Parenteral Nutrition Solutions: Developing a Playbook for the Multidisciplinary Team

Sponsored by

Supported by an educational grant from Baxter

RELEASE DATE

May 31, 2023

EXPIRATION DATE

May 31, 2024

FACULTY

Elisabeth De Waele, MD, PhD
Medical Director Clinical Nutrition
Intensive Care Department
Associated Professor
Vrije Universiteit 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

FINANCIAL DISCLOSURE

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

STAFF AND REVIEWER DISCLOSURES

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.

ACCREDITATION STATEMENTS

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

TARGET AUDIENCE

This activity is intended for physicians, pharmacists, nurses, and dietitians who manage clinical nutrition.

HOW TO EARN CREDIT

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. There is no fee to participate in the activity or for the generation of the certificate.

Partial credit may not be awarded for CPE; participation in the complete activity is required to receive credit.

ACTIVITY OVERVIEW

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. 

GOAL (ACTIVITY PURPOSE)

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.

EDUCATIONAL OBJECTIVES

Upon completion of this activity, pharmacists 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  
• Formulate strategies to improve transitions in care for patients receiving nutrition support

ACTIVITY OUTLINE

Topic #1: Implementing Optimal Nutrition Support in Critically Ill Patients
Topic #2: Meeting Protein Requirements in Critically Ill Patients
Topic #3: Meeting Fatty Acid and Caloric Requirements in Critically Ill Patients
Topic #4: Patient Case Discussion
Topic #5: Panel Discussion

DISCLOSURE OF UNLABELED USE AND DISCLAIMER

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.

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