to understand it’s scope, impact and quality.
- Identify limitations and strengths in nutrition research that will allow appropriate implementation of new findings.
9:30 – 9:45 Break
9:45 – 11:45 Enteral Nutrition—Carol Parrish, MS, RD
- Identify which patients are candidates for enteral nutrition support
- Describe the most common barriers to enteral nutrition delivery: gastric residual volumes, nausea & vomiting, bowel sounds, and diarrhea.
- Identify strategies to manage these issues and provide successful enteral feeding.
11:45 – 12:15 Feeding Tube Display and Discussion—Joe Krenitsky, MS, RD
Objective: Participants will have the chance to see and compare various types of feeding tubes available for enteral feeding.
12:15 - 1:00 Lunch (provided)
1:00 – 3:30 Fluid and Electrolyte Management and Cases—Eugene Corbett, MD, MACP
- Describe the physiologic rationale behind fluid & electrolyte replacement orders.
- Describe pathophysiologic alterations of selected fluid electrolyte disorders.
- Apply information learned in Fluid and Electrolyte session to clinical practice and diagnosis through a review of selected case studies.
3:30 – 4:30 ICU Fluid Management, Metabolism and Nutrition Evaluation --Joe Krenitsky, MS, RD
- Discuss physiologic processes associated with acute and critical illness.
- Understand fluid resuscitation and volume management during critical illness and ventilator weaning, and how this affects nutrition management.
- Review recent research on volume management and ICU outcomes.
- Discuss how this process affects nutrition assessment and nutrition needs.
4:30 – 5:00 Questions and Answers --Carol Parrish, MS, RD & Joe Krenitsky, MS, RD
Sunday, March 17:
8:30 – 9:30 Feeding the Post-Surgical Patient – Kate Willcutts, MS, RD, CNSD
- Describe post operative ileus and the conundrum involved in determining its presence.
- Explain the "Enhanced Recovery After Surgery" pathways and the dietitian's role.
- Address benefits of shortening the duration of pre-operative fasting.
- Discuss research that supports early feeding after certain surgeries.
- Explain evidence supporting swifter advancement to regular diet after surgery.
9:30 – 10:30 Calorie and Protein Determination—Joe Krenitsky, MS, RD
- Review strengths and weaknesses of formulas commonly used to estimate calorie and protein needs.
- Discuss the limitations of current data with indirect calorimetry in acutely ill patients, and review clinical scenarios where indirect calorimetry may be helpful.
- Discuss calorie and protein goals for feeding the hospitalized obese patient and severely underweight patients.
- Critically evaluate data on how calorie deficit may affect outcome in critically ill patients, and discuss the clinical implications of this research.
- Review data regarding protein needs in patients with end-stage hepatic and renal failure.
10:30- 10:45 Break
10:45 – 12:15 Parenteral Nutrition—Kendra Glassman, MS, RD, CNSC, CSSD
- Identify patients who can benefit from parenteral nutrition support.
- Develop an appropriate parenteral nutrition support prescription and care plan.
- Identify monitoring guidelines for patients receiving parenteral nutrition.
12:15 – 1:00 Lunch (provided)
1:00 – 2:30 Searching PubMed--Karen Knight, MS, Medical Education Librarian
- Demonstrate improved computer search skills.
- Efficiently and effectively search for nutrition support literature.
2:30 – 2:45 Break and return to classroom
2:45 – 4:00 Questions and Answers / Clinical Cases—Carol Parrish, MS, RD & Joe Krenitsky, MS, RD