clinical nutrition week 2014 (cnw14)

Clinical Nutrition Week 2014January 18–21 • Savannah, GA Savannah International Trade & Convention Center

PROVIDING ESSENTIAL KNOWLEDGE

& CONNECTIONS

PRE-CONFERENCE SESSIONS

COMPANIES SHOWCASING THE NEWEST

PRODUCTS & SERVICES

INTERACTIVE SESSIONS

INTERDISCIPLINARY ATTENDEES

GLOBALLY RECOGNIZED FACULTY

www.nutritioncare.org/cnw14

Michael D. Kraft, PharmD, BCNSP, Clinical Associate Professor, Department of Clinical, Social and Administrative Sciences, University of Michigan College of Pharmacy; Clinical Coordinator and Clinical Specialist, Surgery/Nutrition Support, University of Michigan Medical Center, Ann Arbor, MI

Moderator:Karrie Derenski, PharmD BCNSP CNSC, Metabolic Support Coordinator, Department of Pharmacy, Cox Health, Springfield, MO

UAN: 0216-0000-14-052-L04-PLevel: Basic

ReseaRch WoRkshop: The MeTabolic basis of canceR nuTRiTion TheRapy (RW-2014)*7:30 am – 4:00 pmDescription:This one-day research workshop will provide key knowledge and a conceptual framework with which to understand and study the metabolic basis of cancer nutrition therapy. Unlike simple malnutrition, cancer patients’ negative energy balance and profound skeletal muscle wasting is driven by a combination of reduced food intake and abnormal metabolism (ie, elevated energy expenditure, insulin resistance, lipolysis, and proteolysis), which aggravate weight loss and are provoked by systemic inflammation and catabolic factors. These metabolic changes explain why cancer-associated malnutrition cannot be fully reversed by conventional nutrition support. The goal of this workshop is to provide new findings on the specific nature of the metabolic changes that underlie malignant disease, and details of specific nutrition therapies that may reverse abnormal metabolism, permit robust anabolic responses, and improve cancer treatment outcomes.

objectives:1. Outline key concepts in cancer-related malnutrition 2. Integrate new knowledge on human metabolism in the tumor-bearing state toward applications in cancer nutrition therapy 3. Understand specific limitations to successful nutrition therapy in cancer patients 4. Identify potential future research directions in this arena

faculty and Topics:Welcome and Introductions Vickie Baracos, PhD, Research Workshop Course Director; Professor Palliative Care Medicine, Department of Oncology, University of Alberta, Cross Cancer Institute, Edmonton, AB, Canada

Does Cancer “Look Like” Diabetes: Insulin Resistance of Amino Acid and Glucose MetabolismStephanie Chevalier, PhD, Assistant Professor, Department of Medicine, McGill University, Montreal, QC, Canada

Anabolic Resistance of Skeletal Muscle: How May Anabolism Be Restored? Philip Atherton, PhD, AFHEA, Associate Professor, University of Nottingham, Derby, UK

Muscle mTORC1 Signaling and the Response of Protein Synthesis to Nutrients and ActivityBlake Rasmussen, PhD, Lloyd and Sue Ann Hill Professor of Healthy Aging, Interim Chair, Department of Nutrition and Metabolism, University of Texas Medical Branch, Galveston, TX

Emergent Therapies in the Treatment of Cancer Cachexia Jim Dalton PhD, Vice President, CSO, GTx, Inc., Memphis, TN

Deficits of Lean Body Mass in Patients with Cancer: Prevalence and Implications for Cancer Nutrition Therapy Carla Prado, PhD, Assistant Professor, College of Human Science, Florida State University, Tallahassee, FL

Dose Responsiveness of Protein Anabolism to Essential Amino Acid Supplementation: Evidence from Cancer PatientsNicolaas Deutz, MD, PhD, Professor, Ponder Endowed Chair, Department of Health and Kinesiology, Texas A&M University, College Station, TX

Nutrition Intervention with EPA during Cancer Therapy: A Double Benefit for Increasing Lean Body Mass and Decreasing Chemotherapy ToxicityVera Mazurak, PhD, Associate Professor, Human Nutrition, Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB, Canada

Heritable Risk Factors for Cancer- Associated Malnutrition and WastingVickie Baracos, PhD, Professor Palliative Care Medicine, Department of Oncology, University of Alberta, Cross Cancer Institute, Edmonton, AB, Canada

Synthesis of Presentations / Discussions Vickie Baracos, PhD, Professor Palliative Care Medicine, Department of Oncology, University of Alberta, Cross Cancer Institute, Edmonton, AB, Canada

Moderator: Vickie Baracos, PhD

UAN: 0216-0000-14-001-L01-PLevel: Advanced

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saTuRDay januaRy 18, 2014Update your skills and select from nine pre-conference courses designed to provide you with the in-depth knowledge you need to take your career to the next level.Enhance your learning experience and maximize your networking opportunities by attending one of our pre-conference workshops.

nuTRiTion suppoRT RevieW couRse (nsRc-2014)*7:00 am – 4:00 pmDescription:A.S.P.E.N.’s Nutrition Support Review Course provides an overview of nutrition support therapy that can be used as a tool for helping you identify personal knowledge gaps. Whether you are preparing for a certification examination or seeking additional professional growth, recognizing these knowledge gaps allows you to use your professional development time and energy more effectively. The Nutrition Support Review Course divides topics into core subjects, areas of major emphasis for practice and the certification examinations, and specialty subjects. This course will include a broad overview of the core subjects including GI physiology, nutrition assessment, parenteral nutrition, and enteral nutrition. The review of specialty areas, such as pediatric nutrition support, home care, and fluid and electrolytes, is intended to hit the highlights of the subject. Don’t miss this invaluable review of nutrition support therapy!

objectives:1. Assess personal knowledge of nutrition support and identify areas requiring further study for the nutrition support specialty certification examination or other professional growth2. Review core nutrition support topics including GI physiology, nutrition assessment, parenteral nutrition, and enteral nutrition3. Highlight specialty areas of nutrition support such as pediatric nutrition support, home care, and drug-nutrient interactions

planning committee:Connie Brewer, RPH, BCNSP Todd Canada, PharmD, BCNSP, FASHP Anne Coltman, MS, RD, CNSCShanna Hager, PharmD, BCNSPCassandra Kight, PhD, RD, CNSCSusan Lundy, MS, RD, LD, CNSCTodd Mattox, BS, PharmD, BCNSPAntoinette Neal, RN, CRNI, CNSC, VA-BC

Elizabeth Paul, RD, CSP, LDN, CNSCCarol Semrad, MDYuri Villaran, MD, FACP, FCCP, CNSC

uan: 0216-0000-14-004-L04-Plevel: Intermediate

paRenTeRal nuTRiTion oRDeR WRiTing WoRkshop (pnW-2014)*7:00 am – 4:00 pmDescription:The workshop is designed to train clinicians to assess a patient requiring PN and subsequently initiate and manage the PN therapy for that patient. The workshop will be offered in two 4-hour sessions. The first session will emphasize the basic concepts of PN order writing and management and the second session will allow for application of the knowledge gained through work in small groups with faculty experts. Workshop capacity is limited to 40 participants. This small class size will be optimal for hands-on learning to ensure each participant completes the course with improved skills in creating and managing PN orders. Get your calculator and register today for this invaluable course!

objectives: 1. Create and write a PN formula according to the patient’s nutrition assessment2. Create a safe PN formula order per compounding and stability limits3. Identify potential nutrient interactions in a PN solution and adjust the PN order accordingly4. Manage PN in a patient from initiation to achieving the goal rate and beyond5. Manage electrolytes in PN in the face of abnormal patient laboratory values and medications6. Manage PN while accounting for differences in patient diagnoses and age

faculty:M. Petrea Cober, PharmD, BCNSP, Clinical Pharmacy Coordinator, Neonatal Intensive Care Unit, Akron Children’s Hospital, Akron, OH

Jessica Monczka, RD, LDN, CNSC, Clinical Dietitian Specialist, Arnold Palmer Hospital for Children, Orlando Health, Orlando, FL

Susan Brantley, MS, RD, LDN, CNSC, Metabolic Support Nutritionist, Univ. of Tennessee Medical Center at Knoxville, Knoxville, TN

Beth Krzywda, ANP, MSN, Nurse Practitioner Hepatic Biliary Pancreatic Team, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI

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Pediatric Content Spanish TranslationVirtual Content RegisTeR online*pRe-confeRence couRses RequiRe a sepaRaTe RegisTRaTion Pediatric Content Spanish TranslationVirtual Content RegisTeR online

*pRe-confeRence couRses RequiRe a sepaRaTe RegisTRaTion

https://netforum.avectra.com/eweb/shopping/shopping.aspx?site=aspen&cart=0&shopsearch=cnw


posT gRaDuaTe couRse #3: inTRoDucTion To coMpounDing paRT 1: paRenTeRal nuTRiTion soluTions (pg3-2014)*7:00 – 11:00 amDescription:The ability to safely compound a parenteral nutrition solution is a skill that many pharmacists feel that they don’t have. Practitioners must balance the patient’s clinical needs with the basic tenets of aseptic technique and physical and chemical compatibility. Knowledge of the differences in vascular access and parenteral delivery systems must also be considered. This course will provide a basic overview necessary for the safe provision of parenteral nutrition. It is geared toward the pharmacist new to the field and for non-pharmacists with a desire to understand the nuances of PN compounding.

objectives:1. Calculate the composition of a parenteral nutrition solution based on the clinician’s order2. Predict the suitability of a parenteral nutrition solution given patient-specific parameters3. Describe the complications that can occur if an unstable parenteral nutrition solution is infused and identify ways to prevent them

faculty and Topics:Setting the Stage: Environmental Considerations for Safe Compounding USP 797Mary Baker, PharmD, MBA, Director, Medical Services, Hospira, Inc, Lake Forest, IL

From Prescription to Formulations: Doing the MathCarol Rollins, MS, RD, PharmD, BCNSP, CNSC, Coordinator, Nutrition Support Team, University Medical Center; Clinical Associate Professor, College of Pharmacy, University of Arizona, Tucson, AZ

Compatibility Considerations: Calcium/Phosphorus and BeyondTodd Canada, PharmD, BCNSP, FASHP, Clinical Pharmacy Specialist, Division of Pharmacy, University of Texas MD Anderson Cancer Center, Houston, TX

Total Nutrient Admixtures: How to Compound a Safe TNAMark Klang MS, RPh, BCNSP, PhD, Core Head, Research Pharmacy, Memorial Sloan-Kettering Cancer Center, New York, NY

Pediatric Considerations in PN Compounding Kathleen Gura, PharmD, BCNSP, FASHP, FPPAG, Clinical Pharmacy Specialist, Department of GI/Nutrition, Center for Advanced Intestinal Rehabilitation (CAIR), Boston Children’s Hospital, Boston, MA

Homecare IssuesDon Filibeck, PharmD, MBA, Vice President, Pharmacy Operations, Axelacare Health Solutions, Dublin, OH

Supply Issues: Outsourcing ConsiderationsEric H. Frankel, MSE, PharmD, BCNSP, Metabolic Support Service & Neonatal Clinical Lead Pharmacist, Truman Medical Center, Kansas City, MO

Moderator: Mary Baker, PharmD, MBA

UAN: 0216-0000-14-007-L04-P Level: Basic

nuTRiTion foR The pRacTicing peDiaTRic clinician paRT 2: nuTRiTion foR The high Risk neonaTe (nppc2- 2013)*12:00 – 4:00 pmDescription:This session is focused on providing practitioners with cutting edge and innovative nutrition strategies for the feeding the high risk neonatal infant.

objectives:1. Develop strategies to improve growth rates of neonates in the NICU with effective enteral and parenteral feeding regimens2. Identify the role of human milk in the NICU and subsequently utilize human milk feeding in practice to improve outcomes of high risk neonates 3. Implement strategies to assist mother’s in achieving adequate milk supply4. Identify methods of human milk fortification5. Prescribe nutritional supplements for mothers and infants to promote optimal nutrition in the NICU

faculty and Topics:Parenteral Nutrition in the NeonateJackie Wessel, MEd, RD, CNSC, CSP, CLE, Neonatal Nutritionist, Nutrition Services, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

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nuTRiTion foR The pRacTicing peDiaTRic clinician paRT 1: peDiaTRic cRiTical caRe nuTRiTion (nppc1-2014)*7:00 – 11:00 amDescription:This course will address contemporary and core issues related to nutrition therapy for the critically ill child. The speakers are experts in the field with extensive research and clinical experience, and are known for their teaching and speaking abilities worldwide. The course will begin with basic concepts of nutrition, followed by a review of body composition (clinical aspects and latest research) as a novel outcome marker, followed by a summary of the five most important papers published in the field in the past two years. A relevant research paper presentation will also be included. Ample interaction with the expert panel will complete the experience of a truly state-of-the-art discussion on the subject.

objectives:1. Describe the basic biochemistry principles of nutrition support for the child2. Discuss the current science and clinical aspects of body composition monitoring as a novel outcome marker in children3. Identify the top five papers on pediatric critical care nutrition in the past two years

faculty and Topics:Biochemistry Basics of Critical Care Nutrition – Key ConceptsTom Jaksic, MD, PhD, Vice-Chairman, Pediatric General Surgery, Boston Children’s Hospital; Surgical Director, Center for Advanced Intestinal Rehabilitation; W. Hardy Hendren Professor of Surgery, Harvard Medical School, Boston, MA

Top 5 Papers in Pediatric Critical Care Nutrition from 2012-2014Walter Chwals, MD, FACS, FCCM, FAAP, Professor of Surgery and Pediatrics, Tufts University School of Medicine; Surgeon-in-Chief, Floating Hospital for Children, Boston, MA

Body Composition Monitoring As a Novel Nutrition Outcome Marker – Basic Concepts and Current State of the ArtJorge A. Coss Bu, MD, Associate Director of Research, Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, TX

Moderator: Nilesh M. Mehta, MD, Associate in Critical Care Medicine, Department of Anesthesia, Boston Children’s Hospital, Boston, MA

UAN: 0216-0000-14-002-L04-PLevel: Intermediate

posT gRaDuaTe couRse #1: fluiD, elecTRolyTe, anD aciD-base sTaTus (pg1-2014)*7:00 – 11:00 amDescription:Learn how to diagnose and treat the various extracellular and intracellular electrolyte disorders in your nutrition support patients. Develop a better understanding of arterial blood gases, acid-base balance, and how the nutrition support practitioner plays an important role in the correction of these abnormalities in patients. Case studies will be used to maximize the learning experience.

objectives:1. Identify common etiologies of hyponatremia and hypernatremia associated with nutrition support and develop appropriate treatment options2. Describe the etiologies and treatment of intracellular electrolyte disorders in the intensive and nonintensive care setting3. List the common acid-base disorders seen in the nutrition support patient and identify appropriate treatment options

faculty and Topics:Understanding Acid-Base Balance and ABG’sPhil Ayers, PharmD, BCNSP, FASHP, Chief of Clinical Pharmacy Services, Department of Pharmacy, Baptist Health Systems; Clinical Associate Professor, School of Pharmacy, University of Mississippi, Jackson, MS

Sodium and Fluid Disorders and TreatmentGordon Sacks, PharmD, BCNSP, FCCP, Professor and Head, Department of Pharmacy Practice, Auburn University, Auburn, AL

Intracellular Electrolyte Disorders and TreatmentTodd Canada, PharmD, BCNSP, FASHP, Clinical Pharmacy Specialist, Division of Pharmacy, University of Texas MD Anderson Cancer Center, Houston, TX

Moderator: Phil Ayers, PharmD, BCNSP, FASHP






Marc Jeschke, MD, PhD, FACS, FRCSC, Director, Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre; Senior Scientist, Sunnybrook Research Institute; Associate Professor, University of Toronto, Toronto, ON, Canada

Moderators: Stephen McClave, MD, FASPEN, Professor of Medicine, Division of Gastroenterology/Hepatology, University of Louisville School of Medicine, Louisville, KY

Robert Martindale, MD, PhD, FACS, Chief, Division of General Surgery; Medical Director, Hospital Nutritional Services, Oregon Health and Science University, Portland, OR

UAN: 0216-0000-14-006-L04-P Level: Intermediate

posT gRaDuaTe couRse #4: inTRoDucTion To coMpounDing paRT 2: iMpacT of DRug shoRTages (pg4-2014)*12:00 – 4:00 pmDescription:The drug shortage crisis has significantly affected nutrition support practice. Adverse outcomes such as increased costs, breaches in patient safety, and increased morbidity and mortality have been described. Managing product shortages is particularly challenging for pediatric clinicians. This course will focus on lessons learned from one institution’s experience with parenteral nutrition product shortages, including how shortages have been managed and the effects of the shortages on patient outcomes. Potential options for lessening the crisis, including beyond use dating of parenteral nutrition solutions, the safety and feasibility of using products beyond their expiration dates, and the availability of foreign products will also be discussed.

objectives:1. Discuss the determinants for the availability of parenteral nutrition products and the role of the FDA in the drug shortage crisis2. Summarize the consequences of limited product supply of macronutrients and micronutrients in patients receiving PN therapy3. Develop management plans for product shortages in patients that minimize the risk of nutrient deficiency and incorporate principles of patient safety

faculty and Topics:The Drug Shortage Crisis in the United States: Where Have We Been and Where Are We Going?Gilbert Burckart, PharmD, Associate Director for Pediatrics, Office of Clinical Pharmacology, Office of Translational Sciences, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, MD

Without a Trace: Navigating Through the Milieu of Trace Element ShortagesCatherine Crill, PharmD, BCNSP, Assistant Professor, Clinical Pharmacy and Pediatrics, University of Tennessee Health Science Center, Memphis, TN

Restriction During Lipid Shortages and Essential Fatty Acid Deficiency: How Much is Enough?Chasity Shelton, PharmD, Assistant Professor of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, TN

What’s Short Now? The Use of Commercial Premixed Parenteral Nutrition SolutionsRebecca Chhim, PharmD, Assistant Professor, Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, TN

When the Gut Doesn’t Work, Can You Still Use it? Mineral Supplementation via the Enteral RouteOscar Herrera, PharmD, Fellow, Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, TN

Administration of Parenteral Nutrition During the Shortage Crisis: Cost ImplicationsMichael Christensen, PharmD, BS, AS, Professor, Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, TN

Can We Solve the Crisis? Considerations for Beyond Use Dating, Product Expiration and Foreign Product AvailabilityRichard Helms, PharmD, Professor and Chair, Department of Clinical Pharmacy, University of Tennessee Health Science Center, Memphis, TN

Moderator: Catherine Crill, PharmD, BCNSP


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Human Milk Fortification in the NICU SettingCarrie Smith, MS, RD, Clinical Dietitian, Food and Nutrition Services, University of Cincinnati Medical Center, UC Health, Cincinnati, OH

Maximizing Mother’s Milk ProductionLaurie A. Nommsen-Rivers, PhD, RD, IBCLC, Research Assistant and Professor of Pediatrics, Department of Pediatrics, Perinatal Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

Savvy about Supplements in the NICUChristina Valentine, MD, MS, RD, Assistant Professor and Neonatologist, Division of Neonatology, University of Cincinnati, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

Moderator: Christina Valentine, MD, MS, RD


posT gRaDuaTe couRse #2: upDaTe in cRiTical caRe nuTRiTion—WhaT is The sTaTe of aRT? (pg2-2014)*12:00 – 4:00 pmDescription:This course is designed for the practicing nutrition support specialist. It will focus on state-of-the-art evaluation, monitoring, and delivery of nutrition therapy to high-risk ICU populations. The course will begin with an overview of the latest evidence for our understanding of ICU metabolism, nutrition risk, and the optimal delivery of calories and protein. The latest data from new trials of enteral and parenteral feeding will be reviewed and perspectives will be given on how to apply these studies to your practice. The appropriate nutrition evaluation of the ICU patients will also be discussed and a rational approach to determining the quantity of calorie and protein requirements will be addressed. The faculty will then discuss some key challenging patient types, including ICU patients with renal failure, burns, and the high-risk surgical patient. Key controversial topics of specific nutrient-delivery and the many new trials addressing these issues will be addressed including antioxidants and probiotics. The course will conclude with a panel discussion and case presentations, which will illustrate how to apply the wide range of new data to your critical care nutrition practice.

objectives:1. Understand latest evidence for ICU nutrition and high risk surgical patients and how to overcome barriers to optimal delivery of calories and protein

2. Discuss evaluation of lean body mass and examine long-term outcomes in ICU patients and how the two may be related3. Provide optimal nutrition therapy for high-risk patient populations in the ICU, such as burn and neuro ICU patients4. Analyze the latest data from key clinical trials and summarize what we have learned from these trials, including a new understanding on the potential safety and role of parenteral nutrition

faculty and Topics:How much Protein in the ICU? New DataGordon Doig, PhD, Associate Professor, Northern Clinical School Intensive Care Research Unit, Sydney Medical School, University of Sydney, Sydney, Australia Peri-op Nutrition, CHO Loading Prior, and Earlier Post-op Feeding Kate Wilcutts, MS, RD, CNSC, Dietitian, Nutrition Support Team – Surgery, University of Virginia Health System, Charlottesville, VA

Body Composition in Acute IllnessMarina Mourtzakis, PhD, Assistant Professor, Department of Kinesiology, Applied Health Sciences, University of Waterloo, Waterloo, ON, Canada

Selenium and Micronutrients: What is the Future?Gunnar Elke, MD, Department of Anaesthesiology and Intensive Care Medicine, University Medical Center Schleswig-Holstein, Kiel, Germany

Overcoming Barriers to Feeding in the ICUBeth Taylor, MS, RD, CNSC, FCCM, Nutrition Support Specialist, Surgical ICU, Barnes-Jewish Hospital, St. Louis, MO

A New Era in Parenteral Nutrition: Safer Then Before? Paul Wischmeyer, MD, Professor of Anesthesiology, Associate-Chairman for Clinical and Translational Research, Director of Nutrition Therapy Services, University of Colorado School of Medicine, Aurora, CO

Recent Clinical Trials in Critical Care: What Have We Learned?Daren Heyland, MD, FRCPC, MSc, Full Professor of Medicine, Department of Medicine, Queen’s University; Director of Research for the Critical Care Program and Director of the Clinical Evaluation Research Unit, Kingston General Hospital, Kingston, ON, Canada

Nutrition for Special ICU Populations: Nutrition for the Neuro Critical Care PatientGigi Vigue, RD, CNSC, Nutrition Support Specialist, Medical Intensive Care Unit, University of Colorado Health, Aurora, ColoradoNutrition for Special ICU Populations Nutrition in Burn Injuries

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pResiDenT’s aDDRess: aDDRessing hospiTal MalnuTRiTion - ouR TiMe is noW! (R10)4:30 - 6:30 pmDescription:Ainsley Malone, MS, RD, LD, CNSC is AS.P.E.N’s 38th President, representing nearly 6000 interdisciplinary healthcare professionals dedicated to nutrition support. She is a Nutrition Support Dietitian on the Nutrition Support Team in the Pharmacy Department at Mt. Carmel West Hospital in Columbus, Ohio providing nutrition management and care to adult and neonatal patients requiring parenteral and enteral nutrition. Ms. Malone leads and manages nutrition support initiatives across the Mt. Carmel Health Care System, provides ongoing education of resident medical staff and ancillary health care team members, and assists to coordinate patient/family education and transition for home nutrition support. Ms. Malone is a Certified Nutrition Support Clinician® and has extensively practiced in the field for over thirty years. She has authored/edited over fifty peer-reviewed manuscripts and book chapters and has provided practice expertise to countless clinicians via presentations and mentorship.

Ms. Malone is an active member of multiple societies including the Academy of Nutrition and Dietetics, ESPEN, and the Society of Critical Care Nutrition. She has provided extensive leadership within the Academy and has served as Past Chair of the Evidence Based Practice Committee, a House of Delegates Director, and is currently on the Association Position Committee.

Ms. Malone’s most notable leadership contribution in both the Academy and A.S.P.E.N. has involved malnutrition-related activities. As Co-Chair of the A.S.P.E.N. 2009 Malnutrition Task Force and A.S.P.E.N.’s representative to the Academy Malnutrition Workgroup, Ms. Malone assisted in the development of standardized characteristics to define adult hospital malnutrition. She has subsequently led malnutrition education and dissemination efforts at the national and international level in addition to her participation in the Alliance to Advance Patient Nutrition as A.S.P.E.N.’s clinician representative.

Ms. Malone’s address will re-emphasize the critical role adequate nutrition plays in quality patient care and what we as A.S.P.E.N. members need to do to provide leadership within our own healthcare setting to address malnutrition and improve patient outcomes.faculty:Ainsley Malone, MS, RD, LD, CNSC, Nutrition Support Dietitian, Nutrition Support Team, Pharmacy Department, Mt. Carmel West Hospital, Columbus, OH


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Pediatric Content Spanish TranslationVirtual Content RegisTeR online*pRe-confeRence couRses RequiRe a sepaRaTe RegisTRaTion

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A.S.P.E.N. is pleased to offer attendees multiple opportunities to connect with your peers, engage with exhibitors and sponsors, and more importantly, hear from leading clinical nutrition experts. These events are complimentary to all registered CNW attendees, but space is limited and each event requires separate registration.

SUNDAY MONDAY TUESDAYFresenius Kabi 6:00 – 7:45 AM Complimentary breakfast Corporate Symposium CE Credit Offered: No

Baxter Healthcare Corporation 6:30 – 7:45 AM Complimentary breakfast Corporate Symposium CE Credit Offered: No

Nestlé Health Science 5:30 – 6:00 AM Complimentary breakfast Nestlé Health Science 6:00 – 7:30 AM Corporate Symposium CE Credit Offered:1.5 RDs and RNs Only

Lunch and Learn Session: Covidien 12:00 – 1:00 PMComplimentary lunch

Abbott Nutrition 9:30 – 10:30 AM Central Stage Education CE Credit Offered: 1.0 RDs and RNs Only Exhibit Hall

Abbott Nutrition 7:00 – 9:00 PM Complimentary dinnerCorporate Symposium CE Credit Offered: No

Lunch and Learn Session: Covidien 12:00 – 1:00 PM Complimentary lunch Exhibit Hall

Potomac Center for Medical Education (PCME)7:15 – 8:45 PMComplimentary dinner Corporate Symposium CE Credit Offered: 1.5 (RD, RN, MD/DO, PharmD/RPh)Supported by an educational grant from NPS Pharmaceuticals, Inc.

Abbott Nutrition 9:30 – 10:30 AM Central Stage Education CE Credit Offered: No Exhibit Hall

This Industry schedule is preliminary. To learn more about these Industry supported events, visit www.nutritioncare.org/industry. Registration for these events will open late fall 2014.

EDUCATIONAL SESSIONS TICKETED EVENTS Nutrition Focused Physical Assessment Workshop—Part 1, Monday, 2:00 – 3:30 PM A.S.P.E.N. Educational Symposium CE Credit Offered: RD, RN, MD/DO, PharmD/RPh

Nutrition Focused Physical Assessment Workshop—Part 2, Monday, 4:00 – 6:00 PM A.S.P.E.N. Educational Symposium

For more information on the educational sessions that require a ticket, visit www.nutritioncare.org/education Registration for these events will open late fall 2014.

Stay connected with A.S.P.E.N.’s CNW14 Mobile App. Manage your sessions, share messages with attendees, plan which events to attend, schedule appointments with exhibitors and more! Available for download December 2014. Sponsored by Fresenius Kabi.

INFORMATION:Symposium Lunch and Learn Central Stage Education A.S.P.E.N. Education

B. Braun Medical, Inc. 6:00 – 7:45 AMComplimentary breakfast CE Credit Offered: No

Pediatric Content Spanish TranslationVirtual Content RegisTeR online*pRe-confeRence couRses RequiRe a sepaRaTe RegisTRaTion

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Are you an international attendee interested in attending CNW14? We have some tips to help ensure you have a stress-free trip to CNW:

• Make sure you begin your visa application early and well in advance of your travel dates.• Apply for your visa as early as possible. • Attaching evidence of your previous visits to Clinical Nutrition Week may help the application

processing time. • Attaching evidence of your intended return trip to your home country can shorten the

application processing time. • You must first register to attend Clinical Nutrition Week prior to requesting an invitation letter.

Requests for invitation letters will only be accepted by fax or online.

CNW14 is the premier forum for clinical nutrition research, promoting and expanding the availability of robust and relevant evidence for clinical nutrition and practice. If you’re looking to explore cutting-edge, clinical nutrition research you will want to attend this meeting. Research is paramount to the education that CNW14 provides so that you may impact the lives of your patients. Here’s a sneak peak of the research initiatives that will be front and center:

• A first-rate faculty has been assembled for CNW14’s Research Workshop on Saturday, January 18: The Metabolic Basis of Cancer Nutrition Therapy. This is an event you won’t want to miss, so register today to reserve your seat! Limited space is available.

• A.S.P.E.N. supports promising international research and encourages international attendees to showcase their work among distinguished colleagues. Join us Saturday, January 18 from 6:00 – 8:00PM in the Exhibit Hall for our first-ever International Poster Exchange.

• Don’t miss the CNW14 Poster Exchanges occurring in the Exhibit Hall Sunday, January 19 and Monday, January 20 from 1:00 – 2:00 PM!

• Attend the Dudrick Symposium on Monday, January 20 to hear the latest on small intestine regeneration. There’s still time to nominate yourself or a colleague for the prestigious 2014 Stanley J. Dudrick Research Scholar Award. Deadline is October 15.

• The Harry M. Vars Award Candidates will speak at the Premier Paper Session on Monday January 20. Make sure to hear these exceptional researchers talk about their work.

For more information on CNW14 Research Initiatives visit, www.nutritioncare.org/research.

NEW & EXCITING: Live-in person translation offered at CNW14. We are excited to announce

that this year we are translating 12 sessions into Spanish onsite in Savannah, GA. Follow the headphone icons to see what sessions will have translation available.



http://www.nutritioncare.org/Clinical_Nutrition_Week/Program/Virtual_Content/

sunDay januaRy 19, 2014keynoTe aDDRess: DRug shoRTage Tales fRoM The fRonT line – keeping paTienTs safe DuRing The Daily scRaMble (s10)8:00 am – 9:30 am Description:A.S.P.E.N. is honored to welcome Michael Cohen as the Clinical Nutrition Week 2014 Keynote speaker. Michael R. Cohen, RPh, MS, ScD (hon.), DPS (hon.), is president of The Institute for Safe Medication Practices (ISMP), a non-profit healthcare organization that specializes in understanding the causes of medication errors and providing error-reduction strategies to the healthcare community, policy makers, and the public. He is editor of the textbook, Medication Errors (2007 American Pharmaceutical Association) and serves as co-editor of the ISMP Medication Safety Alert! publications that reach over two million health professionals and consumers in the US, as well as regulatory authorities and others in over 30 foreign countries. He is editor for the ISMP consumer website, www.consumermedsafety.org and writes a guest column called Check-Up that appears weekly on the Philadelphia Inquirer website. Dr. Cohen currently serves as Vice Chair of the Patient Safety Advisory Group for the Joint Commission which creates the National Patient Safety Goals and serves as a consultant to FDA. In 2005 he was recognized as a MacArthur Fellow by the John D. and Catherine T. MacArthur Foundation. In 2008 The Joint Commission and National Quality Forum awarded Dr. Cohen the prestigious John M. Eisenberg Patient Safety and Quality Award in recognition of his life-long professional commitment to promoting safe medication use and a safe medication delivery system.

As many of us know all too well, national drug shortages continue to have a profound effect on patient care and health system resources across the U.S. This presentation will characterize the causes and impact of shortages, discuss ongoing national efforts to prevent shortages or address them when they arise, and explore ideas for overall improvement. Industry, government, patient safety agencies, and the practitioner community must all face this serious safety issue together and work towards adaptable and safe solutions.

objectives:1. Document how drug shortages continue to impact patient safety and health system resources in the US2. Identify the causes of drug shortages and ongoing

national efforts to deal with the crisis3. Implement measures in health systems to best address national shortages of parenteral electrolyte solutions and other nutritionals

faculty: Michael R. Cohen, RPh, MS, ScD (hon), DPS (hon), FASHP, President, Institute for Safe Medication Practices (ISMP), Horsham, PA


clinical TRials (s20)10:30 am – 12:30 pmobjectives:1. Understand the most cutting edge data from late breaking clinical trials in clinical nutrition 2. Gain a perspective on how data from these trials can be applied back to bedside practice 3. Discuss the future direction of clinical nutrition and pharmaconutrition clinical trial research based on laboratory data and critical interpretation of these new trials

faculty and Topics:Role of Protein Delivery to Reduce Renal Injury in Critical Illness: The Nephro-Protective TrialGordon Doig, PhD, Associate Professor, Northern Clinical School Intensive Care Research Unit, Sydney Medical School, University of Sydney, Sydney, Australia

Fiona Simpson, BSc (Nutrition), MND, Clinical Senior Lecturer, Intensive Care Medicine, Northern Clinical School, University of Sydney, Sydney, Australia

Pro/Con Debate: Septic Patients Should be Fed Aggressively on the First Week of ICU StayPro – Gunnar Elke, MD, Department of Anaesthesiology and Intensive Care Medicine, University Medical Center Schleswig-Holstein, Kiel, Germany

Con – Todd Rice, MD, Assistant Professor of Medicine, Vanderbilt University Medical Center, Nashville, TN

Pro/Con Debate: Should We Measure Gastric Residuals?Pro – Gunnar Elke, MD, Department of Anaesthesiology and Intensive Care Medicine, University Medical Center Schleswig-Holstein, Kiel, Germany

Con – Stephen McClave, MD, FASPEN, Professor of Medicine, Division of Gastroenterology/Hepatology, University of Louisville School of Medicine, Louisville, KY

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Pediatric Content Spanish TranslationVirtual Content RegisTeR onlinePediatric Content Spanish TranslationVirtual Content RegisTeR online





https://itunes.apple.com/us/app/jpen-aspen/id662949749?mt=8

https://itunes.apple.com/app/nutrition-in-clinical-practice/id662905478?mt=8

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Moderators: Gail Cresci, PhD, RD, LD, Associate Staff, Digestive Disease & Lerner Research Institutes; Assistant Professor, Cleveland Clinic Lerner College of Medicine, Departments of Gastroenterology, Hepatology and Pathobiology, Cleveland Clinic, Cleveland, OH

Paul Wischmeyer, MD, Professor of Anesthesiology, Associate-Chairman for Clinical and Translational Research, Director of Nutrition Therapy Services, University of Colorado School of Medicine, Aurora, CO


basic peDiaTRic skills lab (s21)10:30 am – 12:30 pmobjectives:1. Describe the appropriate parameters to assess the nutrition status of a neonate, child, or developmentally delayed child2. Develop an appropriate plan of care for a neonate or child requiring enteral nutrition support, including consideration of formula and access device3. Discern the appropriate aspects of parenteral nutrition order writing for a neonate or child, including consideration of the vascular access device

faculty and Topics:Enteral Feeding Tubes and Enteral Delivery Issues Beth Lyman, RN, MSN, CNSC, Senior Program Coordinator for the Nutrition Support Team, Pediatric Gastroenterology, Children’s Mercy Hospital, Kansas City, MOPediatric Nutrition AssessmentCindy Hensley, MS, RD, LD, CNSC, Sr. Clinical Nutrition Specialist, Nutrition Services, Children’s Mercy Hospital, Kansas City, MO

Pediatric PN Order WritingFritz Schwenk, MD, FASPEN, Medical Director, Pediatric Nutrition Support Team, Pediatric Endocrinology, Mayo Clinic, Rochester, MN

Elaina Szeszycki, PharmD, BCNSP, Clinical Pharmacist-Nutrition Support and Pediatric Gastroenterology, Riley Hospital for Children at Indiana University Health, Indianapolis, IN

Neonatal PN Order WritingSteve Plogsted, PharmD, BCNSP, CNSC, Clinical Pharmacist Nutrition Support Team, Clinical Pharmacy, Nationwide Children’s Hospital, Columbus, OH

Petrea Cober, PharmD, BCNSP, Clinical Pharmacy Coordinator - NICU, Clinical Pharmacy, Akron Children’s Hospital, Akron, OH

Nutrition Assessment of the Developmentally Delayed ChildGina Rempel, MD, FRCPC, FAAP, Chief Medical Officer, Administration, Rehabilitation Center for Children, Winnipeg, MB, Canada

Pediatric Vascular Access DevicesJane Anne Yaworski, RN, MSN, Clinical Nurse Specialist, Nutrition Support and Intestinal Care, Nutrition Support and Intestinal Care, Children’s Hospital of Pittsburgh, Pittsburgh, PA

Pediatric Enteral FormulasElizabeth Bobo, MS, RD, LDN, CNSC, Nutritionist, Nutrition Services, Nemours Children’s Clinic, Orlando, FL

Neonatal Enteral FormulasJackie Wessel, MEd, RD, CNSC, CSP, CLE, Neonatal Nutritionist, Nutrition Services, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

Moderator: Beth Lyman, RN, MSN, CNSC

UAN: 0216-0000-14-012-L04-P Level: Basic*Presented by the A.S.P.E.N. Pediatric Section

leT’s Talk Tubes (s22)10:30 am – 12:00 pmobjectives:1. Describe features of the new enteral connector standards and their safety implications2. Demonstrate current approaches to nasogastric (NG) tube placement and verification in the adult patient3. Identify current options for vascular access for the patient receiving PN across the continuum of care4. Describe two methods of securing nasoenteric access tubes and care implications for each

faculty and Topics:

opening lecture: Enteral Connector Safety – New Standards and DesignsPeggi Guenter, PhD, RN, Senior Director of Clinical Practice, Advocacy and Research Affairs, A.S.P.E.N., Silver Spring, MD

Pediatric Content Spanish TranslationVirtual Content RegisTeR online

hands-on stations:Current Approaches to NG Tube Placement and Verification in the Adult PatientPatricia A. Worthington, MSN, RN, CNSC, Nutrition Support Nurse, Thomas Jefferson University Hospital, Philadelphia, PA

Central Venous Catheter Options for PNAntoinette Neal, RN, CRNI, CNSC, VA-BC, Senior Clinical Infusion Nurse, Cleveland Clinic Home Care Services, Independence, OH

Nasoenteric Tube SecurementCarol McGinnis, MS, RN, CNS, CNSN, Clinical Nurse Specialist, Nutrition Support, Sanford USD Medical Center, Sioux Falls, SD

Moderator: Renay Tyler, RN, ACNP, CNSC, DrNP, Director of Nursing, Ambulatory Services, Johns Hopkins Hospital, Baltimore, MD


pRoDucT shoRTages fRoM guiDelines To pRacTice: consiDeRaTions anD sTRaTegies foR ManageMenT (s23)10:30 am – 12:00 pmobjectives:1. Review drug shortages and describe A.S.P.E.N.’s response to parenteral nutrition product shortage alerts 2. Identify recommendations for managing parenteral nutrition product shortages3. Identify unique strategies for management of the neonatal and pediatric patient during product shortages4. Analyze factors to consider with product interchanges5. Discuss proactive approaches to resource management for the home nutrition support patient

faculty and Topics:A.S.P.E.N. and National Drug Shortage ActivitiesBeverly Holcombe, PharmD, BCNSP, FASHP, Clinical Practice Consultant, A.S.P.E.N., Silver Spring, MD

Strategies for Management of the Pediatric PatientAllison Blackmer, PharmD, BCPS, Clinical Assistant Professor/Clinical Pharmacist, Pediatric Surgery, University of Michigan, Ann Arbor, MI

Strategies for Management of the Home Parenteral PatientCarol Rollins, MS, RD, PharmD, BCNSP, CNSC, Clinical Coordinator and Clinical Pharmacist, Pharmacy, University Medical Center, Tucson, AZ

Effects of a Magnesium Sulfate Shortage on Serum Concentrations of Potassium and Magnesium in Adult PN PatientsMichael Kraft, PharmD, BCNSP, Clinical Coordinator and Clinical Pharmacist, Department of Clinical, Social and Administrative Sciences, University of Michigan College of Pharmacy, Ann Arbor, MI

Moderator: Karrie Derenski, PharmD, BCNSP, CNSC, Coordinator, Metabolic Support Service, CoxHealth, Springfield, MO

UAN: 0216-0000-14-014-L05-PLevel: Intermediate*Presented by the A.S.P.E.N. Pharmacy Practice Section

scienTific papeR sessions (s30 – 35)2:00 pm – 3:30 pm Today’s medical environment demands evidence-based practice, replicable results, and improved patient outcomes. Our abstract authors conduct research to help meet these challenges and provide breakthroughs in our knowledge and in our patient care.

These sessions are dedicated to presentations of high-ranking abstracts. The abstracts will be presented by topic so you can explore cutting-edge research on issues that interest you. The abstracts will be also published online in JPEN, making them a part of the body of evidence you have to guide your clinical patient care.

Research Paper Session topics will be listed on www.nutritioncare.org/cnw later in 2013.

UAN: (S30) 0216-0000-14-015-L04-P(S31) 0216-0000-14-016-L04-P(S32) 0216-0000-14-017-L04-P(S33) 0216-0000-14-018-L04-P(S34) 0216-0000-14-019-L04-P(S35) 0216-0000-14-020-L04-PLevel: Advanced

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in seaRch of lean boDy Mass (s40) 4:30 pm – 6:30 pmobjectives:

More information coming soon!

faculty and Topics:Intro to Lean Body Mass Measures and Role in OutcomesFaculty TBA

Bioelectrical Impedance AnalysisCarrie P. Earthman, PhD, RD, LD, Associate Professor of Clinical Nutrition, Department of Food Science and Nutrition, University of Minnesota, St. Paul, MN

Neonatal Body Mass AssessmentMelissa Rice, DO, Neonatology Fellow, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

CT Scan and Ultrasound AnalysisMarina Mourtzakis, PhD, Assistant Professor, Department of Kinesiology, Applied Health Sciences, University of Waterloo, Waterloo, ON, Canada

DEXA ScanningFaculty TBA

Moderator: Faculty TBA


MalnuTRiTion MaTTeRs in The icu: iMpacT of pRe-exisTing MalnuTRiTion anD inTeRvenTion sTRaTegies (s41)4:30 pm – 6:00 pmobjectives:1. Identify three negative outcomes associated with preexisting malnutrition in critically ill patients2.Explain why obesity is not protective in all critically ill patients

3.Identify two interventions to improve delivery of nutrition support to critically ill patients

faculty and Topics:The Impact of Malnutrition on Critically Ill Obese PatientsMalcolm Robinson, MD, Assistant Professor, Surgery, Brigham and Women’s Hospital/Harvard Medical School, Boston, MA

Malnutrition and Infectious ComplicationsKris Mogensen, MS, RD, LDN, CNSC, Team Leader Dietitian, Department of Nutrition, Brigham and Women’s Hospital, Boston, MA

Malnutrition and MortalityKenneth Christopher, MD, Assistant Director, Preliminary and Medicine Residency Programs, Brigham and Women’s Hospital; Instructor, Harvard Medical School, Boston, MA

Interventions for Malnourished Critically Ill PatientsEdward Saltzman, MD, Chief, Division of Clinical Nutrition, Department of Medicine, Tufts Medical Center/Tufts University, Boston, MA

Moderator: Malcolm Robinson, MD


nuTRiTion TheRapy: The neW fRonTieR of canceR caRe (s42)4:30 pm – 6:00 pmobjectives:1. Evaluate the results of nutritionDay Oncology and describe a snapshot in the real life of a cancer patient2. Summarize body composition changes in cancer and its usefulness as a predictor of outcome3. Integrate evidence into nutrition therapy during anticancer treatment4. Describe adjuvant therapy for cancer patients via modulation of selective nutrients

faculty and Topics:Nutrition Day Oncology: A SnapshotPierre Singer, MD, Professor, Department of Intensive Care Medicine, Rabin Medical Center, Petah Tikva, Israel

Body Composition Changes: Predictors for Outcome?Rocco Barazzoni, MD, PhD, Professor, Department of Clinical Sciences, Department of Medical and Surgical Health, University of Trieste, Trieste, Italy


ESPEN Guidelines for Nutritional Therapy During Anti-cancer TherapyAlessandro Laviano, MD, Associate Professor of Internal Medicine, Department of Clinical Medicine, Sapienza University, Rome, Italy

Moderator: Pierre Singer, MD

UAN: 0216-0000-14-023-L01-PLevel: Advanced*Contributed by the European Society for Clinical Nutrition and Metabolism (ESPEN)

Top jpen papeRs of 2013 (s43)4:30 pm – 6:00 pmobjectives: 1. Review new clinical guidelines and evidence supporting practice recommendations 2. Discuss knowledge gained in topics of relevance to current nutrition support therapy 3. Articulate characteristics of a strong research study and its associated publication

Moderator: Kelly A. Tappenden, PhD, RD, FASPEN, Endowed Professor, Nutritional Sciences, University of Illinois at Urbana-Champaign, Champaign, IL

UAN: 0216-0000-14-024-L04-P

Level: Basic

sunDay focuseD leaRning sessions (fls1)4:30 pm – 6:00 pmHere’s your opportunity for an up close and personal experience with the experts. The CNW14 Focused Learning Sessions will promote discussion on specific nutrition support topics. Sessions will be organized by topic and you will have an opportunity to talk in small groups with the faculty and your peers. Each faculty presenter will meet with the group for 45 minutes before participants are asked to move to another table for discussion on a different topic.

a. abgs as easy as 1-2-31. Indicate whether the pH level indicates acidosis or alkalosis2.State whether the cause of the pH imbalance is respiratory or metabolic

3.Identify if there is any compensation for the acid-base imbalance

Lorraine Franzi, MS/HSM, RD, LDN, CNSC, Consultant, Professional Nutrition Therapists, Pittsburgh, PA

b. skin care for patients With gastrostomy Tubes1. List common types of tubes used as feeding gastrostomies2. Recognize potential complications of gastrostomy tubes3.Describe interventions to prevent and manage complications of gastrostomy tubes

Patricia Worthington, MSN, RN, CNSC, Nutritional Support Clinical Specialists, Nursing, Thomas Jefferson University Hospital, Philadelphia, PAc. open abdomen1. Determine appropriate route of feeding in patients with an open abdomen2. Identify macro and micronutrient requirements in patients with an open abdomen

Amy J. Berry, MS, RD, CNSC, Nutrition Support Team – Surgery, Clinical Nutrition Services, University of Virginia Health System, Charlottesville, VA

D. child Who Refuses to eat: it’s not all behavioral 1. List causes of feeding refusal2. Evaluate the various causes of feeding refusal3. Manage various causes that contribute to feeding problems

Shamaila Waseem, MD, Pediatric Gastroenterology, Riley Children’s Specialists, Indiana University Health, Indianapolis, IN

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e. The value of an oley foundation Membership1. Summarize at least two studies that demonstrate the positive impact Oley has on patients2. Refer patients to the Oley Foundation to enable a connection with resources and other patients

Marion F. Winkler, PhD, RD, LDN, CNSC, FASPEN, Surgical Nutrition Specialist, Department of Surgery and Nutritional Support Service, Rhode Island Hospital; Associate Professor of Surgery, Brown University Alpert Medical School, Providence, RI

Joan Bishop, Executive Director, The Oley Foundation, Albany, NY

f. indirect calorimetry: Does it Matter?1. Discuss how indirect calorimetry works, what sort of equipment is needed, and how energy expenditure is calculated from inspired and expired gas measurements2. Apply indirect calorimetry to hospitalized patients in the intensive care unit and an ambulatory setting3. Analyze the evidence that the use of indirect calorimetry can improve patient outcomes when compared with the use of calculated energy expenditure.

Carol Ireton-Jones, RD, PhD, Nutrition Therapy Specialist/Consultant in Private Practice, Professional Nutrition Therapists, Dallas, TX

Charles W. Van Way, III, MD, Professor of Surgery, School of Medicine, University of Missouri- Kansas City, Kansas City, MO

Dustin Neel, MD, General Surgery Resident, University of Louisville School of Medicine, Louisville, KY

G. Influence of Circadian Rhythms and Nutrition Support on Metabolic outcomes in the icu 1. Describe normal circadian rhythms2. Discuss alteration of normal circadian rhythms associated with ICU and continuous nutrition support delivery3. Identify areas of future research to further explain the relationship between circadian rhythms and nutrition support

Sarah Peterson, MS, RD, CNSC, ICU Dietitian, Department of Food and Nutrition, Rush University Medical Center, Chicago, IL

h. vitamin D and cancer: controversies in prevention and survivorship1. Identify the cancers most consistently correlated with serum vitamin D status2. Discuss the major limitation of available data regarding vitamin D and cancer risk and cancer outcomes

3. Discuss optimal serum vitamin D concentrations and strategies for vitamin D repletion in patients undergoing treatment for cancer

Pankaj Vashi, MD, Gastroenterologist and Lead National Medical Director, National Director of Gastroenterology/Nutrition and Metabolic Support, Cancer Treatment Centers of America, Zion, IL

Kristen Trukova, MS, RD, CSO, LDN, CNSC, Clinical Oncologist and Dietitian, Department of Nutrition, Cancer Treatment Centers of America, Zion, IL

I. Strategies for Effective Identification of Symptoms caused by psychotropic Medications and Their physical and nutrition interactions in pediatrics1. Identify common examples of psychotropic medication side effects2. Incorporate techniques of nutrition assessment into the treatment process3. Define possible health/lifestyle changes for family/patient

Mary Turon- Findley, MS, RD, LS, Registered Dietitian, Nutrition Therapy, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

Raymond Troy, MD, Assistant Professor, Pediatrics, Psychiatry; Program Director, Child & Adolescent Partial Hospitalization, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

j. innovative strategies to optimize nutrition and Minimize Risk in our hyperemesis gravidarum patients1. Identify medication and nutriceutical management of hyperemesis gravidarum2. Discuss enteral feeding tube access, complications, and options for feeding patients with hyperemesis gravidarum

Merin Kinikini, RD, FNP, CNSC, Nurse Practitioner, Nutrition Support Service, Intermountain Medical Center, Salt Lake, UT

Thomas White, MD, FACS, CNSC, Medical Director, Nutrition Support Service, Intermountain Medical Center, Salt Lake, UT

k. creating an award-Winning nutrition support Team1. Provide examples of methods to identify potential nutrition support team members2. List roles for each discipline member of the nutrition support team3. Define educational opportunities for the nutrition support team4. Review the nutrition support team’s role in quality improvement


Anne Tucker, PharmD, BCNSP, Clinical Associate Professor, Clinical Sciences and Administration, University of Houston College of Pharmacy, Houston, TX

Renee Walker, MS, RD, LD, CNSC, Nutrition Support Dietitian, Nutrition and Food Services, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX

L. Micronutrient Deficiencies in Patients Receiving Enteral nutrition via jejunal feeding Tubes1. Identify the micronutrients that are absorbed proximally in the gastrointestinal tract that may be deficient in a patient being fed distally through a jejunal feeding tube2. Identify clinical signs and symptoms associated with various micronutrient deficiencies3. Review general literature recommendations and case-based interventions for patients with micronutrient deficiencies4. Discuss nutrients for consideration that may be excessive with long-term enteral feeding

Amy Hapgood, RD, Home Care Clinician, Apria Healthcare, Denver, CO

Leanne Saxton, RD, Home Care Clinician, Apria Healthcare, Denver, CO

M. integrative approaches, the new caM for ibD: What is the evidence?1. Summarize the evidence-based approaches for nutritional and herbal supplements for IBD

2. Describe the evidence behind mind-body approaches for IBD

Ann Ming Yeh, MD, Assistant Clinical Professor, Pediatric Gastroenterology, Stanford University, Palo Alto, CAPresented by the A.S.P.E.N. Pediatric Sectionn. competence and compliance validation of the home care patient on parenteral nutrition 1. Validate competence in the patient/lay caregiver2. Validate compliance in the patient/lay caregiver3. Provide tools to assess ongoing compliance and competence

Antoinette (Toni) Neal, RN, CRNI, CNSC, VA-BC, Cleveland Clinic Infusion Pharmacy at Home, Cleveland Clinic, Independence, OH

o. prebiotics and probiotics1. Review the evidence-based guidelines for the use of probiotics in preterm infants2. Review the role of probiotics for the prevention and treatment of antibiotic associated diarrhea 3. Discuss the role of prebiotics and probiotics on health issues

Teresa D. Puthoff, PharmD, Clinical Lead, Clinical Pharmacy Specialist – NICU, Nationwide Children’s Hospital, Columbus, OH

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There are multiple opportunities for attendees to connect and share best practices and experiences with colleagues from across the globe. Countries represented include Brazil, Japan, and Saudi Arabia. Our conference provides a forum for you to gain new ideas and skills to advance your career. Don’t miss your opportunity to network with the experts in your field!

Take your conference experience to the next level:

• Step inside the Exhibit Hall and meet with nearly 100 exhibitors.• Exchange ideas with colleagues in the Nestlé Welcome Area and enjoy a complimentary beverage. • Attend a Central Stage or Corporate Symposium event conducted by exhibiting companies. • Hear the latest updates from the top companies in clinical nutrition at our Lunch and

Learn sessions. • Learn about the latest product innovations showcased at the Innovation Theatres. • Engage, connect, and network with colleagues at the Practice and Specialty Section meetings.• Participate in A.S.P.E.N.’s game board trivia and you could win valuable prizes!

To learn more visit, www.nutritioncare.org/experience

You’re invited to a networking lunch in the Exhibit Hall Sunday and Monday from 12:00 – 2:00 PM. Take time out to meet with your colleagues to share insights and

solutions during the lunch break. Compliments of A.S.P.E.N.

Welcome AreaMake this your first stop at CNW14! Come and enjoy a cup of coffee and learn about the key conference activities sponsored by Nestlé Health Science. Adjacent to A.S.P.E.N.’s membership booth.

The Exhibit Hall provides a perfect forum for attendees and speakers to network and visit more than 100 exhibiting companies. Exhibitors and sponsors are a critical element to CNW14 and this year you won’t want to miss what’s new in the Hall.

• Walgreens Wellness Lounge–Visit Walgreens Satellite Retail Store right on the Exhibit Hall show floor and take a moment to recharge and pick up any last minute items you may need.

• World Famous Pralines–Experience Savannah’s very own Pralines during the opening reception provided by River Street Sweets.

• Get Moving Sessions–Join us Sunday and Monday for light stretching and moving to get your blood bumping after sitting in educational sessions all day. Donations are welcome to support the A.S.P.E.N. Rhoads Research Foundation. No advance registration is required.

• Innovation Theatres–Learn more about the latest research and innovations from Abbott Nutrition, CORPAK Medsystems, GNF Technologies, and SustainTM, LLC: A.S.P.E.N.’s National Patient Registry for Nutrition Care.



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MonDay januaRy 20, 2014DuDRick syMposiuM: fRonTieRs in RegeneRaTing inTesTine foR shoRT guT synDRoMe (M10)8:00 - 9:30 amDescription:Short bowel syndrome is a rare disease that is both costly and devastating. The main cause of short bowel syndrome is surgical removal of half or more of the small intestine to treat intestinal diseases, injuries, or a result of defects present at birth. With the exception of transplantation there are no therapies that can replace the small intestine. Thus, understanding the small intestine’s regeneration potential is essential to development of critically needed therapies that will increase intestinal function. This session will explore cutting edge research being performed by several young investigators on the frontier of intestinal regeneration.

objectives:1. Define short bowel syndrome2. List at least 2 causes of short bowel syndrome3. Describe the current therapies for short bowel syndrome4. Describe the limitations of current therapies for short bowel syndrome

faculty and Topics: Human Tissue-Engineered Intestine: Function and FutureTracy C. Grikscheit, MD, Assistant Professor of Surgery, Division of Pediatric Surgery, Keck School of Medicine, University of Southern California; Saban Research Institute, Los Angeles, CA

Regenerative Medicine to Repair or Re-Build the Intestine: What are the Options?Paolo De Coppi, MD, PhD, Clinical Senior Lecturer and Consultant, Surgery Unit, University College London Institute of Child Health; Great Ormond Street Hospital, London, United Kingdom

Exploring the Regenerative Potential of the Embryonic IntestinePeter F. Nichol, MD, PhD, Assistant Professor, Director of Pediatric Nutrition Support, Director of the Pediatric Intestinal Failure Program, American Family Children’s Hospital; Assistant Professor, Division of Pediatric Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI

Moderator: Peter F. Nichol, MD, PhD

UAN: 0216-0000-14-025-L04-P Level: Advanced

exhibiTs anD posTeRs9:30 - 10:30 am

pReMieR papeR sessions anD live vaRs aWaRD coMpeTiTion (M20)10:30 am - 12:30 pmA.S.P.E.N. is dedicated to advancing the science and practice of clinical nutrition and metabolism. This session highlights the best peer-reviewed research abstracts submitted for CNW14. This is your opportunity to hear firsthand about the latest research that helps shape clinical practice for all disciplines involved in nutrition support.

All the individuals who give presentations during this session are vying for the prestigious Harry M. Vars Award. This award serves as a tribute to Dr. Vars and his pioneering developments in parenteral nutrition and is given annually for the best original research presentation by an investigator at CNW. The award recipient will be selected on site by the A.S.P.E.N. Research Committee based upon a review of manuscripts submitted by qualified candidates and their presentations. The award recipient will be announced at the Rhoads Lecture and Research Award session Tuesday morning. Come cheer on the candidates and hear the best of the best research at CNW14!


exhibiTs anD posTeRs12:00 - 2:00 pm

phaRMaconuTRiTion (M30)2:00 - 3:30 pmobjectives:

More information coming soon!


faculty and Topics:Selenium: The Future Of Pharmaconutrition?Gunnar Elke, MD, Department of Anaesthesiology and Intensive Care Medicine, University Medical Center Schleswig-Holstein, Kiel, Germany

Probiotics and the Microbiome: Facts and the Future?Paul Wischmeyer, MD, Professor of Anesthesiology, Associate-Chairman for Clinical and Translational Research, Director of Nutrition Therapy Services, University of Colorado School of Medicine, Aurora, CO

Optimal Protein Requirements in Surgery and Critical Illness: Can We Make an Educated Guess?Thomas Schricker, MD, PhD, Associate Professor and Clinical Director, Department of Anesthesia, Royal Victoria Hospital, McGill University, Montreal, QC, Canada

REDOXs: A Secondary Analysis: What Did We Learn?Daren Heyland, MD, FRCPC, MSc, Full Professor of Medicine, Department of Medicine, Queen’s University; Director of Research for the Critical Care Program and Director of the Clinical Evaluation Research Unit, Kingston General Hospital, Kingston, ON, Canada

Moderator: Daren Heyland, MD, FRCPC, MSc and Robert Martindale, MD, PhD, FACS, Chief, Division of General Surgery; Medical Director, Hospital Nutritional Services, Oregon Health and Science University, Portland, OR


a MaRRiage beTWeen qualiTy iMpRoveMenT anD The ehR WiTh The iRb sTanDing in as jusTice of The peace! (M31)2:00 - 3:30 pmobjectives:1. Define human subject research activities and list activities that fall under IRB oversight jurisdiction2. Identify potential local and online resources for clinicians and researchers involved in QI and research projects3. Identify and utilize tools to successfully complete the IRB application process4. Develop potential nutrition support QI projects and/or outcomes research at their own institution

faculty and Topics:Systematic, Data-Driven Clinical Improvements: QI, Research, and IRB oversightLark-Aeryn Speyer, Junior Associate Regulatory Analyst, IRBMED, University of Michigan Medical School, Ann Arbor, MI

Demystifying the Institutional Review ProcessSarah Peterson, MS, RD, CNSC, Clinical Dietitian, Rush University Medical Center, Chicago, IL

Using Quality Improvement Methods to Improve Nutritional Outcomes in the NICULaura Placke Ward, MD, Assistant Professor, Department of Pediatrics; Neonatologist, Division of Neonatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

Moderator: Vincent W. Vanek, MD, FACS, FASPEN, CNSP, HMHP, Chief Medical Informatics Officer, Department of Surgical Education, St. Elizabeth Health Center; Professor of Surgery, Northeast Ohio Medical University, Youngstown, OH

UAN: 0216-0000-14-028-L04-P

Level: Intermediate

MeDical anD suRgical ManageMenT of chilDhooD obesiTy: successes anD piTfalls (M32)2:00 - 3:30 pmobjectives:1. Define pediatric obesity and related complications with an emphasis on non-alcoholic fatty liver disease (NAFLD)2. Implement an interdisciplinary approach to management of obesity in children and adolescents and analyze the outcomes 3. Understand the algorithms, outcomes, and complications of childhood bariatric surgery

faculty and Topics:Childhood Obesity: Definitions, Complications and Outcomes of a Interdisciplinary Pediatric Obesity Treatment ProgramMiriam Vos, MD, MSPH, Assistant Professor, Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Emory University School of Medicine, Atlanta, GA

Nutrition Advice for Childhood Obesity: Focusing on Areas of OpportunityWendy Palmer, MS, RD, LD, CHES, Manager, Child Wellness Department, Children’s Healthcare of Atlanta, Atlanta, GA

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Childhood and Adolescent Bariatrics: Where Are We Now and Where Do We Need to Go?Stavra A. Xanthakos, MD, Assistant Professor, Department of Pediatrics, University of Cincinnati; Medical Director, Surgical Weight Loss Program for Teens, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

Moderator: Timothy Sentongo, MD, ABPNS, Associate Professor of Pediatrics, Director, Pediatric Nutrition Support, The University of Chicago Medical Center, Chicago, IL


iMpleMenTing a.s.p.e.n.’s paRenTeRal nuTRiTion consensus RecoMMenDaTions (M33)2:00 - 3:30 pmobjectives:1. Compare current parenteral nutrition processes with safe PN practice recommendations2. Summarize best practices for PN prescribing, order review, and processing3. Appraise the safety of current PN compounding practices 4. Apply safe PN administration recommendations to improve the safety of this process

faculty and Topics:Prescribing and Communicating the PN OrderMichael Kraft, PharmD, BCNSP, Clinical Associate Professor, University of Michigan College of Pharmacy; Assistant Director, Education and Research, University of Michigan Health System, Ann Arbor, MI

PN Order Review and Verification ProcessJane Gervasio, PharmD, BCNSP, Associate Professor and Chair, Department of Pharmacy Practice, Butler University, Indianapolis, IN

Compounding Parenteral NutritionGordon Sacks, PharmD, BCNSP, FCCP, Chair, Pharmacy Practice, Harrison School of Pharmacy, Auburn University, Auburn, AL

Parenteral Nutrition AdministrationPatricia Worthington, RN, MSN, CNSC, Nutrition Support Nurse, Thomas Jefferson University Hospital, Philadelphia, PA

Moderator: Phil Ayers, PharmD, BCNSP, FASHP, Chief of Clinical Pharmacy Services, Department of Pharmacy, Baptist Health Systems; Clinical Associate Professor, School of Pharmacy, University of Mississippi, Jackson, MS


nuTRiTion focuseD physical assessMenT: skills you neeD ToDay foR paTienT assessMenT – paRTs 1 & 2 (M34 & M40)Description:Space for these two sessions is limited to 75 participants each. There is no additional fee to participate in either of these sessions. Tickets are first come, first served and run out quickly! Notification will be sent out prior to the tickets/registration for these sessions becoming available.

objectives:1. Describe the components of the nutrition-focused physical exam2. Demonstrate novice skills in completing a nutrition-focused physical exam to include assessment of body fat, muscle, fluid accumulation, abdominal exam, functional performance, and micronutrient assessment3. Use the information obtained in nutrition-focused physical assessment to develop a nutrition care plan including the diagnosis, nutrition intervention, and reassessment plan

paRT 1 (M34)2:00 pm – 3:30 pm faculty and Topics:Opening Didactic Presentation: Why and How to Perform NFPE, Developing Skills, and Working as an Interdisciplinary TeamOmer Deen, MD, Staff Physician, Internal Medicine and Clinical Nutrition, Torrance Memorial Medical Center, Torrance, CA

hands-on stations:Abdominal X-Ray InterpretationGail Cresci, PhD, RD, LD, Associate Staff, Digestive Disease & Lerner Research Institutes; Assistant Professor, Cleveland Clinic Lerner College of Medicine, Departments of Gastroenterology, Hepatology and Pathobiology, Cleveland Clinic, Cleveland, OHMicronutrient Deficiencies


Dema Esper, MS, RD, LD, Instructor, Department of Food and Nutrition, Youngstown State University, Youngstown, OHAbdominal AssessmentMary Marian, MS, RD, CSO, Clinical Dietitian and Instructor, University of Arizona College of Medicine, Tucson, AZ

Omer Deen, MD, Staff Physician, Internal Medicine and Clinical Nutrition, Torrance Memorial Medical Center, Torrance, CA

Tying It All Together: Case PresentationOmer Deen, MD, Staff Physician, Internal Medicine and Clinical Nutrition, Torrance Memorial Medical Center, Torrance, CA

paRT 2 (M40)4:30 pm – 6:00 pm Opening Didactic Presentation: Why and How to Perform NFPE, Developing Skills, and Working as an Interdisciplinary TeamOmer Deen, MD, Staff Physician, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH

hands-on stations:Functional AssessmentMary Russell, MS, RD, LDN, Senior Manager, Medical Affairs, Baxter Healthcare Corporation, Chicago, IL

Macronutrient AssessmentCindy Hamilton, MS, RD, LD, Director, Center for Human Nutrition, Cleveland Clinic, Cleveland, OH

Assessment of Fluid AccumulationSusan Roberts, MS, RD, CNSC, Assistant Director, Department of Nutrition, Baylor Medical Center, Dallas, TX

Tying It All Together: Case PresentationOmer Deen, MD, Staff Physician, Internal Medicine and Clinical Nutrition, Torrance Memorial Medical Center, Torrance, CA

UAN: M34 0216-0000-14-031-L04-PM40 0216-0000-14-032-L04-PLevel: Intermediate*Contributed by Dietitians in Nutrition Support, a practice group of the Academy of Nutrition and Dietetics

exhibiTs anD posTeRs3:30 - 4:30 pm

The challenge of caRing foR The cRiTically ill obese paTienT in The icu (M41)4:30 - 6:00 pmobjectives:1. Recognize the effects of obesity and associated inflammatory changes on various organ systems in the critically ill patient2. Identify which drugs may require special dosing in the obese patient and recognize those that may interfere with provision of nutrition3. Review evidence-based methods for determining energy requirements in critically obese patients4. Evaluate the evidence for providing permissive hypocaloric feeds to critically obese patients

faculty and Topics:The Critically Ill Obese Patient: A Review and Look AheadRobert Winfield, MD, Assistant Professor of Surgery, Section of Acute and Critical Care Surgery, Washington University School of Medicine, St. Louis, MO

Do Megadoses Cause Mega Problems When Treating the ICU Obese Patient?Lingtak-Neander Chan, PharmD, Associate Professor, Department of Pharmacy, Interdisciplinary Faculty, Graduate Program, University of Washington, Seattle, WA

Too Much, Too Little, or Just Right? The Challenges of Feeding the ICU Obese PatientGail Cresci, PhD, RD, LD, Associate Staff, Digestive Disease & Lerner Research Institutes; Assistant Professor, Cleveland Clinic Lerner College of Medicine, Departments of Gastroenterology, Hepatology and Pathobiology, Cleveland Clinic, Cleveland, OH

Moderator: Beth Taylor, MS, RD, CNSC, FCCM, Nutrition Support Specialist, Surgical ICU, Barnes-Jewish Hospital, St. Louis, MO UAN: 0216-0000-14-033-L01-PLevel: Intermediate

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enTeRocuTaneous fisTulas, high ouTpuT osToMies, anD The inTeRDisciplinaRy nuTRiTion suppoRT TeaM (M42)4:30 - 6:00 pmobjectives: 1. Establish goals for interdisciplinary care of the patient2. Resolve issues with transitions of care for these complex patients3. Develop an interdisciplinary approach to nutrition care, including all disciplines necessary for achieving quality outcomes4. Contrast care issues for enterocutaneous fistulas versus high output ostomies

faculty and Topics:An Overview of Managing the Care Team Across the Spectrum of Care Vicki M. Ross, RN, PhD, Nutrition Support/Nurse Scientist, Truman Memorial Medical Center, Kansas City, MO

Determining Nutrition Requirements Jennifer Forristal, MS, RD, LD, CNSC, Clinical Dietitian, Clinical Nutrition Therapy, Truman Memorial Medical Center,

Medical-Surgical Management Charles W. Van Way, III, MD, Professor of Surgery, School of Medicine, University of Missouri- Kansas City, Kansas City, MO

Enterocutaneous Fistula and High Output Ostomy from the Pharmacist’s PerspectiveEric H. Frankel, MSE, PharmD, BCNSP, Neonatal Clinical Lead & Metabolic Support Service Clinical Pharmacist, Department of Pharmacy, Truman Medical Center, Kansas City, MO

Moderator: Beth Lyman, RN, MSN, CNSC, Senior Program Coordinator for the Nutrition Support Team, Pediatric Gastroenterology, Children’s Mercy Hospital, Kansas City, MO


iMpRove paTienT ouTcoMes by iDenTifying anD aDDRessing MalnuTRiTion ThRough an inTeRDisciplinaRy appRoach (M43)4:30 - 6:00 pmobjectives:1. Provide new information to peers on the importance of nutrition intervention among malnourished or at-risk patients2. Promote collaboration among colleagues as part of the solution to tackling hospital malnutrition3. Bring an actionable plan back to hospitals for incorporating a nutrition care model to improve patient and hospital outcomes

faculty:Melissa Parkhurst, MD, Associate Professor, Department of Internal Medicine; Medical Director, Hospital Medicine Section, University of Kansas Medical Center, Kansas City, KS

Kelly A. Tappenden, PhD, RD, FASPEN, Endowed Professor, Nutritional Sciences, University of Illinois at Urbana-Champaign, Champaign, IL

Beth Quatrara, DNP, RN, ACNS-BC, CMRSN, Alliance Representative from the Academy of Medical-Surgical Nurses; Clinical Nurse Specialist, Digestive Health Department; Director, Nursing Research Program, University of Virginia Health System, Charlottesville, VA

Moderator:Kelly A. Tappenden, PhD, RD, FASPEN

UAN: 0216-0000-14-035-L01-PLevel: Intermediate*Contributed by the Alliance to Advance Patient Nutrition


MonDay focuseD leaRning sessions (fls2)4:30 – 6:00 pmDescription:Here’s your opportunity for an up close and personal experience with the experts. The CNW14 Focused Learning Sessions will promote discussion on specific nutrition support topics. Sessions will be organized by topic and you will have an opportunity to talk in small groups with the faculty and your peers. Each faculty presenter will meet with the group for 45 minutes before participants are asked to move to another table for discussion on a different topic.

a. acid-base Disorders: easy as 1, 2, 31. Identify and interpret acid-base disorders2. Review treatment and prevention strategies for acid-base abnormalities3. Evaluate patient cases to apply a stepwise approach to acid-base disorders

Anne Tucker, PharmD, BCNSP, Clinical Associate Professor, Clinical Sciences and Administration, University of Houston College of Pharmacy, Houston, TX

Nicole Keller, PharmD, BCNSP, Critical Care/Nutrition Support Clinical Pharmacy Specialist, Michael E. Debakey VA Medical Center, Houston, TX

b. clinical Measurement of lean Tissue in individuals With cancer: Where are We now and Where can We go from here?:1. Describe the relationship between lean tissue and nutrition status within the context of the recent consensus definition of malnutrition established by the Academy of Nutrition and Dietetics and A.S.P.E.N.2. Differentiate between several techniques currently being used to assess lean tissue3. Describe new techniques and new uses for existing technologies that may help the clinician to identify malnutrition and/or monitor individuals as they undergo nutrition interventions4. Consider research needs and future directions with regard to the assessment of lean tissue as a key parameter for nutrition status

Carrie P. Earthman, PhD, RD, LD, Associate Professor of Clinical Nutrition, Department of Food Science and Nutrition, University of Minnesota, St. Paul, MN

c. nutrition in pediatric ibD: What is the evidence?1. Review the therapeutic theories of the specific carbohydrate diet (SCD)2. Describe Stanford’s patient experience on the SCD and our ongoing research

Jennifer Burgis, MD, Assistant Clinical Professor, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Stanford University, Palo Alto, CA

Kaylie Nguyen, NP, Nurse Practitioner, Department of Pediatrics, Division of Gastroenterology, Lucile Packard Children’s Hospital, Palo Alto, CA*Presented by the A.S.P.E.N. Pediatric Section

D. Renal failure: The known and unknown1. Identify metabolic alterations of chronic kidney disease (CKD) that are related to the development of protein energy wasting (PEW)2. Compare nutrition and non-nutrition causes of PEW in CKD patients3. List contributing factors associated with comorbidities and lifestyle that can be managed to decrease the incidence of PEW in CKD

Marcia Kalista-Richards, MPH, RD, CNSC, LDN, Renal Nutrition Support Dietitian, Department of Nutrition, Cedar Crest College, Allentown, PA

e. nutrition support product shortages: ethical considerations for the pediatric healthcare provider 1. Discuss the impact of national nutrition support product shortages on the quality and safety of providing nutrition support therapy2. Describe strategies to ethically justify nutrition support product allocation during national shortages3. Evaluate the option of utilizing compounding pharmacies to provide nutrition support products in short supply4. Given a patient case, explain the ethical rationale for decisions of allocation of nutrition support products in parenteral nutrition–dependent patients with intestinal failure

M. Luisa Partipilo, PharmD, BCNSP, Clinical Pharmacist, Intestinal Rehabilitation/Adjunct Clinical Assistant Professor, University of Michigan, Ann Arbor, MI

Allison Blackmer, PharmD, BCPS, Clinical Assistant Professor/Clinical Pharmacist, Pediatric Surgery, University of Michigan, Ann Arbor, MI

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F. Essential Fatty Acid Deficiency: Etiology, Prevention, Treatment, and Working around the shortages1. List the risk factors for essential fatty acid deficiency2. Interpret essential fatty acid profile and calculate patient-specific needs3. Identify means to supplement essential fatty acids with intravenous, enteral, and topical fat sources while monitoring response

Kris Mogensen, MS, RD, LDN, CNSC, Team Leader Dietitian, Department of Nutrition, Brigham and Women’s Hospital, Boston, MA

Deborah Pfister, MS, RD, LDN, CNSC, Director of Nutrition, Department of Nutrition, Thrive Rx, Littleton, MA

g. nutrition Therapy for chronic pancreatitis, Total pancreatectomy, and autologous islet cell Transplant1. Complete the nutrition assessment and preoperative intervention for patients with chronic pancreatitis undergoing surgical intervention2. Describe the immediate postoperative nutrition care and education needs for total pancreatectomy and autologous islet cell transplant recipients3. Identify nutrition monitoring parameters in long term transplant recipients

Summer Root, RD, Clinical Dietitian, Nutrition Support Services, University of Arizona Medical Center, Tucson, AZ

Shannon Eshelman, RD, Clinical Dietitian, Nutrition Support Services, University of Arizona Medical Center, Tucson, AZ

h. importance of intestinal Microbioma in health and Disease1. Describe the intestinal microbiome components in different parts of the gastrointestinal tract2. Summarize the different forms of interaction between genetics of germs and the host intestinal mucosa3. Show the consequences of breaking the microbiome-host balance.

Marthe Bricard, MD, Clinical Nutrition and Metabolism, Angeles Lomas Hospital, Mexico City, Mexico*Contributed by the A.S.P.E.N. Ibero/Latin American Section (ILAS)

i. creating interdisciplinary Teams for children with complex Medical and nutrition needs1. Explain the role of an interdisciplinary team for pediatric patients with complex medical needs2. Identify common gastrointestinal and nutrition issues that may lead to unnecessary hospital admissions or emergency room visits

3. Discuss interventions that may be implemented by an interdisciplinary team to prevent hospital admissions or emergency room visits

Jodi Wolff, MS, RD, CNSC, Pediatric Clinical Dietitian, Clinical Nutrition, Center for Comprehensive Care, Rainbow Babies and Children’s Hospital, Cleveland, OH

Erin Jenks, MS, RD, LD, Clinical Dietitian, Haslinger Family Pediatric Palliative Care Center, Akron Children’s Hospital, Akron, OH

j. Real life Tales of Medicare Denials, appeals, and coverage for home parenteral and enteral nutrition1. Describe existing Medicare guidelines that qualify patients for parenteral and enteral nutrition2. List three examples of frequently scrutinized areas of justification for nutrition support3. Identify two tools to aid in successful Medicare qualification of parenteral and enteral nutrition

Maura O’Neill, MBA, RD, CNSC, Nutrition Services, Walgreens Infusion Services, Deerfield, IL

Pamela Wagner, RD, CNSC, Nutrition Services, Walgreens Infusion Services, Deerfield, IL

k. Managing parenteral nutrition electrolyte additions in adult patients1. Assess electrolyte needs of the adult patient2. Adjust parenteral nutrition additions based on select conditions3. Calculate maintenance electrolyte needs in the adult patient

Karrie Derenski, PharmD, BCNSP, CNSC, Coordinator, Metabolic Support Service, CoxHealth, Springfield, MO

Karen Dameron, RPh, CNSC, Metabolic Support Service, Department of Pharmacy, CoxHealth, Springfield, MO

l. nutrition implications of organ Transplantation: Donor, candidate, and Recipient1. Outline nutrition conditions affecting transplant donor candidacy as well as implications of donor nutrition on outcomes of the transplant donor and recipient2. Evaluate pretransplant conditions or treatments that influence nutrition delivery or composition3. Analyze transplant immunosuppressive drugs and effect on nutrition and implications of using specialized nutrients in transplant patients

Jeanette Hasse, PhD, RD, LD, FADA, CNSC, Transplant Nutrition Manager, Annette C. and Charles C. Simmons Transplant Institute, Baylor university Medical Center, Dallas, TX


Sara DiCecco, MS, RD, LD, Clinical Dietitian, William Von Liebig Transplant Center, Mayo Clinic, Rochester, MN

M. quality practice: improving patient care Through nutrition informatics1. Apply knowledge in informatics to identify areas for clinical nutrition improvement2. Implement strategies to use the EHR to bridge the gap from guideline to quantifiable, measurable data3. Utilize informatics to showcase the contribution of clinical nutrition on quality and cost

Cathy Montgomery, RD, LD, Director of Clinical Nutrition, Clinical Nutrition, Memorial Hermann Health System, Houston, TX

Lynn Moore, RD, LD, CNSC, Clinical Nutrition Manager, Clinical Nutrition, Memorial Hermann Health System, Houston, TX

n. introduction to Research electronic Data capture (ReDcap)1. Navigate and create data entry forms in REDCap 2. Demonstrate a project that utilizes REDCap

Timothy Sentongo, MD, ABPNS, Associate Professor of Pediatrics, Director, Pediatric Nutrition Support, The University of Chicago Medical Center, Chicago, ILo. approach to patients on pn with hyperglycemia1. Develop PN programs for patients with hyperglycemia2. Review desired glucose goal ranges3. Discuss an approach to insulin management

M. Molly McMahon, MD, Medical Director, Nutrition and Nutrition Support Services Team, Division of Endocrinology, Mayo Clinic Rochester, Rochester, MN

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http://www.nutritioncare.org/cnwfirst


TuesDay januaRy 21, 2014RhoaDs lecTuRe anD aWaRDs ceReMony (T10): Malnutrition and Inflammation: Where Have We Been? Where Are We Now? Where Are We Going?Burning Down the House – Inflammation as an Adaptive Physiologic Response Versus Self Destruction?

8:00 - 9:30 ambiography:Dr. Gordon Jensen was appointed Professor and Head of Nutritional Sciences at the Pennsylvania State University in 2007. He also serves as Professor of Medicine at the Penn State Hershey Medical Center and is a specialist in nutrition with Mt. Nittany Physician Group. He previously worked with the Vanderbilt Medical group from 1998-2007 and served as Director of the Vanderbilt Center for Human Nutrition from 1999-2007. He received his medical degree from Cornell University Medical College and his Ph.D. in nutritional biochemistry from Cornell University. He completed residency training in Internal Medicine and fellowship training in Clinical Nutrition at New England Deaconess Hospital, Harvard Medical School. From 1988-1998, he served as Director of the Section of Nutrition at Geisinger Medical Center.

Dr. Jensen is a Past President of A.S.P.E.N. and a Past Chair of the Association of Nutrition Programs and Departments. He is current President of the American Society for Nutrition. He has made numerous presentations at national and international meetings. He has served on advisory panels, study sections, or work groups for NIH, The Academy of Nutrition and Dietetics, and The Food and Nutrition Board. He also has served on several editorial boards for leading nutrition journals and as ad hoc reviewer for many other journals. He has authored more than 160 journal articles, reviews, and book chapters.

Teaching activities have included nutrition lectures and research training for house staff, and, undergraduate, graduate, and medical students. He has also served as Director of a successful nutrition support fellowship program. He has been active in teaching a wide variety of nutrition courses for health professionals throughout the world. He developed a required curriculum in clinical nutrition for medical students at Vanderbilt. At Penn State he is currently co-director of the Childhood Obesity Prevention Training Program as well as co-director of the Clinical and Translational Science Institute KL2 Training Program.

Dr. Jensen is board certified in Nutrition and Internal Medicine. Clinical activities include supervision of adult

nutrition support interventions at the Mt. Nittany Medical Center. These interventions entail the provision of specialized intravenous or tube feedings for malnourished patients who are unable to eat. Dr. Jensen also conducts outpatient clinics for malnourished patients and high-risk obesity management. He has been nationally recognized by America’s Top Doctors.

Dr. Jensen’s research interests have focused largely on geriatric nutrition concerns. A major limitation in the identification of elders at nutrition risk has been the lack of valid methodologies that have been tested in rigorous research studies with well-defined outcome measures. His team has therefore emphasized the development and testing of nutrition screening and assessment tools in relation to specific functional and healthcare resource outcomes for older persons. In particular he has focused upon the impact of obesity on these outcomes. He has also promoted understanding of the central roles of inflammatory response in malnutrition and obesity.

Description:Growing evidence suggests that varying degrees of acute or chronic inflammation are key contributing factors in the pathophysiology of malnutrition that is associated with disease or injury. Historic nutrition assessment parameters have been revealed to be impacted by inflammatory response. The presence of inflammation can also blunt favorable responses to nutrition therapies. We have proposed a new etiology-driven approach to nutrition diagnosis for adults in the clinical practice setting that has been adopted by A.S.P.E.N. and the Academy of Nutrition and Dietetics. These malnutrition syndromes include starvation-related malnutrition, in which there is chronic starvation without inflammation, chronic disease-related malnutrition, in which inflammation is chronic and of mild to moderate degree, and acute disease- or injury-related malnutrition, in which inflammation is acute and of severe degree. A systematic approach to nutrition assessment will be shared for the diagnosis of malnutrition with practical indicators of malnutrition and inflammation that include medical/surgical history and clinical diagnosis, clinical signs, and physical examination, anthropometric data, laboratories, dietary assessment, and functional outcomes. Feasibility and validity testing of malnutrition markers and characteristics will be discussed. Opportunities for modulation of inflammation to promote improved outcomes will be explored. Inflammation can be a good thing… let’s try to keep it that way.

faculty:Gordon L. Jensen, MD, PhD, Professor and Head, Department of Nutritional Sciences, Pennsylvania State University, University Park, PA


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Can’t make it to Savannah? Participate right from your home or workplace. We’ll deliver 12 sessions right to your computer! Our easy-to-use virtual platform can be accessed from anywhere around the world—no travel required! All you need is access to a computer. The CNW14 virtual conference is a flexible, affordable, user-friendly, and convenient way to participate. Register today at www.nutritioncare.org/cnw14virtual.

VIRTUAL SESSIONSSATURDAY, JANUARY 184:30 – 6:00 PMPresident’s Address: Addressing Hospital Malnutrition—Our Time Is Now! (R10) SUNDAY, JANUARY 198:00 – 9:30 AMKeynote Address: Drug Shortage Tales from the Front Line—Keeping Patients Safe during the Daily Scramble (S10)

10:30 AM – 12:30 PMClinical Trials Symposium: The Future of Clinical Nutrition (S20)

4:30 – 6:30 PMIn Search of Lean Body Mass (S40) MONDAY, JANUARY 208:00 – 9:30 AMDudrick Symposium: Frontiers in Regenerating Intestine for Short Gut Syndrome (M10)

10:30 AM – 12:30 PMPremier Paper Session and Live Vars Award Competition (M20)

2:00 – 3:30 PMPharmaconutrition (M30)

4:30 – 6:00 PMImprove Patient Outcomes by Identifying and Addressing Malnutrition through an Interdisciplinary Approach (M43)

TUESDAY, JANUARY 218:00 – 9:30 AMRhoads Lecture and Awards Ceremony: Malnutrition and Inflammation—Where Have We Been? Where Are We Now? Where Are We Going? (T10)

10:00 AM – 12:00 PMUpdate on Special Topics in Vitamin D (T20)

1:00 – 2:30 PMNutrition in the Microbiome Across the Lifecycle (T30)

3:00 – 5:00 PMImportance of Micronutrients in Disease (T40)

JOIN US VIRTUALLY AND...• Attend 12 real-time education sessions

via an online platform. • Interact with leading researchers and

clinicians.• Earn continuing education credits

(see page 20 for details).

A.S.P.E.N. Welcomes Groups For every 3 people you register for a full-conference registration, you will receive a 4th full-conference registration for FREE! This offer is only valid until November 13, 2013. To qualify, all registrants in the group must be employed at the same institution. Group discounts are available only by phone. Call 301-587-6315.



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upDaTe on special Topics in viTaMin D (T20)10:00 am - 12:00 pmobjectives:1. Describe the appropriate vitamin D intake level for pregnancy and the associated neonatal outcomes 2. Recognize the gaps in our understanding of vitamin D status in bariatric surgery patients and identify areas for future research3. Articulate the potential benefit of vitamin D supplementation on infectious outcomes in critically ill patients

faculty and Topics:Vitamin D in Optimal Maternal and Fetal HealthCarol L. Wagner, MD, Professor, Department of Pediatrics, Medical University of South Carolina Children’s Hospital, Charleston, SC

Vitamin D in Patients Undergoing Bariatric Surgery Carrie P. Earthman, PhD, RD, LD, Associate Professor of Clinical Nutrition, Department of Food Science and Nutrition, University of Minnesota, St. Paul, MN

Vitamin D in Critically Ill and Infected Patients Thomas R. Ziegler, MD, Professor of Medicine, Division of Endocrinology, Metabolism and Lipids; Emory University School of Medicine, Atlanta, GA

Moderator:

Charlene Compher, PhD, RD, CNSC, LDN, FADA, Associate Professor of Nutrition Science, School of Nursing, University of Pennsylvania, Philadelphia, PA


innovaTive appRoaches To iMpRoving nuTRiTion pRacTices in inTensive caRe uniTs (T21)10:00 am – 11:30 amobjectives: 1. Identify opportunities in current nutrition practices in ICUs from the International Nutrition Survey 2013 to align with the 2013 recommendations of the Canadian Critical Care Nutrition Clinical Practice Guidelines2. Identify key barriers to implementing the recommendations from these guidelines and describe current US-Canadian initiatives aimed at overcoming barriers as evaluated in the PEP uP and OPTICS studies

3. Provide a practical tool to improve nutrition practices at the bedside by adopting “The Right Approach” in the ICU

faculty and Topics:Guidelines and Current Practices in the ICU in 2013: Are There Still Gaps?Rupinder Dhaliwal, RD, Executive Director, NUTRIC, Clinical Evaluation Research Unit, Queens University, Kingston General Hospital, Kingston, ON, Canada

Innovative Approaches to Overcoming Barriers to Changing Nutrition PracticesDaren Heyland, MD, FRCPC, MSc, Full Professor of Medicine, Department of Medicine, Queen’s University; Director of Research for the Critical Care Program and Director of the Clinical Evaluation Research Unit, Kingston General Hospital, Kingston, ON, Canada

The “Right Approach” to Nutrition in the ICUJudy King, RD, Dietitian, ICU and Surgery, Southlake Regional Health Centre, Newmarket, ON, Canada

Moderator: Todd W. Rice, MD, MSc, Assistant Professor of Medicine, Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TNUAN: 0216-0000-14-038-L05-P

Level: Intermediate

TReaTing The gReaTesT ThReaT To global healTh: obesiTy (T22)10:00 am – 11:30 amobjectives:1. Describe the role of the microbiome in the pathogenesis of obesity2. Describe the risks and rewards of medical therapies for obesity3. Evaluate the evidence supporting or refuting popular weight loss diet programs

faculty and Topics:The Role of the Microbiome in Obesity PathogenesisGerard E. Mullin, MD, Associate Professor of Medicine, Director of Integrative GI Nutrition Services, Director of Capsule Endoscopy, Division of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, MD

Medical Therapies for Obesity: The Good, The Bad, and The Ugly Lawrence Cheskin, MD, FACP, Associate Professor, Johns Hopkins Bloomberg School of Public Health; Director, Johns Hopkins Weight Management Center, Baltimore, MD


Weight Loss Diets: Weighing the EvidenceLaura Matarese, PhD, RD, LDN, CNSC, FADA, FASPEN, Associate Professor, Gastroenterology, Hepatology and Nutrition, Brody School of Medicine, East Carolina University, Greenville, NC

Moderator: Laura Matarese, PhD, RD, LDN, CNSC, FADA, FASPEN

UAN: 0216-0000-14-039-L01-P Level: Intermediate*Presented by the A.S.P.E.N. Medical Practice Section

novel appRoaches To hoMe nuTRiTion suppoRT (T23)10:00 am – 11:30 amobjectives:1. Identify 3 strategies for utilizing mobile technologies in the care of the home nutrition support patient2. Describe the impact of an iPad based telehealth approach to the care of the patient dependent on HPN3. Discuss an alternative model of care for improving transition and follow up for the adult patient on HEN

faculty and Topics:The Use of Mobile Technologies in Assisting Patients and Family Caregivers in Complex Home Care – Focus On Home PENCarol E Smith, PhD, RN, FAAN, Professor, School of Nursing & School of Preventative Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS

iPad Telehealth Approach to the Clinic Care of the HPN Patient PopulationRichard Gilroy, MD, Associate Professor of Medicine, Medical Director of Liver Transplantation, Division of Gastroenterology, Hepatology, and Motility, University of Kansas Medical Center, Kansas City, KS

Outcomes of a New Piloted Model of Care to Improve Transition and Follow-up for the Adult HEN PatientLisa Epp, RD, LD, CNSC, Home Enteral Nutrition Coordinator, Mayo Clinic, Rochester, MN

Moderator:Marion F. Winkler, PhD, RD, LDN, CNSC, FASPEN, Surgical Nutrition Specialist, Department of Surgery and Nutritional Support Service, Rhode Island Hospital; Associate Professor of Surgery, Brown University Alpert Medical School, Providence, RI UAN: 0216-0000-14-040-L04-PLevel: Intermediate

peDiaTRic MalnuTRiTion (T24)10:00 am – 11:30 amobjectives:1. Describe the impact of malnutrition on clinical outcomes - global perspective2. Identify the next steps in defining clinical characteristics of pediatric malnutrition 3. Apply the pediatric malnutrition definition in a practical setting

faculty and Topics:Pediatric Malnutrition - Global Perspectives and Future DirectionsJatinder Bhatia, MD, Chair, Committee on Nutrition, American Academy of Pediatrics; Professor of Pediatrics, Chief of Neonatology, Georgia Regents University, Augusta, GA

Characteristics and Thresholds for Defining Pediatric Malnutrition - Report from the Academy of Nutrition and DieteticsJane V. White, PhD, RD, FADA, LDN, Chair, Academy of Nutrition and Dietetics Work Group; Professor, Department of Family Medicine, Graduate School of Medicine, University of Tennessee, Knoxville, TN Practical Application of the New Definition of Pediatric MalnutritionElizabeth Wallace Smith, RD, Registered Dietitian, Children’s Hospital of Philadelphia, Philadelphia, PA

Moderator: Mark R. Corkins, MD, CNSC, SPR, FAAP, Division Chief, Pediatric Gastroenterology, Le Bonheur Children’s Hospital; Professor, The University of Tennessee Health Science Center, Memphis, TN

UAN: 0216-0000-14-041-L01-PLevel: Intermediate*Contributed by the A.S.P.E.N. Malnutrition Committee

bReak11:30 am - 1:00 pm

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nuTRiTion in The MicRobioMe acRoss The lifecycle (T30)1:00 - 2:30 pmobjectives:1. Define host protective organisms2. Understand the technology used and identify organisms3. Describe the health benefits related to various organisms

faculty and Topics:Nutrition-Microbiome Interactions: Do They Influence Disease Outcomes in Preterm Infants?Ardythe L. Morrow, PhD, MSc, Professor of Pediatrics, Director, Center for Interdisciplinary Research in Human Milk and Lactation, Perinatal Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

Gut Microbiota Fermentation Byproducts - Good or Evil?Gail Cresci, PhD, RD, LD, Associate Staff, Digestive Disease & Lerner Research Institutes; Assistant Professor, Cleveland Clinic Lerner College of Medicine, Departments of Gastroenterology, Hepatology and Pathobiology, Cleveland Clinic, Cleveland, OH

Moderator: Daniel Teitelbaum, MD, Professor, Department of Surgery; Director, Intestinal Failure Program, C.S. Mott Children’s Hospital, University of Michigan Health System, Ann Arbor, MI

UAN: 0216-0000-14-042-L04-P Level: Basic

cReaTing a healThcaRe enviRonMenT To pRevenT nuTRiTion suppoRT eThical DileMMas (T31)1:00 - 2:30 pmobjectives:1. Establish a healthcare environment that could prevent ethical dilemmas dealing with nutrition support2. Incorporate patient-centered care, shared decision making, health literacy, preventive ethics, and teach-back method with nutrition support practice3. Improve practice based on ethical dilemma case studies based on end-of-life and legal issues, and how to prevent them in the future4. Evaluate opportunities to improve clinical ethics and nutrition support practice collaboratively to optimize patient outcomes based on patient’s wishes

faculty and Topics:Development of a Hospital Process to Prevent Nutrition Support Ethical DilemmasDenise Baird Schwartz, MS, RD, FADA, CNSC, Nutrition Support Coordinator, Providence Saint Joseph Medical Center, Burbank, CA

Preventing Ethical Dilemmas in PEG Placement in Older Adults with DementiaLynne Murphy, RN, MSN, Nutrition Support Consultant, Sun City Center, FL

International Perspective on Nutrition Support Ethical DilemmasHumberto Arenas Márquez, MD, Intestinal Failure Unit, Sanvite, Zapopan, Mexico

additional faculty for panel DiscussionAlessandro Pontes-Arruda, MD, MSc, PhD, FCCM, Professor of Medicine, Christus University, School of Medicine; Medical Affairs Director, Medication Delivery, Baxter Healthcare, Shanghai, China

Sharon M. Durfee, RPh, BCNSP, Director, Poudre Infusion Therapy, LLC, Fort Collins, CO

Moderators:Albert Barrocas, MD, FACS, FASPEN, Chief Medical Officer, Atlanta Medical Center, Atlanta, GAJohn R. Wesley, MD, FACS, FAAP, FASPEN, Adjunct Professor of Surgery, Feinberg School of Medicine, Northwestern University, Children’s Memorial Hospital, Chicago, IL

UAN: 0216-0000-14-043-L04-PLevel: Intermediate*Presented by the A.S.P.E.N. International Clinical Ethics Section

save ThaT Tube! Recognizing anD pRevenTing feeDing Tube coMplicaTions (T32)1:00 - 2:30 pmobjectives:1. Assess feeding tubes for proper function and placement2. Identify feeding tubes at risk for complications3. Implement strategies to prevent feeding tube complications4. State the most frequent types of enteral feeding tube complications managed in a nutrition support clinic


faculty and Topics: Mitigation of Risk: Assessment of Placement and Function of Enteral Feeding TubesStanislaw P. A. Stawicki, MD, Director of Trauma/Critical Care Research and Associate Professor of Surgery, Department of Surgery, The Ohio State University, Columbus, OH

Fixing the Enteral Feeding Access Problem: Diagnosis and Treatment When It Hurts, Falls Out, or MalfunctionsDavid C. Evans, MD, Director of Nutrition Support Services and Assistant Professor of Surgery, Department of Surgery, The Ohio State University, Columbus, OH

Management of Enteral Feeding Tube Complications in a Nutrition Support ClinicBeth Hall, RD, CLC, CSO, LN, Registered Dietitian, Medical Oncology, Billings Clinic, Billings, MT

Moderator: David C. Evans, MD


alTeRnaTe appRoaches To pRoviDing lipiDs To infanTs (T33)1:00 - 2:30 pmobjectives:1. Discuss the impact of prenatal administration of DHA in the neonate2. Describe one institution’s approach in restricting conventional lipid emulsions in patients at risk for cholestasis3. Identify the role of fish oil emulsions in the PN–dependent neonate

faculty and objectives:Maternal Docosahexaenoic Acid Supplementation and the Neonate: It Does Make a Difference!Christina Valentine, MD, MS, RD, Assistant Professor and Neonatologist, Division of Neonatology, University of Cincinnati, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

Lipid Restriction: Does it Work?Allison Blackmer, PharmD, BCPS, Clinical Assistant Professor of Pharmacy/Clinical Pharmacist, Pediatric Surgery, University of Michigan, Ann Arbor, MI

Role of Fish Oil Lipid Emulsions in Infant NutritionMark Puder, MD, PhD, Staff Surgeon and Associate Professor, Department of Surgery, Boston Children’s Hospital, Boston, MA

Moderator: Christina Valentine, MD, MS, RD


shoRT boWel synDRoMe: ResToRing enTeRal auTonoMy (T34)1:00 - 2:30 pmobjectives:1. Optimize nutrient and fluid absorption for individual patients2. Discuss role for medical therapies to optimize fluid and nutrient absorption, including newer growth factors, available to patients with short bowel syndrome3. Identify management strategies that may help avoid PN complications and possibly avoid the need for intestinal transplant

faculty and Topics:Absorption Run Amok: Maximizing Absorption in the SBS PatientCarol Rees Parrish, MS, RD, Nutrition Support Specialist, Digestive Health Center of Excellence, University of Virginia Health System, Charlottesville, VA

Past and Emerging Therapies for Patients with SBSJohn K. DiBaise, MD, FACG, Professor of Medicine, Division of Gastroenterology, Mayo Clinic, Scottsdale, AZ

Avoiding TPN Troubles and TransplantKishore R. Iyer, MBBS, FRCS, Associate Professor of Surgery and Pediatrics, Adult and Pediatric Intestinal Transplantation & Rehab Program, Mount Sinai Medical Center, New York , NY

Moderator: Charlene Compher, PhD, RD, CNSC, LDN, FADA, Associate Professor of Nutrition Science, School of Nursing, University of Pennsylvania, Philadelphia, PA


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iMpoRTance of MicRonuTRienTs in Disease (T40)3:00 pm – 5:00 pmobjectives:1. Assess the Vitamin D status of adults and children in the United States - NHANES survey2. Review the existing literature and summarize the impact of micronutrient and antioxidant supplementation during adult critical illness3. Discuss the role and current evidence of micronutrients in pediatric illnesses

faculty and Topics:Summary of Vitamin Status in Americans: Data from the NHANES SurveyRosemary L. Schleicher, PhD, National Center for Environmental Health, Division of Laboratory Sciences, Nutritional Biomarkers Branch, Centers for Disease Control and Prevention, Atlanta, GA

Micronutrients and Antioxidants in Critical IllnessWilliam Manzanares, MD, PhD, Assistant Professor, Department of Critical Care, Universidad de la República, Montevideo, Uruguay

Micronutrients in Pediatric Diseases - Where Do We Stand?Natalie Cvijanovich, MD, Associate Physician, Division of Critical Care, Children’s Hospital Oakland; Clinical Associate Professor, University of California – San Francisco Pediatrics, Oakland, CA

Moderator: Thomas R. Ziegler, MD, Professor of Medicine, Division of Endocrinology, Metabolism and Lipids; Emory University School of Medicine, Atlanta, GA


inTesTinal failuRe - The uncuT veRsion (T41)3:00 – 4:30 pmobjectives:1. Understand mitochondrial disorders and the effect on nutrition intake caused by dysmotility2. Select the appropriate diagnostic approach to a patient with a motility disorder or microvillus inclusion disease based on patient case examples3. Evaluate a patient with intestinal failure caused by dysmotility or microvillus inclusion disease

faculty and Topics:Mitochondria Matters for NutritionFran Kendall, MD, Virtual Medical Practice, LLC, Atlanta, GA

Gotta Move in NutritionJose Garza, MD, Children’s Center for Digestive Health Care, LLC, Atlanta, GA

How to Deal With Microvillus Inclusion DiseaseDaniel S. Kamin, MD, Attending Physician, Division of Gastroenterology, Hepatology and Nutrition, Boston Children’s Hospital, Boston, MA

Moderator:Mark R. Corkins, MD, CNSC, SPR, FAAP, Division Chief, Pediatric Gastroenterology, Le Bonheur Children’s Hospital; Professor, The University of Tennessee Health Science Center, Memphis, TN

UAN: 0216-0000-14-048-L01-P Level: Intermediate*Presented by the A.S.P.E.N. Pediatric Section

coMpleMenTaRy anD alTeRnaTive MeDicine: WhaT is The eviDence? (T42)3:00 – 4:30 pmobjectives:1. Identify CAM modalities that may be effective in the oncology population2. Describe effective CAM modalities for irritable bowel syndrome3. Discuss strategies to prevent adverse effects and drug interactions associated with herbal supplement use 4. Develop a pharmacotherapy plan for treatment of adverse effects associated with herbal supplement use

faculty and Topics:Efficacy of CAM Modalities in OncologyMary Marian, MS, RD, CSO, Clinical Dietitian and Instructor, University of Arizona College of Medicine, Tucson, AZ

CAM Therapies for Irritable Bowel SyndromeGerard E. Mullin, MD, Associate Professor of Medicine, Director of Integrative GI Nutrition Services, Director of Capsule Endoscopy, Division of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, MD

Potential Adverse Effects of Herbal SupplementsKimberly Tackett, PharmD, MBA, Associate Professor, Pharmacy Practice, South University, Savannah, GA


Moderator: Mary Russell, MS, RD, LDN, Senior Manager, Medical Affairs, Baxter Healthcare Corporation, Chicago, IL


challenging siTuaTions in cRiTical caRe (T43)3:00 – 4:30 pmobjectives:More information coming soon!

faculty and Topics:Nutritional Assessment in the ICU Setting: Is It Necessary? Why or Why Not? Isabel Correia, MD, PhD, Professor of Medicine, Department of Surgery, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil

Nutrition Requirements in the ICU: How to Calculate Them?Vanessa Fuchs, PhD, MD, RD, Researcher and Nutrition Support Practitioner, Department of Nutrition Support and Research, Oncology Unit, Hospital General de Mexico, Mexico City, Mexico

How to Feed the Critical Ill Patient with Acute Renal FailureCarl W. Fabian, MD

The Obesity Paradox: Does It Apply to the Critically Ill Patient?Maria Elena Goiburu, MD, Nutrition Head, Intensive Care Unit, Medical Emergency Center, Clinical Hospital, National University of Asunción, San Lorenzo, Paraguay

Moderator: Gustavo Kliger, MD, Chief, Clinical Nutrition Service and Nutrition Support Unit, Austral University Hospital, Buenos Aires, Argentina

UAN: 0216-0000-14-050-L04-P Level: IntermediateContributed by the Latin American Federation of Nutritional Therapy, Clinical Nutrition and Metabolism (FELANPE)

neW paRenTeRal eviDence: fResh peRspecTives on long-TeRM issues (T44)3:00 – 4:30 pmobjectives:1. Critically appraise recent parenteral nutrition evidence in surgical, critically ill, and cancer patients 2. Identify limitations to recent parenteral nutrition evidence3. Describe potential changes in patient care as a result of new parenteral nutrition evidence4. Identify gaps in parenteral nutrition evidence and list future parenteral nutrition research directions

faculty and Topics:New Parenteral Nutrition Evidence in Surgical and Critically Ill PatientsPaul Wischmeyer, MD, Professor of Anesthesiology, Associate-Chairman for Clinical and Translational Research, Director of Nutrition Therapy Services, University of Colorado School of Medicine, Aurora, CO

Parenteral Nutrition in Cancer PatientsJay Mirtallo, MS, RPh, BCNSP, FASHP, FASPEN, Professor of Clinical Pharmacy, College of Pharmacy, Division of Pharmacy Practice and Administration, The Ohio State University, Columbus, OH

Moderator: Lingtak-Neander Chan, PharmD, Associate Professor, Department of Pharmacy, Interdisciplinary Faculty, Graduate Program, University of Washington, Seattle, WA


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CE INFORMATIONCONFERENCE GOALS AND TARGET AUDIENCE Clinical Nutrition Week is designed for dietitians, nurses, pharmacists, physicians, and researchers who practice the sciences of clinical nutrition and metabolism. This conference will provide nutrition support professionals with current and cutting edge information in the field of nutrition support, clinical nutrition, and metabolism.

CONFERENCE OBJECTIVESUpon conclusion of the conference, attendees will be able to:• Challenge current clinical practices• Integrate evidence-based updates

into practice• Reflect on the implications of

current research• Identify gaps in your knowledge base that

require further education and training

PROGRAM LEVELSTo assist in selecting sessions that are most appropriate for you, each session will be identified by program level: Basic, Intermediate, or Advanced.

SUCCESSFUL COMPLETIONA.S.P.E.N. provides CE credit to physicians, nurses, pharmacists, and dietitians who attend in full each session claimed for credit and complete the program evaluation process within the electronic CE system in A.S.P.E.N.’s eLearning Center, which is accessible from any internet connection at www.nutritioncare.org/elearning. Conference attendees may log in using the email address and password on file with A.S.P.E.N.

INTERNATIONAL ATTENDEESAttendee feedback is essential in the continued improvement of A.S.P.E.N.’s educational programs, including Clinical Nutrition Week. International attendees are encouraged to use the electronic system to submit evaluations for the sessions attended and the overall conference. Through the electronic system, detailed documentation of the sessions attended at CNW14 can be obtained.

VIRTUAL CONFERENCEA virtual conference option is available to those unable to attend CNW14 in person. The virtual conference is presented live in real time to virtual attendees. Virtual attendees are able to ask questions and interact with speakers as if they were attending in person. Participants in the virtual conference must follow identical processes for successful completion and all accreditation guidelines apply.

SYSTEM REQUIREMENTS FOR THE CNW14 VIRTUAL CONFERENCEAdobe Flash PluginInternet Explorer 7+, Mozilla Firefox, Google Chrome, SafariBroadband Internet connectionNote: Also compatible with iOS and Android-based tablets and smartphones.

ACCREDITATIONPhysicians: Jointly-sponsored conference sessions are acknowledged in the conference brochure in conjunction with the session descriptions. For example: “Contributed by the Canadian Nutrition Society (CNS).” Participating Organizations: Canadian Nutrition Society (CNS); Dietitians in Nutrition Support—a practice group of the Academy of Nutrition and Dietetics (DNS); European Society for Clinical Nutrition and Metabolism (ESPEN); The Oley Foundation (OLEY); Latin American Federation for Parenteral and Enteral Nutrition (FELANPE)

Jointly-sponsored sessions have been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of A.S.P.E.N. and the organizations listed.

For all directly-sponsored and jointly-sponsored sessions: A.S.P.E.N. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Pre-conference (01/18/2014): A.S.P.E.N. designates this live activity for a maximum of 8.0 AMA PRA Category 1 CreditsTM; Main Conference (01/18/2014-01/21/2014): A.S.P.E.N. designates this live activity for a maximum of 20.5 AMA PRA Category 1 CreditsTM; Virtual Conference (01/18/2014-01/21/2014): A.S.P.E.N. designates this live activity for a maximum of 19.0 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Dietitians: A.S.P.E.N., Provider AM005, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RD’s)

and dietetic technicians, registered (DTRs) will receive a maximum of 8.0 continuing professional education units (CPEUs) for pre-conference program/materials, a maximum of 20.5 CPEUs for main conference program/materials or a maximum of 19.0 CPEUs for virtual conference program/materials.

CDR program levels are equivalent to the “basic,” “intermediate,” or “advanced” difficulty indicators found with session titles. RDs may also receive 3 CPEUs for interacting with exhibitors and 2 CPEUs for Poster Exchanges. Dietitians may post opinions of the program on CDR’s website.

Pharmacists: A.S.P.E.N. is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

ACPE Universal Activity Numbers (UAN) are provided with individual session information. Sessions not displaying UANs are unavailable for pharmacy credit. Clinical Nutrition Week

• The student rate is available to undergraduate and graduate students taking a minimum of 12 credit hours and all those completing unpaid internships, capstone experiences, or any form of prerequisite training for graduation from a degree-granting institution. Students must include a letter from your school’s dean or department chair confirming your status.

Note: Verification of registration category must be received prior to the advance registration cutoff date or the regular registration rate will apply and additional payment will be required at onsite registration. INTERNATIONAL ATTENDEES International attendees who would like to request an invitation letter to CNW14, inquire about group registrations of ten or more, or require wire transfer information, should contact A.S.P.E.N. at [email protected] or 301-587-6315. Individuals must be registered for CNW14 to receive an invitation letter.

Start planning now to attend CNW14! It’s never too early to begin your travel visa process. Give yourself time to process the appropriate paperwork by registering for CNW14 early so that you can receive and submit the necessary invitation letter and registration payment information. Wire transfers must be received by January 8, 2014. Please contact A.S.P.E.N. Customer Service at [email protected] for wire transfer instructions.

SAVINGS! Become an A.S.P.E.N. member when you register for CNW14 and save on the full cost of the conference, preconference rates, and all purchases in the A.S.P.E.N. bookstore. A $25 administrative fee will be assessed if you choose to join A.S.P.E.N. after you have registered at the nonmember rate for CNW14.

CANCELLATION POLICY All cancellation requests must be sent in writing to the A.S.P.E.N. national office via fax, email, or US mail. Cancellation requests made via telephone will not be accepted. A refund of the registration fee, minus a $90 administrative fee for the main conference and $25 for each preconference, course will be issued if received on or before December 18, 2013. Cancellation requests received after December 18, 2013 will receive 50% of all monies paid less the same administration fees above. No refund will be issued after January 18, 2014, including paid registrants who do not show. A.S.P.E.N. is not responsible for problems beyond our control such as weather conditions. No refunds will be given in these situations. Written requests via fax may be faxed to: 301-587-2365.Written requests via e-mail may be submitted to: [email protected]—Subject Line: CNW14 Cancellation. Written requests via US mail may be submitted to A.S.P.E.N.—CNW14 Cancellation 8630 Fenton Street, Ste 412 Silver Spring, MD 20910

Must be postmarked by deadline dates above.

A.S.P.E.N. reserves the right to cancel any event. In the event of cancellation, registrants will receive a full refund. We also reserve the right to substitute event presenters.

Refunds will be issued approximately 4 to 6 weeks after the conclusion of the conference. When you request a refund, you will be confirming that you have reviewed and understand this attendee registration refund policy.

SUBSTITUTION POLICYSubstitution of registrations is permitted prior to the conference for an additional $25 fee. The cut-off date for substitutions is December 18, 2013. Only one substitution is permitted per original registrant. Please submit a brief note requesting the substitution, a copy of the previous registrant’s confirmation, and a completed registration form for the new attendee (i.e., the person you are transferring to) via mail, fax, or email and we will process the transfer and email a confirmation to the new attendee. The individual submitting the substitution request is responsible for all financial obligations (any balance due) associated with that transfer as well as updating any contact information at the time of the substitution. Any changes in courses are subject to availability and any refunds for canceled registrations are subject to the refund policy.

RECEIPT OF PAYMENT POLICY Registration forms submitted without payment will be processed at the appropriate rate based on the date that payment is received.

BADGE REPLACEMENT POLICYA $10 fee will be charged to registrants for each replacement badge requested (i.e., to replace badges that are left at home or in hotel rooms, lost or forgotten, etc.).

LIABILITY AND PHOTOGRAPHY WAIVER I agree and acknowledge that my participation in various Clinical Nutrition Week (“CNW”) events may give rise to occasional instances of loss or injury. Except to the extent that such instances may result from the negligence or misconduct of A.S.P.E.N., I hereby waive and release any claims that I might have against A.S.P.E.N. and its employees, members, and representatives. I understand that A.S.P.E.N. may, at its option, make photographs, videos, or recordings of CNW events, which may include my likeness or participation, and reproduce them in A.S.P.E.N. educational, news, or promotional material, whether in print, electronic, or other media, including the A.S.P.E.N. website (www.nutritioncare.org) and A.S.P.E.N. managed social media sites. By participating in CNW, I hereby grant A.S.P.E.N. permission to make, use, and distribute such items, and I waive any rights to seek payment or compensation.

QUESTIONS?A.S.P.E.N.’s customer service team is available to answer your questions about CNW14. Please contact a member of our team at [email protected] or by dialing 800-727-4567 (US and Canada) or 301-587-6315 (international).

mailto:[email protected]

activities are knowledge activities. Credit: Pre-conference, maximum of 8.0 contact hours/0.8 CEUs; main conference, maximum of 20.5 contact hours/2.05 CEUs or virtual conference, maximum of 19.0 contact hours/1.90 CEUs.

Nurses: A.S.P.E.N. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Contact Hours: Preconference—maximum of 8.0 contact hours; main conference—maximum of 20.5 contact hours or virtual conference—maximum of 19.0 contact hours. Co-provided sessions are acknowledged in the conference brochure in conjunction with the session descriptions. For example: “Contributed by the Canadian Nutrition Society (CNS)”. A.S.P.E.N. is approved by the California Board of Registered Nursing, Provider Number CEP 3970.

CONTINUING EDUCATION CREDIT HOURSPreconference Programming on Saturday, January 18, 2014 provides a maximum of 8.0 continuing education contact hours. Programs include: Research Workshop (6.25 hours), Nutrition for the Practicing Pediatric Clinician Courses (4 hours each), Nutrition Support Review Course (8 hours), and Post Graduate Courses (4 hours each).

CNW14 MAIN CONFERENCE PROGRAMMING MAXIMUM HOURSSaturday, January 18, 2014 1.0Sunday, January 19, 2014 6.5Monday, January 20, 2014 6.5Tuesday, January 21, 2014 6.5Maximum for Main Conference* 20.5

Additional credit for Dietitians only: Exhibits (3 hr) and Poster Sessions (1 hr each)*Any additional credit that may be available for practice section meetings will be announced in the onsite program book.

CNW14 VIRTUAL CONFERENCE PROGRAMMING MAXIMUM HOURSSaturday, January 18, 2014 1.0Sunday, January 19, 2014 5.0Monday, January 20, 2014 6.5Tuesday, January 21, 2014 6.5Maximum for Virtual Main Conference 19.0

NOTICES• Ancillary/satellite programs and corporate

symposia are not sponsored by A.S.P.E.N. for continuing education credit

• Faculty and planner disclosures and resolution of conflicts, if any, will appear in the onsite program materials and/or syllabi, not this brochure

• Information regarding discussion of the off- label use of products, if any will be provided in the onsite program materials and/or syllabi, not this brochure

• Detailed sponsorship and commercial support information will be provided in the onsite program materials, not this brochure

• A.S.P.E.N. subscribes to the ACCME Standards for Commercial Support

• A.S.P.E.N. does not provide programs that constitute advertisement or include promotional content. A.S.P.E.N. does not endorse any products.

• Additional details on the claiming and awarding of continuing education credits will be provided in the onsite program materials, not this brochure.

PRIVACYA.S.P.E.N. respects the privacy of its members and website visitors. Companies that receive personal information from A.S.P.E.N. in order to execute the business of A.S.P.E.N. may use personal information only for that purpose.

GRIEVANCESShould be addressed in writing to: Director of Education, A.S.P.E.N. 8630 Fenton Street Suite 412, Silver Spring, MD 20910.

AMERICANS WITH DISABILITIES ACT AND SPECIAL SERVICESClinical Nutrition Week will take steps to ensure that no individual who is physically challenged is excluded, denied services, segregated, or otherwise treated differently because of an absence of auxiliary aids and services identified in the Americans with Disabilities Act. A.S.P.E.N. will accommodate attendees with disabilities or special needs who attend CNW14. If you require special services, please contact a member of our customer service team prior to your arrival at CNW14 at [email protected] or call 800-727-4567 (US and Canada) or 301-587-6315 (international).

DEFINITIONS• Contributed by: signifies that an

organization outside A.S.P.E.N. has contributed content for the session. For example: “Contributed by the Canadian Nutrition Society (CNS)”

• Presented by: signifies that a chapter or section within A.S.P.E.N. is presenting the session. For example: “Presented by the A.S.P.E.N. Ibero Latin American Section (ILAS)”

• Supported in part by: signifies that an organization or commercial entity outside A.S.P.E.N. has provided financial resources such as an unrestricted educational grant for the session. For example: “Supported in part by Abbott Nutrition”

REGISTRATION AND GENERAL INFORMATION REGISTRATION CATEGORIES• MD, DO, DVM, Non-Health Professional• RD, RN, RPh/PharmD, NP, PA, PhD, Other

Health Professional• The New Practitioner/Trainee rate is

available to those who are within two years of graduation or receiving licensure to practice in the field. All those completing paid internships, fellowships, or residencies may register at this rate. Copy of licensure information or letter from program director is required with registration form.

Preferred Mailing Address: Home BusinessLast Name First Name Nickname (for badge)

Company/Institution

Mailing Address

City State/Province Zip/Postal code Country

Daytime Telephone Number Email Address Home Business

1

THREE EASY WAYS TO REGISTER:• Online: www.nutritioncare.org/cnw• Fax: By January 8, 2014 to 301-587-2365• Mail: Received by January 8, 2014 to: A.S.P.E.N.

8630 Fenton Street, Ste. 412 Silver Spring, MD 20910

YOUR REGISTRATION WILL BE CONFIRMED VIA EMAIL

Discipline: Dietitian Physician Nurse Physician Assistant Nurse Practitioner PhD Pharmacist Other (Please Specify) Specialty:

I. CNW14 FULL CONFERENCE REGISTRATION RATES, Conference begins at 4:30 pm on Saturday, January 18 and ends at 5:00 pm on Tuesday, January 21. Pre-conference courses require a separate registration.

REGISTRATION TYPE Early Bird by 11/13/13 Advance by 12/18/13 Standard/Onsite after 12/18/13Member Non-Member Member Non-Member Member Non-Member

MD,DO,DVM,Non-health Professional $545 $845 $645 $945 $845 $1145RD,RN,RPh/PharmD, PhD, NP, PA, Other Health Professional $475 $775 $575 $875 $775 $1075

New Practitioner/Trainee* $445 $745 $545 $845 $745 $1045Student* $95 $155 $95 $155 $95 $155*Documentation required, please contact member services at 301-920-9120.

FULL CONFERENCE REGISTRATION TOTAL $

II. DAILY REGISTRATION RATES includes general sessions and Exhibit Hall for one day only.

Select One: Sunday Monday Tuesday

Early Bird by 11/13/13 Advance by 12/18/13 Standard/Onsite after 12/18/13Member Non-Member Member Non-Member Member Non-Member $285 $ 385 $285 $385 $485 $585

DAILY REGISTRATION TOTAL $

Please use one registration form per person • Photocopy for multiple registrations • Do not mail or fax form after January 9, 2014

III. PRE-CONFERENCE PROGRAMS (Full conference registration is not required to attend pre-conference courses)

SATURDAY, JANUARY 18 Regular Registration Rate Student & Trainee Registration Rate

A.S.P.E.N. Research Workshop: The Metabolic Basis of Cancer Nutrition Therapy (RW-2014) 7:30 am – 4:00 pm $185 $95

RESEARCH WORKSHOP REGISTRATION TOTAL $SATURDAY, JANUARY 18Fees indicated are per course.

Early Bird by 11/13/13 Advance by 12/18/13 Standard/Onsite after 12/18/13Member Non-Member Member Non-Member Member Non-Member

Nutrition Support Review Course (NSRC-2014) 7:00 am – 4:00 pm $225 $325 $245 $345 $275 $375

Post Graduate Course #1: Fluids, Electrolytes and Acid-Base Status (PG1-2014) 7:00 – 11:00 am $125 $225 $145 $245 $175 $275

Post Graduate Course #2: Update in Critical Care Nutrition (PG2-2014) 12:00 – 4:00 pm $125 $225 $145 $245 $175 $275

Post Graduate Course #3: Introduction to Compounding Part 1: Parenteral Nutrition Solutions (PG3-2014) 7:00 – 11:00 am

$125 $225 $145 $245 $175 $275

Post Graduate Course #4: Introduction to Compounding Part 2: Impact of Drug Shortages (PG4-2014) 12:00 - 4:00 pm

$125 $225 $145 $245 $175 $275

PEDIATRIC SPECIFIC PRE-CONFERENCE COURSESNutrition for the Practicing Pediatric Clinician #1: Nutrition for the Practicing Pediatric Clinician Part 1: Pediatric Critical Care Nutrition (NPPC1-2014) 7:00 – 11:00 am

$125 $225 $145 $245 $175 $275

Nutrition for the Practicing Pediatric Clinician #2: Nutrition for the High Risk Neonate (NPPC2-2014) 12:00 – 4:00 pm

$125 $225 $145 $245 $175 $275

PRE-CONFERENCE COURSE REGISTRATION TOTAL $

(continued on back — please submit both pages 1 and 2)

PLEASE PRINT CLEARLY OR TYPEI am registering for CNW14 as a: Current A.S.P.E.N. Member ID# New Member – Joining with conference discount rate Non-Member

Prefix: Dr. Mr. Mrs. Ms.

Clinical Nutrition Week 2014January 18–21, 2014 • Savannah, GA Savannah International Trade & Convention Center

REGISTRATION FORM

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V. A.S.P.E.N. RHOADS RESEARCH FOUNDATION DONATION (Contributions are tax deductible to the fullest extent permitted by law)

$25 $50 $100 $500 Other $______ $

IV. CNW14 VIRTUAL CONFERENCE

Early Bird by 11/13/13 Advance by 12/18/13 Standard/Onsite after 12/18/13

Member Non-Member Member Non-Member Member Non-MemberSaturday, January 18 - Tuesday, January 21 CNW14 Virtual Conference (Includes 12 preselected sessions from the main conference)

$315 $515 $415 $615 $515 $715

VIRTUAL CONFERENCE REGISTRATION TOTAL $

VI. A.S.P.E.N. MEMBERSHIP — SAVE NOW! Join A.S.P.E.N. and save on the full cost of the conference, pre-conference courses and all purchases in the A.S.P.E.N. Bookstore!

Categories: U.S. MEMBER RATE INTERNATIONAL MEMBER RATE

MD, DO, DVM, Non-health Professional $215 $235Dietitian, Nurse, Nurse Practitioner, Pharmacist, PhD, Physician Assistant, and Other Health Professional $145 $165

New Practitioner/Trainee* $100 $100Student* $50 $50*Documentation required, please contact member services at 301-920-9120.

MEMBERSHIP DUES TOTAL $

HOW DID YOU HEAR ABOUT CNW? ARE YOU A FIRST TIME ATTENDEE?

GRAND TOTAL $ __________

LAST NAME FIRST NAME

Cancellation Policy All cancellation requests must be sent in writing to the A.S.P.E.N. national office via fax, email or US mail. Cancellation requests made via telephone will not be accepted. A refund of the registration fee, minus a $90 administrative fee for the main conference and $25 for each pre-conference course will be issued if received on or before December 18, 2013. Cancellation requests received after December 18, 2013 will receive 50% of all monies paid less the same administration fees above. No refunds will be issued after January 18th, 2014, including paid registrants who do not show. A.S.P.E.N. is not responsible for problems beyond our control such as weather conditions. No refunds will be given in these situations. Written requests via fax may be faxed to: 301-587-2365. Written requests via e-mail may be submitted to: [email protected]—Subject Line: CNW14 Cancellation. Written requests via US mail may be submitted to: A.S.P.E.N.—CNW14 Cancellation, 8630 Fenton Street, Ste 412, Silver Spring, MD 20910. Must be postmarked by deadline dates above. A.S.P.E.N. reserves the right to cancel any event. In the event of cancellation, registrants will receive a full refund. We also reserve the right to substitute event presenters. Refunds will be issued approximately 4-6 weeks after the conclusion of the conference. When you request a refund, you will be confirming that you have reviewed and understand this attendee registration refund policy.

(continued — please submit both pages 1 and 2)

Contact the A.S.P.E.N. office if you have special needs related to a disability.

Liability and Photography Waiver I agree and acknowledge that my participation in various Clinical Nutrition Week (“CNW”) events may give rise to occasional instances of loss or injury. Except to the extent that such instances may result from the negligence or misconduct of A.S.P.E.N., I hereby waive and release any claims that I might have against A.S.P.E.N. and its employees, members and representatives. I understand that A.S.P.E.N. may, at its option, make photographs, videos or recordings of CNW events, which may include my likeness or participation, and reproduce them in A.S.P.E.N. educational, news or promotional material, whether in print, electronic or other media, including the A.S.P.E.N. Web site (www.nutritioncare.org) and A.S.P.E.N. managed social media sites. By participating in CNW, I hereby grant A.S.P.E.N. permission to make, use and distribute such items, and I waive any rights to seek payment or compensation.

Substitution Policy Substitution of registrations is permitted prior to the conference for an additional $25 fee. The cut-off date for substitutions is December 18, 2013. Only one substitution is permitted per original registrant. Please submit a brief note requesting the substitution, a copy of the previous registrant’s confirmation and a completed registration form for the new attendee (i.e. the person you are transferring to) via mail, fax or email and we will process the transfer and email a confirmation to the new attendee. The individual submitting the substitution request is responsible for all financial obligations (any balance due) associated with that transfer as well as updating any contact information, at the time of the substitution. Any changes in courses are subject to availability and any refunds for canceled registrations are subject to the refund policy.

Please use one registration form per person • Photocopy for multiple registrations

PLEASE PRINT CLEARLY OR TYPE:

VII. PAYMENT INFORMATION

Check payment enclosed, made payable to A.S.P.E.N. (US Dollars drawn on a US Bank) I prefer to charge my: American Express Discover Mastercard VISA I authorize A.S.P.E.N. to charge my credit card for the conference fees as indicated above. If I have miscalculated the conference fees,

I authorize A.S.P.E.N. to make the necessary adjustments and to charge my card accordingly.

Card # Expiration Date (mm/yy) CVV2 #

Printed Name (as it appears on the card - please print clearly) Cardholder’s Signature

Replacement Badge Policy A $10 fee will be charged to registrants for each replacement badge requested (i.e., to replace badges that are left at home or in hotel rooms, lost or forgotten, etc.).

Advertisement Website Colleague Other______________________________ Direct Mail E-mail

Yes NO

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clinical nutrition week 2014 (cnw14)

Health & Medicine

pediatric nutrition

clinical nutrition week

patients nutrition assessment

surgerynutrition support

pn therapy

pharmd bcnsp cnsc

metabolic support coordinator

metabolic support nutritionist