2013 register by november 14, 2012 and save! phoenix... · 8630 fenton street, suite 412 silver...

8630 Fenton Street, Suite 412Silver Spring, MD 20910

February 9 - 12, 2013 Phoenix Convention CenterPhoenix, AZ American Society for Parenteral and Enteral Nutrition

LEADING THE SCIENCE ANDPRACTICE OF CLINICAL NUTRITION

2013

PRELIMINARY PROGRAM

Join us at CNW13. You’ll be in good company.

REGIstER bY NOvEMbER 14, 2012 ANd sAvE!2013

www.facebook.com/nutritioncare.orgwww.twitter.com/ASPENWEB

www.nutritioncare.org/cnw 1www.nutritioncare.org/cnw 1

Program Schedule 2

CNW13 Virtual Conference 3

Experience a New Exhibit Hall 4Continuing Education Information 8Pre-conference Programming 10

Main Conference Sessions and Events

Saturday 15 Sunday 16

Monday 26

Tuesday 34

Phoenix Facts 42

Hotel and Travel Information 43Registration and General Information 46Registration Form 47

Table of ConTenTs

february 9 - 12, 2013

Page

Clinical Nutrition Week

MEdIa PaRTNER Today’s Dietitian

EVENT PaRTNERS Association of Gastrointestinal Motility Disorders, Inc. (AGMD)

Clinical Nutrition Management a dietetic practice group of the Academy of Nutrition and Dietetics

The Oley Foundation

CoNTRIbuTING oRGaNIzaTIoNSCanadian Society for Clinical Nutrition (CSCN)

Dietitians in Nutrition Support – a practice group of the Academy of Nutrition and Dietetics (DNS)

European Society for Clinical Nutrition and Metabolism (ESPEN)

Latin American Federation for Parenteral and Enteral Nutrition (FELANPE)

The Oley Foundation

A.S.P.E.N. acknowledges the following partners for their support of

Clinical Nutrition Week (CNW13).

REGISTRaTIoN HouRS

FrIDAy, FEbruAry 8 4:00 – 7:00 pmSATurDAy, FEbruAry 9 6:00 am – 6:00 pmSuNDAy, FEbruAry 10 7:00 am – 6:00 pmMONDAy, FEbruAry 11 7:00 am – 6:00 pmTuESDAy, FEbruAry 12 7:00 am – 12:00 pm

MEMbERSHIP booTH HouRS

FrIDAy, FEbruAry 8 ClosedSATurDAy, FEbruAry 9 6:00 am – 6:00 pmSuNDAy, FEbruAry 10 7:00 am – 6:00 pmMONDAy, FEbruAry 11 7:00 am – 6:00 pmTuESDAy, FEbruAry 12 7:00 am – 5:00 pm

bookSToRE HouRS

FrIDAy, FEbruAry 8 ClosedSATurDAy, FEbruAry 9 9:00 am – 6:00 pmSuNDAy, FEbruAry 10 9:00 am – 6:00 pmMONDAy, FEbruAry 11 9:00 am – 6:00 pmTuESDAy, FEbruAry 12 9:00 am – 5:00 pm

ExHIbIT Hall aNd PoSTER HouRS

SATurDAy, FEbruAry 9 6:00 – 8:00 pmSuNDAy, FEbruAry 10 – MONDAy, FEbruAry 11

9:30 – 11:15 am 12:00 – 3:00 pm 4:00 – 5:00 pm

TuESDAy, FEbruAry 12 Closed

PRE-CoNFERENCE aNd PoST-GRaduaTE CouRSES

SATurDAy, FEbruAry 9 7:00 am – 4:00 pm

EduCaTIoNal SyMPoSIa aNd SCIENTIFIC PaPER SESSIoNS

SuNDAy, FEbruAry 10 – MONDAy, FEbruAry 11

10:30 am – 12:30 pm 2:00 – 4:00 pm 4:00 – 6:00 pm

TuESDAy, FEbruAry 12 10:00 am – 12:00 pm 1:00 – 2:30 pm 3:00 – 4:30 pm

SPECIal SESSIoNS

SATurDAy, FEbruAry 9 A.S.P.E.N. President’s Address - Clinical Nutrition: Feast or FamineTom Jaksic MD, PhD Opening reception

4:30 – 6:00 pm 6:00 – 8:00 pm

SuNDAy, FEbruAry 10 Keynote Address: The Future of US Health ReformJohn E. McDonough, DPH, MPA 8:00 – 9:30 am

MONDAy, FEbruAry 11 Dudrick Research Symposium: Revisiting Malnutrition in Older Adults rose Ann DiMaria-Ghalili, PhD, rN, CNSC; William J. Evans, PhD; Nadine Sahyoun, PhD, FADA, rD

8:00 – 9:30 am

TuESDAy, FEbruAry 12 Rhoads Lecture and Awards Ceremony - Nutrition: Dragged Kicking and Screaming Into The Evidence-based CenturyDennis M. bier, MD 8:00 – 9:30 am

INduSTRy EVENTS-CoRPoRaTE SyMPoSIuMS

SATurDAy, FEbruAry 9(registration is required)Abbott Nutrition

7:00 – 10:00 pm Dinner provided

SuNDAy, FEbruAry 10Fresenius Kabi (registration is required)

6:00 – 7:45 am Breakfast provided

Nestlé Nutrition Institute(registration is required)


MONDAy, FEbruAry 11baxter Healthcare Corporation(registration is required)


Fresenius Kabi (registration is required)

7:00 – 9:00 pm Dinner provided; invitation only

Abbott Nutrition Night (registration is required)


NPS Pharmaceuticals(registration is required)


TuESDAy, FEbruAry 12 Abbott Nutrition (registration is required)


Ajinomoto(registration is required)


Pronova bioPharma (registration is required)


Schedule and program subject to change.

2 www.nutritioncare.org/cnw

Program sChedule

CNW13 VIRTual PRECoNFERENCE aNd MaIN CoNFERENCE PRoGRaM SCHEdulE

See page 3 for details.


CnW13 VirTual ConferenCeBACk By PoPulAr DEmAND!

We know that attending CNW13 in person can sometimes be challenging, and we don’t want you to miss it for any reason! That’s why we are offering some of the CNW13 conference sessions in our new and improved virtual platform.

you will be able to participate, live, in 11 educational sessions during the main conference, network online with some of the best and brightest in clinical nutrition and earn valuable CE credits. Our easy-to-use virtual platform can be accessed from a computer right at your home or office. You can participate from anywhere in the world—no travel (or jetlag!) required.

JoIN uS VIRTually aNd…• Attend 11 real-time education sessions via an online platform• Ask questions to leading researchers and clinicians• Earn continuing education credits (see page 8 for details)

The CNW13 virtual conference is a flexible, affordable, user-friendly and convenient way to participate. register today!

CNW13 VIRTual CoNFERENCE SESSIoNS All sessions take place in Mountain Time.SaTuRday, FEbRuaRy 9, 20134:30 – 6:00 pmA.S.P.E.N. President’s Address - Clinical Nutrition: Feast or Famine

SuNday, FEbRuaRy 10, 2013

8:00 – 9:30 amKeynote Address: The Future of uS Health reform

10:30 am – 12:30 pmClinical Trials Plenary Symposium: The Future of Clinical Nutrition

4:00 – 6:00 pmThe Electronic Medical record (EMr) Steamroller: Lead, Follow, or Get Out of the Way!

MoNday, FEbRuaRy 11, 2013

8:00 – 9:30 amDudrick research Symposium: revisiting Malnutrition in Older Adults

10:30 am – 12:30 pmPremier Paper Session and Live Vars Award Competition

2:00 – 4:00 pm Pharmaconutrition in the Critically Ill: What the Most Current Evidence Shows

4:00 – 5:30 pmTransforming ICu Nutrition Support Practice with Clinical Ethics

TuESday, FEbRuaRy 12, 2013

8:00 – 9:30 amrhoads Lecture and Awards Ceremony – Nutrition: Dragged Kicking and Screaming Into The Evidence-based Century

10:00 am – 12:00 pmIs My Patient Malnourished?

1:00 – 2:30 pmOur Gut Microbiota: Friend or Foe?


exPerienCe a neW exhibiT hall!NEW! CNW13 ExhiBit hAll ArEAS

We want to make it easier for you to find what you’re looking for in the Exhibit Hall. With our new floor plan all you have to do is follow the icons. Look for your areas of interest to customize your experience in the hall.

Are you ready for an entirely new Exhibit Hall experience? We hope so, because this year we are offering non-stop opportunities to expand your knowledge, build new relationships and enhance your time at CNW13...just by visiting the Exhibit Hall. you’re guaranteed to learn about new products and services, meet some of the top companies in the industry and have a lot of fun, too. So make time to explore the Exhibit Hall—you won’t be disappointed!

Wellness: Rejuvenate Mind, Body and SpiritVisit the Wellness area and discover products, view demonstrations and obtain information that puts patient resources at your fingertips.

Education: More Knowledge, More Power The Education Area provides access to resources that cover best practices in the management and care of patients and is designed to help you better understand the latest evidence-based research.

Innovation and Technology: Latest Advances and Tomorrow’s PromisesFrom the newest research and findings to the latest tools and treatments, you can explore new technologies and techniques that will make an impact on the future of clinical nutrition and patient care.

Health: Nourish Your SoulThe Health Area provides resources for professionals managing patients with specific needs.

Marketplace: Parenteral and Enteral Product Central Product selection plays a critical role in the care and management of nutritional outcomes and the Marketplace provides you with the tools to help you provide comprehensive care to your patients.

INGREdIENTS: Networking & Collaboration

CNW Factsyou Can’t Miss the Exhibit Hall Grand OpeningSaturday, February 9 • 6:00 – 8:00 pm

Join us for the official ribbon-cutting ceremony to celebrate our new Exhibit Hall. you’ll be greeted by a Mariachi band, and enjoy a margarita bar. Exhibit hall features include:• CNW13 Photo booth (#432)• Caricature drawings • Contemporary and traditional silver jewelry

from Silver Dream (#430)


WElCoME aREa Welcome Area Presenting Sponsor Nestlé Health ScienceNestlé Health Science is excited

to be the first to greet CNW13 attendees at our Welcome Area. Stop by and learn more about our events planned for CNW13 and the resources available to help healthcare professionals like you apply the most recent advances in clinical nutrition to improve patient care for better outcomes. In addition, each attendee who visits the welcome area will have the opportunity to provide input into shaping future trends in clinical nutrition. Want to learn more about the Welcome Area? Stay tuned for details...visit, www.nutritioncare.org/cnw

oN-SITE Job INTERVIEWSCalling all rDs, rNs, and clinicians: Nestlé Health Science and Nestle Healthcare have great career

opportunities and will be conducting onsite job interviews at CNW13! Online registration for the interviews will open in November. Opportunities are available in Institutional Field Sales, the Medical Scientific and Regulatory Unit, Marketing, and more. If you have a clinical/nutrition background and have sales experience selling in hospitals and with healthcare providers, we want to talk to you! A full list of openings is available at www.nestlehealthscience.us

MobIlE aPPSponsored by Fresenius KabiNavigate your way with ease using our new CNW13 Mobile App that enables you to

manage your educational sessions and share messages with other attendees. Plus, you can plan which Exhibit Hall and industry sponsored events you will attend. you can even learn more about a company or schedule an appointment. See page 36 for more information.

THE INNoVaTIoN/TECHNoloGy aREa Sponsored by Covidien Learn about new and innovative

products and recharge your cell phone or tablets. Covidien’s Kangaroo™ brand has led the industry, offering a safe, innovative and complete nutritional delivery product portfolio. In 2013, the Kangaroo brand will continue in this tradition introducing its newest innovation. Keep an eye on our Innovation and Technology Area in the Exhibit Hall to “SEE” the newest addition.

CNW13 WEIGHT loSS CHallENGE CoNTEST Sponsored by genoVive™ reveal a new you with GenoVive™

at CNW13! GenoVive and A.S.P.E.N. are teaming up for a weight loss challenge. If you are hoping to lose 20 to 30 pounds and would like to experience the latest science-based approach to weight loss and all natural nutrition, then we invite you to participate in this contest. GenoVive will select 10 lucky A.S.P.E.N. members to become “GenoVive Insiders” and receive the Weight Management DNA Test and Profile Report plus three months of their Customized Meal Program at no charge. The top three participants who lose the highest percentage of body weight will be pampered with a makeover in Phoenix and be part of a special on-stage presentation at CNW13. To enter visit http://aspen.genovive.com by October 15.

INduSTRy SuPPoRTEd EVENTS REGISTRaTIoN A.S.P.E.N. is pleased to offer attendees multiple opportunities to connect and engage with our exhibitors and sponsors through industry supported events. These events are complimentary to all CNW13 registered attendees, but events require separate registration. An e-mail will be sent to all pre-registered attendees this fall announcing the topics for the events and how to register.

exPerienCe a neW exhibiT hall!NEW! CNW13 AttrACtioNS


SaTuRday, FEbRuaRy 9

6:00 pm ExHIbIT HALL GrAND OPENING

SuNday, FEbRuaRy 10

9:00 – 10:00 am ZuMbA PrESENTATION, CENTrAL STAGEA fitness instructor from Zumba® Jammer will offer 20 minute sets of the latest crazeto hit the physical fitness market. Come get your Zumba on!

10:00 – 11:00 am ExHIbIT HALL EDuCATION, CENTrAL STAGE Sponsored by GE Healthcare (registration is required)

12:00 – 1:00 pm LuNCH AND LEArN SESSION, CENTrAL STAGE Sponsored by Covidien (registration is required)

12:00 – 1:30 pm ExHIbIT HALL LuNCH SALES, WEST HALL 1-3 For your convenience, lunch will be for sale throughout the Exhibit Hall, with a varietyof Southwest-inspired options to meet your need for healthy, locally-grown and sustainable food.

12:00 – 2:00 pm GET yOur PICTurE TAKEN, bOOTH #432 Have your photo taken then have it magically appear on the cover of JPEN or NCP. A great take-away to bring back to your office.

SILVEr DrEAM, bOOTH #430Contemporary and traditional silver jewelry from Silver Dream offers handcrafted bracelets, necklaces, pendants and more at wholesale prices. Just in time for Valentine’s Day.

3:00 – 4:00 pm ExHIbIT HALL EDuCATION, CENTrAL STAGE Sponsored by Abbott Nutrition (registration is required)

4:00 – 5:00 pm rEFrESHMENT brEAK, WEST HALL 1-3 your day isn’t over yet…continue your learning while enjoying complimentary snacks that promote healthy choices and a little decadence.

MoNday, FEbRuaRy 11

9:45 – 10:30 am ExHIbIT HALL EDuCATION, CENTrAL STAGE Sponsored by Nestlé Health Science (registration is required)

12:00 – 1:00 pm LuNCH AND LEArN, CENTrAL STAGE Sponsored by Fresenius Kabi (registration is required)

12:00 – 1:30 pm ExHIbIT HALL LuNCH SALES, WEST HALL 1-3 For your convenience, lunch will be for sale throughout the Exhibit Hall, with a variety of Southwest-inspired options to meet your need for healthy, locally-grown and sustainable food.

3:00 – 4:00 pm CELEbrATE SAVANNAH!, CENTrAL STAGE Come pay tribute to the site of CNW14…Savannah, GA! Enjoy a Dixieland band and enter to win a complimentary stay at the Westin Hotel, which is the headquarters hotel for CNW14.

4:00 – 5:00 pm rEFrESHMENT brEAK, WEST HALL 1-3 No farewell to the CNW13 Exhibit Hall would be complete without one last complimentary snack that recharges you for the last hour.

exPerienCe a neW exhibiT hall!ExhiBit hAll CENtrAl StAgE EvENt SChEDulE Schedule subject to change.

Take a look at the exciting events and educational opportunities available in the Exhibit Hall and on our Central Stage. you won’t want to miss what we have in store for you that will enhance your overall CNW experience.


We are so pleased to welcome the following companies who will be exhibiting at Clinical Nutrition Week 2013 (CNW13). Current exhibitors list as of August 2012.

exPerienCe a neW exhibiT hall!ExhiBitorS liSt

abbott Nutrition booth #8003300 Stelzer roadColumbus, OH 43209www.abbottnutrition.com

baxter Healthcare Corporation booth #60125212 West State route 120round Lake, IL 60073www.baxter.com

CoRaM Specialty Infusion Services/apria Healthcarebooth #416555 17th Street, Suite 1500Denver, CO 80202www.wenourish.com

CoRPak MedSystems booth #4081001 Asbury Drivebuffalo Grove, IL 60089 www.corpakmedsystems.com

Covidien booth #52415 Hampshire StreetMansfield, MA 02048www.covidien.com

Innovation & Technology Area

Fresenius kabi deutschland GmbH booth #1091501 East Woodfield RoadSuite 300 East Schaumburg, IL 60173www.fresenius-kabi.us

GE Healthcarebooth #101PO box 75503030 Ohmeda DriveMadison, WI 53707www.gehealthcare.com Hospira booth #404275 N. Field DriveLake Forest, IL 60045www.hospira.com

Medtrition booth #303PO box 5387Lancaster, PA 17606www.medtritionnni.com

Moog Medical devices booth # 6094314 Zevex Park Lane Salt Lake City, uT 84123www.moog.com/medical

Nestlé Health Science booth #51612 Vreeland roadFlorham Park, NJ 07932www.nestlehealthscience.comCNW13 Welcome Area Presenting Sponsor

NPS Pharmaceuticals booth # 411550 Hills Drive bedminster, NJ 07921www.npsp.com

Victus, Inc. booth #2034918 SW 74th CourtMiami, FL 33155www.victus.com

Walgreens booth #403 485 Half Day road, Suite 300buffalo Grove, IL 60089www.walgreenshealth.com

acacia Neonatalbooth #331www.acacianeonatal.com

actuated Medical, Inc.booth #317www.actuatedmedical.com

aMTapplied Medical Technologies, Inc.booth #617www.amtinnovation.com

b. braun Medicalbooth #608www.bbraunusa.com

bioscrip booth #424www.bioscrip.com

board of Pharmacy booth #305www.bpsweb.org

Cera Products, Incorporatedbooth #513www.ceraproductsinc.com

Cook Medicalbooth #716 www.cookmedical.com

CoSMEd, SRl booth #509www.cosmed.com

Critical Care Systems booth #304www.criticalcareystems.com

dietitians In Nutrition Support (dNS)booth # 204www.dnsdpg.org

Miller Pharmacal Group, Inc.booth #610www.mgplusprotein.com

NeoMed, Inc. booth #718www.neomedinc.com

nutritionday in the u.S.booth # 307www.nutritiondayuS.org

National board of Nutrition Support Certification, Inc. (NbNSC) booth #105www.nutritioncertify.org Vitaflo uSa, LLC booth #612www.vitaflousa.com

association of Gastrointestinal Motility disorders, Inc. (aGMd) booth #202www.agmd-gimotility.org

Clinical Nutrition Management (CNM)booth # 205A dietetic practice group of the Academy of Nutrition and Dietetics www.cnmdpg.org

The oley Foundation booth #103www.oley.org

CNW MaRkETPlaCE ExHIbIToRS

CNW EVENT PaRTNERS


ConTinuing eduCaTion (Ce) informaTion Visit the CNW13 website at http://www.nutritioncare.org/Clinical_Nutrition_Week/Program/CE_Information/ for more information.

CoNFERENCE 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. The electronic CE system can be accessed from any internet connection at www.prolibraries.com/aspen. 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 utilize 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 CNW13 can be obtained.

VIRTual CoNFERENCEA virtual conference option is available to those unable to attend CNW13 in person. The virtual conference is presented live in real-time to virtual attendees, who are able to ask questions and interact with speakers as if they were there in person. Participants in the virtual conference must follow identical processes for successful completion and all accreditation guidelines apply. CNW13 sessions included in the virtual conference option can be found on page 3.

SySTEM REquIREMENTS FoR THE CNW13 VIRTual CoNFERENCEAdobe Flash PluginInternet Explorer 7+, Mozilla Firefox, Google Chrome, Safari broadband Internet connection* 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; 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 (February 9, 2013): A.S.P.E.N. designates this live activity for a maximum of 8.0 AMA PRA Category 1 CreditsTM; Main Conference (February 9 – February 12, 2013): A.S.P.E.N. designates this live activity for a maximum of 20.0 AMA PRA Category 1 CreditsTM; Virtual Conference (February 9 – February 12, 2013): A.S.P.E.N. designates this live activity for a maximum of 17.5 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 20.0

CPEus for main conference program/materials or a maximum of 17.5 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 each session description.

Sessions not displaying uANs are unavailable for pharmacy credit. Clinical Nutrition Week activities are knowledge activities. Credit: Pre-conference, maximum of 8.0 contact hours/0.8CEus; main conference, maximum of 20.0 contact hours/2.0 CEus or virtual conference, maximum of 17.5 contact hours/1.75 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: Pre-conference – maximum of 8.0 contact hours; main conference – maximum of 20.0 contact hours or virtual conference – maximum of 17.5 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 HouRSPre-Conference Programming on Saturday, February 9, 2013 provides a maximum of 8.0 continuing education contact hours. Programs include: research Workshop (5.5 hours), Nutrition for the Practicing Pediatric Clinician Courses (4 hours each), Nutrition Support review Course (8 hours) and Post Graduate Courses (4 hours each).

CNW13 MAIN CONFErENCE PrOGrAMMING MAxIMuM HOurSSaturday, February 9, 2013 1.0Sunday, February 10, 2013 6.5Monday, February 11, 2013 6.5Tuesday, February 12, 2013 6.0Maximum for Main Conference* 20

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.

CNW12 VIrTuAL CONFErENCE PrOGrAMMING MAxIMuM HOurSSaturday, February 9, 2013 1.0Sunday, February 10, 2013 5.0Monday, February 11, 2013 7.0Tuesday, February 12, 2013 4.5Maximum for Virtual Main Conference 17.5

NoTICES• Ancillary/satellite programs 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: Program Director for Education, A.S.P.E.N. 8630 Fenton Street Suite 412, Silver Spring MD 20910.

aMERICaNS WITH dISabIlITIES aCTClinical 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.

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”


9:00 am – 4:00 pmResearch Workshop: The Interface between Nutrition and the Gut Microbiome: Implications and applications for Human Health (RW-2013)dESCRIPTIoNThe research workshop will provide key knowledge and the conceptual framework with which to understand and study the emerging role of the human intestinal microbiome on human health and disease with a focus on nutritional issues. The goal of the workshop is to provide participants with new knowledge and emerging technology that demonstrates how food, environment, stress, antibiotics and Western lifestyle affect the intestinal microbiome, which then in turn causes major changes in host biochemistry and physiology. Exposure to xenobiotics, and stress affect both host and microbiome physiology which then interact to affect each other in a way that leads to multiple disorders of human progress such as autoimmune disease, autism, inflammatory bowel disease, chronic infection, and mood disorders. Speakers will provide examples whereby the interactome of host genes and their products and microbial genes and their products drive emergent properties in cells such that they respond to environmental stressors in highly distinctive ways. An introductory session will provide a working knowledge of the available tools and scientific methods used in metagenomic interrogation of the intestinal microflora to diagnose real clinical disorders.

lEaRNING obJECTIVES1. Describe available tools and methods used in

metagenomic interrogation2. Integrate new knowledge regarding the relationship of the

Western lifestyle to the intestinal microbiome, and subsequent physiological changes that lead to multiple human disorders

3. Analyze specific research breakthroughs in this field that have important implications in clinical practice

4. Identify potential future research directions

FaCulTy aNd ToPICSWelcome and Introductions John Alverdy, MD, FACS, Professor of Surgery, Director, Center for the Surgical Treatment of Obesity, Director Minimally Invasive Surgery, Department of Surgery, university of Chicago, Chicago, IL

Modeling the Microbiome: Creating Predictive Models from Deterministic Patterns Jack Gilbert, PhD, Assistant Professor, Department of Ecology & Evolution, university of Chicago; Environmental Microbiologist, Argonne National Laboratory, Chicago, IL

Promiscuous Antibiotic Use, Host Metabolism, and the Rise of ObesityIlseung Cho, MD, MS. Assistant Professor of Medicine, Associate Program Director, Division of Gastroenterology, New york university School of Medicine, New york, Ny

Uncovering the Power of the Microbiota: Fecal Bacteriotherapy for Recalcitrant and Recurrent Clostridium Difficile-associated Diarrhea Michael Sadowsky, PhD, Professor, Department of Microbiology, university of Minnesota, Minneapolis, MN; Director, biotech Institute, university of Minnesota, St. Paul, MN

The Intestinal Microbiome and Inflammatory Bowel Disease Eugene Chang, MD, Professor of Medicine and Associate Section Chief for research, biological Sciences Division, Department of Medicine, university of Chicago, Chicago, IL

Total Parenteral Nutrition Alters Immunity via its Effect on the Intestinal MicrobiomeDaniel Teitelbaum, MD, Professor of Surgery, C.S. Mott Children’s Hospital, Department of Surgery, university of Michigan, Ann Arbor, MI

Host-microbe Interactions in Babies at Risk for Neonatal Necrotizing Enterocolitis Michael Morowitz, MD, Assistant Professor of Surgery, Department of Surgery, university of Pittsburgh School of Medicine, Pittsburgh, PA

Effects of the Microbiome on Behaviorrob Knight, PhD, Associate Professor, Molecular biophysics, Department of Chemistry and biochemistry, university of Colorado at boulder, boulder, CO

Synthesis of Presentations/Discussions – The Best is Yet to Come: The Future of Research on Nutrition and the Gut Microbiome John Alverdy, MD, FACS, Professor of Surgery, Director, Center for the Surgical Treatment of Obesity, Director Minimally Invasive Surgery, Department of Surgery, university of Chicago, Chicago, IL

ModERaToRJohn Alverdy, MD, FACS, Professor of Surgery, Director, Center for the Surgical Treatment of Obesity, Director Minimally Invasive Surgery, Department of Surgery, university of Chicago, Chicago, IL

uAN: 0216-0000-13-001-L04-PLEVEL: AdvancedSupported in part by Abbott Nutrition

Saturday2.9.13

CE Credits Per Serving/Day - up to 9

Day 1

PrE-CoNfErENCE ProgrAmmiNg

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yPediatric Content Virtual Conference Session

www.nutritioncare.org/cnw 11

7:00 am – 4:00 pmNutrition Support Review Course (NSRC-2013)dESCRIPTIoNThe 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 exam or are 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 exams and specialty subjects. This course will include a broad overview of the core subjects including GI physiology, nutrition assessment, parenteral nutrition and enteral nutrition (plus handouts and slides on statistics). The review of specialty areas, such as pediatric nutrition support, home care and drug nutrient interactions will cover the highlights of the subject. Don’t miss this invaluable review of nutrition support therapy!

lEaRNING obJECTIVES1. Assess personal knowledge of nutrition support and identify

areas requiring further study for the nutrition support specialty certification exam or other professional growth

2. review core nutrition support topics including GI physiology, nutrition assessment, parenteral nutrition and enteral nutrition

3. Highlight specialty areas of nutrition support such as pediatric nutrition support, home care and drug- nutrient interactions

NSRC PlaNNING CoMMITTEEConsuelo brewer, rPH, bCNSP, Nutrition Support Pharmacist, Mount Carmel Medical Center, Columbus, OH

Todd W. Canada, PharmD, bCNSP, FASHP, Clinical Pharmacy Specialist, Division of Pharmacy, university of Texas MD Anderson Cancer Center, Houston, Tx

John Fang, MD, Clinical Director and Professor of Medicine, Division of Gastroenterology, university of utah Hospital, Huntsman Cancer Institute, Salt Lake City, uT

brandy Fuller, rD, LD, CNSD, Clinical Dietitian, Clinical Nutrition Services Department, Arkansas Children’s Hospital, Little rock, Ar

Cassandra Kight, PhD, rD, CNSC, Senior Clinical Nutritionist Critical Care & Nutrition Support, Clinical Nutrition Services, university of Wisconsin Hospital & Clinics, Madison, WI

Antoinette Neal, rN, CrNI, CNSC, VA-bC, Senior Clinical Infusion Nurse, Cleveland Clinic Home Care Services, Independence, OH

Joyce Owens, rD, CD, CNSC, Clinical Dietitian Specialist, Pediatric Critical Care, Medical College of Wisconsin, Milwaukee, WI

Vihas Patel, MD, FACS, CNSC, Director, Metabolic Support Service and Surgical Nutrition Fellowship, brigham and Women’s Hospital, boston, MA

Marsha Stieber, MSA, rD, CNSC, Independent Nutrition Education Consultant; Clinical Practice Consultant, A.S.P.E.N., Mesa, AZ

uAN: 0216-0000-13-002-L04-PLEVEL: basic

INGREdIENTS: access to advance research and late-breaking studies

CNW FactsMalnutrition Sessions Will Explore Critical Issue

For the past three years, A.S.P.E.N. has focused its strategic efforts, in part, on reducing the incidence of malnutrition in hospitalized patients. Today, we continue to lead the charge on defining, diagnosing, and treating malnutrition to better understand this critical healthcare issue and assess how intervention can impact outcomes. Join us for the following sessions on malnutrition: • Focused Learning Sessions: Screening and

Treatment for Malnutrition from Hospital to Home (page 21)

• Demystifying Malnutrition: From Diagnosis to Clinical Coding (page 22)

• Dudrick research Symposium: revisiting Malnutrition in Older Adults (page 26)

• Is My Patient Malnourished? (page 35)


7:00 – 11:00 amPost Graduate Course #1: Introduction to Compounding Parenteral Nutrition Solutions (PG1-2013)dESCRIPTIoNThe ability to safely compound a parenteral nutrition (PN) solution is a skill that many pharmacists feel they don’t have. Practitioners must balance the patient’s clinical needs with the basic tenants of aseptic technique, 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 PN solution. It is geared to the practitioner new to the field of PN and for non-pharmacists with a desire to understand the nuances of PN compounding.

lEaRNING obJECTIVES1. Calculate the composition of a PN solution based on the

practitioner’s PN order2. Predict the suitability of a PN solution given patient

specific parameters3. Describe the complications that can occur if an unstable PN

solution is infused and identify ways to prevent complications

FaCulTy aNd ToPICSSetting the Stage: Environmental Considerations for Safe PN Compounding: USP 797Mary baker, PharmD, MbA, Medical Affairs Manager and Clinical Fellow, Hospira, Inc., Lake Forest, IL

From Prescription to Formulation: Doing the MathCarol rollins, MS, rD, PharmD, bCNSP, CNSD, Coordinator, Nutrition Support Team, university Medical Center; Clinical Associate Professor, College of Pharmacy, university of Arizona, Tucson, AZ

Compatibility Considerations: Calcium/Phosphorus and BeyondTodd W. 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 Facility Head, research Pharmacy, Memorial Sloan-Kettering Cancer Center, New york, Ny

Pediatric Considerations in PN compounding Kathleen M. Gura, PharmD, bCNSP, FASHP, FPPAG, Clinical Pharmacy Specialist GI/Nutrition, Center for Advanced Intestinal rehabilitation (CAIr), boston Children’s Hospital, boston, MA

Homecare IssuesDon Filibeck, PharmD, MbA, National Director, Pharmacy Services, Critical Care Systems, bedford, NH

Supply Issues - Shortages and OutsourcingEric H. Frankel, MSE, PharmD, bCNSP, Metabolic Support Service & Neonatal Clinical Lead Pharmacist, Truman Medical Center, Kansas City, MO

ModERaToRMary baker, PharmD, MbA, Medical Affairs Manager and Clinical Fellow, Hospira, Inc., Lake Forest, IL


12:00 – 4:00 pmPost Graduate Course #2: update in Critical Care Nutrition – What is the State of art? (PG2-2013)dESCRIPTIoNThis 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, nutritional 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 given on how to apply these studies to your practice. The appropriate nutritional 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.

lEaRNING obJECTIVES1. Describe the latest evidence for our understanding of ICu

metabolism, nutritional risk and the optimal delivery of calories and protein

2. Determine caloric need and how to deliver protein and calories via parenteral or enteral nutrition in the high risk ICu patient populations

3. Provide optimal nutrition therapy for high risk patient populations in the ICu, such as those who are high-risk surgical patients or have renal failure and high-risk surgical patients

4. understand the latest data for key pharmaconutrients, including when to prescribe antioxidants and probiotics

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FaCulTy aNd ToPICSI. METAbOLIC rESPONSE TO CrITICAL ILLNESS AND HOW

SHOuLD WE FEED ICu PATIENTS? The Metabolic Response to Critical Illness: Are We Evolved to

Get the Same Nutrition Across All Phases of Critical Illness? 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

How Much is Enough: Can We Predict Who Needs Nutrition Most? 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

What is the Role of PN in the Critical Care Patient? New Data Gordon Doig, MD, Associate Professor, Northern Clinical School Intensive Care research unit, Sydney Medical School, university of Sydney, Sydney, Australia

How Much is Enough or Too Much? Can Indirect Calorimetry Answer the Question Best? Stephen McClave, MD, Professor of Medicine, Division of Gastroenterology/Hepatology, university of Louisville School of Medicine, Louisville, Ky

II. SPECIAL NuTrITION CHALLENGES Renal Failure

Mary McCarthy, PhD, rN, Senior Nurse Scientist, Division of Nursing research Sciences, Madigan Healthcare System, Tacoma, WA

Nutrition and Anti-Catabolic/Anabolic Therapy in Burn Injury 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

The High Risk Surgical Patient robert Martindale, MD, PhD, FACS, Chief, Division of General Surgery; Medical Director, Hospital Nutritional Services, Oregon Health and Science university, Portland, Or

III. PHArMACONuTrIENT uPDATES Update on Antioxidant Use in Critical Care

William Manzanares, MD, PhD, Assistant Professor, Department of Critical Care, universidad de la república, Montevideo, uruguay

Probiotics: Has the Time Come? Gail Cresci, PhD, rD, LD, CNSC, Assistant Professor, Department of Gastroenterology and Pathobiology, Cleveland Clinic, Cleveland, OH

IV. CASE STuDIES AND PANEL DISCuSSION

ModERaToRStephen McClave, MD, Professor of Medicine, Division of Gastroenterology/Hepatology, university of Louisville School of Medicine, Louisville, Ky

uAN: 0216-0000-13-004-L04-PLEVEL: Intermediate

INGREdIENTS: Ideas for improving patient care

CNW FactsItinerary Planner Available Online Only

The CNW13 Itinerary Planner, which allows you to plan your conference experience and obtain submitted materials for each session, will be available online. The Itinerary Planner allows you to schedule the conference sessions you want to attend and add them to your calendar. Also, included are handouts the speakers provided for each session (some may be outlines and others may be actual slide presentations). Attendees will receive a link to the Itinerary Planner before the conference begins.


7:00 – 11:00 amNutrition for the Practicing Pediatric Clinician #1: Metabolic Support in Critically Ill Children (NPPC1-2013) dESCRIPTIoNNew this year, the Nutrition for the Practicing Pediatric Clinician (NPPC) course will be divided into two individual courses. The first course will focus on metabolic support of the critically ill child who is in the pediatric intensive care unit (PICu). Participants will have the opportunity to learn more about the characteristics of acute metabolic stress response and the concept of using bedside metabolic monitoring, including indirect calorimetry to guide macronutrient intake for patients in the PICu. Attention will also be given to the impact of energy and protein imbalance on clinical outcomes of patients in the PICu and strategies to avoid overfeeding will be provided. Participants will have the opportunity to better understand the physiology and metabolism of the surgical infant as well as the evidence for providing nutrition support to the post operative cardiac infant. Lastly, a deeper look into the available evidence of using lactoferrin and probiotics to prevent necrotizing enterocolitis (NEC) will take place.

lEaRNING obJECTIVES1. Determine the nutrient needs of the critically ill and

post-operative child2. Describe the metabolic response to injury and the role of

nutrition in the critically ill child3. Evaluate the evidence available for the prevention of NEC

FaCulTy aNd ToPICSMetabolic Monitoring and the New Paradigm of Individualized Nutrition Therapy in Pediatric Critical CareNilesh Mehta, MD, Associate Medical Director, Critical Care Medicine, boston Children’s Hospital; Assistant Professor of Anesthesia, Harvard Medical School, boston, MA

The Acute Metabolic Response to Injury and Nutritional Resuscitation in Critically Ill ChildrenWalter J. Chwals, MD, Professor of Surgery and Pediatrics, Tufts university School of Medicine; Surgeon-in-Chief, Floating Hospital for Children, boston, MA

Low Energy Caloric Repletion in the Post Operative Cardiac Surgical Babybodil Larsen, PhD, rD, Child Health Nutrition research Specialist, Pediatric Clinical Dietitian, NICu and PICu, Stollery Children’s Hospital, university Hospital, Edmonton, Ab, Canada

Prevention of Necrotizing Enterocolitis (NEC) with Probiotics and Lactoferrin and “Other Controversies”: What is the Evidence?David H. Adamkin, MD, Professor of Pediatrics, Director of Division of Neonatology, rounsaval Endowed Chair of Neonatal Medicine, university of Louisville, Louisville, Ky

ModERaToRWalter J. Chwals, MD, FACS, FCCM, FAAP, Professor of Surgery and Pediatrics, Tufts university School of Medicine; Surgeon-in-Chief, Floating Hospital for Children; Director of Trauma, Division of Pediatric Surgery, Kiwanis Pediatric Trauma Institute, boston, MA

Christina J. Valentine, MD, MS, rD, Assistant Professor and Neonatologist, Division of Neonatology, university of Cincinnati;

Perinatal and Pulmonary biology, Principal Investigator, The Center for Interdisciplinary research in Human Milk and Lactation, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

uAN: 0216-0000-13-005-L04-PLEVEL: basic/Intermediate

12:00 – 4:00 pmNutrition for the Practicing Pediatric Clinician #2: Special Topics in Pediatric Nutrition (NPPC2-2013) dESCRIPTIoNThis course will emphasize nutrition for the high risk infant in the neonatal intensive care unit (NICu) and provide attendees with strategies for targeting and optimizing growth in these infants.

lEaRNING obJECTIVES1. Prescribe adequate nutrients for the high risk

preterm or intestinal-injured infant to improve growth2. Improve techniques to increase breastfeeding

rates to improve health3. understand how to document growth

FaCulTy aNd ToPICSEnteral and Parenteral Nutrition of the Preterm Infant Jackie Wessel, MEd, rD, CNSD, CSP, CLE, Neonatal Nutritionist, Department of Nutrition, regional Center for Newborn Intensive Care, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

Breast is Best: Using Human Milk to Improve Outcomes for the Premature Infant Amy Gates, rD, CSP, LD, Dietitian, Pediatric Neonatology, Medical College of Georgia, Augusta, GA

Update on the Nutritional Management of Infants with Injured Gut Conrad Cole, MD, MPH, MSc, Associate Professor, Division of Gastroenterology, Hepatology and Nutrition; Medical Director, Intestinal rehabilitation Program, Intestinal Care Center, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

The High Growth Velocity of Preterm Infants Tanis Fenton, MHSc, PhD, rD, Epidemiologist, Faculty of Medicine, university of Calgary; Nutrition research Lead, Nutrition Services, Alberta Health Services, Calgary, Ab, Canada

ModERaToRWalter J. Chwals, MD, FACS, FCCM, FAAP, Professor of Surgery and Pediatrics, Tufts university School of Medicine; Surgeon-in-Chief, Floating Hospital for Children; Director of Trauma, Division of Pediatric Surgery, Kiwanis Pediatric Trauma Institute, boston, MA

Christina J. Valentine, MD, MS, rD, Assistant Professor and Neonatologist, Division of Neonatology, university of Cincinnati; Perinatal and Pulmonary biology, Principal Investigator, The Center for Interdisciplinary research in Human Milk and Lactation, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH


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a.S.P.E.N. President’s address - Clinical Nutrition: Feast or Famine (R10) 4:30 – 6:00 pmDr. Tom Jaksic is A.S.P.E.N.’s 37th president representing nearly 6,000 multidisciplinary healthcare professionals dedicated to nutrition support therapy. He is the W. Hardy Hendren Professor of Surgery at Harvard Medical School, Vice-Chairman of Pediatric General Surgery at boston Children’s Hospital, Surgical Director of the Center for Advanced Intestinal rehabilitation (CAIr) at boston Children’s Hospital and the Director of the Mass Spectrometry Core for the NIH sponsored Nutrition and Obesity Center at Harvard.

Dr. Jaksic’s medical and academic positions afford him the opportunity for active clinical practice and research. His research focuses on the nutrition and metabolism of the pediatric surgical patient and encompasses basic science as well as translational and clinical studies. His endeavors have included: the validation of the serial transverse enteroplasty (STEP) bowel lengthening operation, the use of intravenous stable isotopes to determine the protein and caloric requirements of neonates on extracorporeal membrane oxygenation (ECMO), and quantitative isotopic studies of hepatic function in children with intestinal failure associated liver disease. He has served A.S.P.E.N. in many leadership roles and is a past recipient of the Dudrick Award.

Dr. Jaksic will address how our clinical, organizational and research endeavors in nutrition must be modified in response to the cost challenges facing our health care system. Join Dr. Jaksic for a vibrant kickoff to CNW13!

FaCulTyTom Jaksic, MD, PhD, Vice-Chairman, Pediatric General Surgery; Surgical Director, Center for Advanced Intestinal rehabilitation; W. Hardy Hendren Professor of Surgery, Harvard Medical School, boston, MA


Main Conference Programming

INGREdIENTS: lunch-and-learn sessions

and fitness demonstrations in the Exhibit Hall

CNW FactsSilent Auction Items Needed The A.S.P.E.N. rhoads research Foundation needs your help to make the CNW13 Silent Auction a success. The auction will kick-off February 9, 2013 during the opening reception and we are seeking donations. Last year we auctioned a Kindle™ and other techie items, jewelry and more with all proceeds dedicated to helping the foundation support early-career research scientists. Have something to donate? Contact Paula bowen at 301-920-9132 or [email protected] today.


10:30 am – 12:30 pmClinical Trials Plenary Symposium: The Future of Clinical Nutrition (S20) FaCulTy aNd ToPICSEarly Parenteral Nutrition in Critically Ill Patients with Short Term Contraindications to Enteral Nutrition: Results of a Multi-Centre Clinical TrialGordon Doig MD, Associate Professor, Northern Clinical School Intensive Care research unit, Sydney Medical School, university of Sydney, Sydney, Australia

REDOXs TrialDaren 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

GLND Trial (Glutamine-Supplemented Parenteral Nutrition in Surgical ICU Patients) Thomas r. Ziegler, MD, Professor of Medicine, Division of Endocrinology, Metabolism and Lipids, Emory university School of Medicine, Atlanta, GA

Survey of Pediatric Critical Care Nutrition: Where Do We Stand?Nilesh Mehta, MD, Associate Medical Director, Critical Care Medicine, boston Children’s Hospital; Assistant Professor of Anesthesia, Harvard Medical School, boston, MA

Can We Explain Our Pharmaconutrition and Calorie-Delivery Trial Findings?: The REDOXs Laboratory Study and Perspectives on Calorie Delivery Trials 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

Sunday2.10.13

CE Credits Per Serving/Day - up to 6.5

Day 2

A.S.P.E.N. is pleased to welcome Dr. John McDonough as the presenter of the CNW13 Keynote Address. Join us as he discusses the future of uS Health reform that will begin to take shape after the November 2012 uS presidential election.

Dr. McDonough is a professor of public health practice at the Harvard School of Public Health (HSPH) and director of the new HSPH Center for Public Health Leadership. Most recently, he was the Joan H. Tisch Distinguished Fellow in Public Health at Hunter College in New york City. between 2008 and 2010, he served as a Senior Advisor on National Health reform to the u.S. Senate Committee on Health, Education, Labor and Pensions.

between 2003 and 2008, he served as Executive Director of Health Care for All, Massachusetts’ leading consumer health advocacy organization, where he played a key role in passage and implementation of the 2006 Massachusetts health reform law. From 1998 through 2003, he was an Associate Professor at the Heller School at brandeis university. From 1985 to 1997, he served as a member of the Massachusetts House of representatives where he co-chaired the Joint Committee on Health Care.

His articles have appeared in Health Affairs, the New England Journal of Medicine and other journals. He has written three books, Inside National Health Reform, published in September 2011 by the university of California Press and the Milbank Fund, Experiencing Politics: A Legislator’s Stories of Government and Health Care by the university of California Press and the Milbank Fund in 2000, and Interests, Ideas, and Deregulation: The Fate of Hospital Rate Setting by the university of Michigan Press in 1998.

He received a doctorate in public health in 1996 from the School of Public Health at the university of Michigan and a master’s in public administration from the John F. Kennedy School of Government at Harvard in 1990.

Dr. McDonough is one of the country’s leaders on uS health reform and promises to deliver a dynamic keynote address critical to all healthcare professionals.

FaCulTyJohn E. McDonough, DPH, MPA, Professor and Director, Center for Public Health Leadership, Department of Health Policy and Management, Harvard School of Public Health, boston, MA


keynote address: The Future of uS Health Reform (S10) 8:00 – 9:30 am

Pediatric Content Virtual Conference Session

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ModERaToRSPaul 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

Stephen McClave, MD, Professor of Medicine, Division of Gastroenterology/Hepatology, university of Louisville School of Medicine, Louisville, Ky

lEaRNING obJECTIVES1. understand the most cutting edge data from late breaking

clinical trials in clinical nutrition2. Gain a perspective on how data from these trials can be

applied back to bedside practice3. Discuss the future direction of clinical nutrition and

pharmaconutrition clinical trial research based on laboratory data and critical interpretation of these new trials

uAN: 0216-0000-13-009-L04-PLEVEL: Advanced

10:30 am – 12:30 pmPediatric Skills lab (S21) FaCulTy aNd ToPICSPediatric Enteral Feeding Tubes and Delivery Issuesbeth Lyman, rN, MSN, CNSC, Senior Program Coordinator for the Nutrition Support Team, Gastroenterology, Children’s Mercy Hospital, Kansas City, MO

Pediatric Enteral FormulasElizabeth bobo, MS, rD, LDN, CNSD, Pediatric Clinical Dietitian, Department of Gastroenterology and Nutrition, Nemours Children’s Clinic, Jacksonville, FL

Pediatric Central Line Issues and Ethanol Lock TherapyJane Anne yaworski, rN, MSN, Clinical Nurse Specialist, Nutrition Support and Intestinal Care, Children’s Hospital of Pittsburgh, Pittsburgh, PA

Neonatal Enteral FormulasJackie Wessel, MEd, rD, CNSD, CSP, CLE, Neonatal Nutritionist, Department of Nutrition, regional Center for Newborn Intensive Care, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

Pediatric Nutrition AssessmentCindy Hensley, MS,rD, LD, CNSC, Senior Clinical Nutrition Specialist, Nutrition Services, Children’s Mercy Hospitals and Clinics, Kansas City, MO

Nutrition Assessment of Children with Neurodevelopmental ChallengesGina rempel, MD, FRCPC, FAAP, Chief Medical Officer, rehabilitation Centre for Children, Pediatrics and Child Health, Winnipeg, Mb, Canada

Neonatal Parenteral Nutrition Order WritingM. Petrea Cober, PharmD, bCNSP, Clinical Pharmacy Coordinator, Neonatal Intensive Care unit, Akron Children’s Hospital, Akron, OH

Elaina Szeszycki, PharmD, bCNSP, Clinical Pharmacist, Nutrition Support and Pediatric Gastroenterology, riley Hospital for Children at Indiana university Health, Indianapolis, IN

Pediatric Parenteral Nutrition Order WritingSteven Plogsted, PharmD, bCNSP, CNSC, Clinical Pharmacist, Nutrition Support Service, Nationwide Children’s Hospital, Columbus, OH

W. Frederick Schwenk, II, MD, FASPEN, Professor of Pediatrics, Director of Pediatric Nutrition Support Team, Department of Pediatrics, Mayo Clinic, rochester, MN

ModERaToRbeth Lyman, rN, MSN, CNSC, Senior Program Coordinator for the Nutrition Support Team, Gastroenterology, Children’s Mercy Hospital, Kansas City, MO

lEaRNING obJECTIVES1. utilize the appropriate parameters to assess nutrition status

in a neonate or child2. Develop an appropriate plan of care for a neonate or child

requiring enteral nutrition including consideration of enteral access device selection

3. Formulate a plan of care for a neonate or child requiring parenteral nutrition including appropriate formula and access device selection



10:30 am – 12:00 pmobesity: Implications for liver disease and Transplantation (S22)FaCulTy aNd ToPICSNon-alcoholic Fatty Liver Disease (NAFLD): Pathogenesis, Treatment and Role of NutritionDavid burns, MD, Senior Staff Gastroenterologist and Director of Nutrition Support Service, Lahey Clinic, burlington, MA

Obesity and Liver Transplantation: A Weighty IssueJeanette Hasse, PhD, rD, LD, FADA, CNSC, Transplant Nutrition Manager, Annette C. and Charles C. Simmons Transplant Institute, baylor university Medical Center, Dallas, Tx

Bariatric Surgery in Liver Disease and Transplantation: Options and OpportunitiesSara DiCecco, MS, rD, LD, Clinical Dietitian, William Von Liebig Transplant Center, Mayo Clinic, rochester, MN

ModERaToRJeanette Hasse, PhD, rD, LD, FADA, CNSC, Transplant Nutrition Manager, Annette C. and Charles C. Simmons Transplant Institute, baylor university Medical Center, Dallas, Tx

lEaRNING obJECTIVES1. Evaluate the role of obesity in NAFLD and analyze the

effectiveness of therapies for NAFLD2. Analyze rate of obesity in liver transplant patients and effect

of obesity on short- and long-term liver transplant outcomes3. Investigate the role of bariatric surgery in liver disease

treatment and liver transplantation


10:30 am – 12:00 pma.S.P.E.N. Position Papers on alternative Intravenous Fat Emulsions (IVFE) and Parenteral Multiple Vitamin and Trace Element Products (S23)FaCulTy aNd ToPICSA.S.P.E.N. Novel Nutrient Task Force – When, Why and How?Vincent W. Vanek, MD, FACS, FASPEN, Medical Informatics Officer and Associate Director of Surgical Education, St. Elizabeth Health Center, youngstown, OH

Background and Evidence Used in Formulating the A.S.P.E.N. Alternative IVFE Position PaperDouglas L. Seidner, MD, FACG, Associate Professor of Medicine, Division of Gastroenterology, Hepatology and Nutrition; Director, Vanderbilt Center for Human Nutrition, Vanderbilt university Medical Center, Nashville, TN

Summary, Recommendations and A.S.P.E.N. Position Statement on the Clinical Role for Alternative IVFEKathleen M. Gura, PharmD, bCNSP, FASHP, FPPAG, Clinical Pharmacy Specialist GI/Nutrition, Center for Advanced Intestinal rehabilitation (CAIr), boston Children’s Hospital, boston, MA

Background and Evidence Used in Formulating the A.S.P.E.N. Parenteral Multiple Vitamin and Trace Element (TE) Position PaperLyn Howard, Mb, FrCP, Emeritus Professor of Medicine, Albany Medical College, Albany, Ny

Recommendations and A.S.P.E.N. Position Statement on the Recommended Changes Needed in the Current Parenteral Vitamin and TE ProductsAlan buchman, MD, MSPH, FACP, FACG, FACN, AGAF, Professor of Medicine and Surgery Feinberg School of Medicine, Northwestern university, Chicago, IL

ModERaToRVincent W. Vanek, MD, FACS, FASPEN, Medical Informatics Officer and Associate Director of Surgical Education, St. Elizabeth Health Center, youngstown, OH

lEaRNING obJECTIVES1. Discuss the evolution of parenteral requirements for

vitamins and trace elements and intravenous lipid emulsions as well as the composition of the current commercially available products

2. List the A.S.P.E.N. recommended changes in parenteral vitamin and TE products and intravenous lipid emulsions

3. Describe the barriers to implementing the A.S.P.E.N. recommendations

uAN: 0216-0000-13-012-L04-PLEVEL: basicPresented by the A.S.P.E.N. Novel Nutrient Task Force


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2:00 – 3:30 pmNutrition and Metabolism Research paper Sessions – Six sessions to choose from (S30 – S35)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 abstract. The abstracts will be presented by topic so you can explores 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.

Also, remember to participate in the Poster Exchange Sessions in the Exhibit Hall for additional research and clinical practice knowledge. Science and practice abstracts have been combined, so you will experience research and innovative practice abstracts side by side.

research Paper Session topics will be listed on www.nutritioncare.org/cnw

uAN: (S30) 0216-0000-13-013-L04-P(S31) 0216-0000-13-014-L04-P(S32) 0216-0000-13-015-L04-P(S33) 0216-0000-13-016-L04-P(S34) 0216-0000-13-017-L04-P(S35) 0216-0000-13-018-L04-PLEVEL: Advanced

4:00 – 6:00 pmThe Electronic Medical Record (EMR) Steamroller: lead, Follow, or Get out of the Way! (S40)

FaCulTy aNd ToPICSBuild It and They Will Come!Pam Charney, PhD, rD, Chair, Healthcare Information Technology and Management, bellevue College, bellevue, WA

Providing Nutrition Support in the EMR Era: The Good, the Bad and the Ugly!Vincent W. Vanek, MD, FACS, FASPEN, Medical Informatics Officer and Associate Director of Surgical Education, St. Elizabeth Health Center, youngstown, OH

Research Electronic Data Capture (REDCap): The Pragmatic Database for Collaborative Clinical ResearchTimothy Sentongo, MD, AbPNS, Associate Professor of Pediatrics, Director, Pediatric Nutrition Support, The university of Chicago Medical Center, Chicago, IL

ModERaToRVincent W. Vanek, MD, FACS, FASPEN, Medical Informatics Officer and Associate Director of Surgical Education, St. Elizabeth Health Center, youngstown, OH

lEaRNING obJECTIVES1. Describe the basic components of an EMr/Electronic Health

record (EHr) system and how to evaluate current systems and improve short-comings

2. Analyze the positive and negative impact of EMr on the quality and efficiency of providing nutrition support

3. Explain what nutrition support professionals can do to maintain the quality of nutrition support provided during and after EMr implementation

4. Explain what rEDCap is and how it was developed5. Describe how to identify and utilize rEDCap resources at

local institutions and some of the capabilities of rEDCap


4:00 – 5:30 pma.S.P.E.N. Parenteral Nutrition Safety Initiatives (S41)FaCulTy aNd ToPICSSafe PN PrescribingDavid Seres, MD, ScM, PNS, Director, Medical Nutrition and Nutrition Support Service, New york Presbyterian Hospital-Columbia university Medical Center, Division of Preventive Medicine and Nutrition, Columbia university Medical Center, New york, Ny

Review and Correction of PN Ordersbeverly Holcombe, PharmD, bCNSP, FASHP, Clinical Specialist, Department of Pharmacy, university of North Carolina Healthcare, Chapel Hill, NC

Safe Compounding and Preparation of PNGordon S. Sacks, PharmD, bCNSP, FCCP, Professor and Head, Department of Pharmacy Practice, Harrison School of Pharmacy, Auburn university, Auburn, AL

Safe Delivery and Administration of PNPatricia A. Worthington, MSN, rN, CNSC, Nutrition Support Nurse, Thomas Jefferson university Hospital, Philadelphia, PA

ModERaToRPhil Ayers, PharmD, bCNSP, FASHP, Chief, Clinical Pharmacy Services, Department of Pharmacy, baptist Health Systems, Jackson, MS

lEaRNING obJECTIVES1. Outline a systematic approach to prescribing safe PN therapy2. Describe order review processes that maximize safe

PN prescriptions3. Identify best practices in compounding and

delivery processes 4. Propose action items to improve the safety of

PN administration

uAN: 0216-0000-13-020-L05-PLEVEL: IntermediatePresented by the A.S.P.E.N. PN Safety Task Force


4:00 – 5:30 pmEosinophilic Gastrointestinal disorders: an update (S42)

FaCulTy aNd ToPICSEosinophilic GI DisordersLinda Muir, MD, Chief, Pediatric Gastroenterology, Oregon Health Sciences university, Portland, Or

Eosinophilic Esophagitis; Research, Medical Management and Future MonitoringSandeep Gupta, MD, Professor of Clinical Pediatrics & Clinical Medicine, riley Children’s Hospital, Indianapolis, IN

Dietary Therapy for Eosinophilic Esophagitis: Does It Work?Amir Kagalwalla, MD, Associate Professor of Pediatrics, Northwestern university, Feinberg School of Medicine, Chicago, IL

ModERaToRMark r. Corkins, MD, CNSP, SPr, FAAP, Division Chief Pediatric Gastroenterology, Professor of Pediatrics, university of Tennessee Health Sciences Center, Memphis, TN

lEaRNING obJECTIVES1. Identify the symptoms and presentation of eosinophilic

gastrointestinal disorders2. Describe the pathophysiology, mechanisms and medical

therapy for eosinophilic esophagitis 3. Outline the potential benefits of Elimination Diet I in

maintaining sustained clinical and histological remission as well as prospects of developing tolerance to the offending food

4. Present the current and future options for monitoring efficacy of therapy in patients with eosinophilic esophagitis

uAN: 0216-0000-13-021-L01-PLEVEL: IntermediatePresented by the A.S.P.E.N. Pediatric Section

4:00 – 5:30 pmback to basics: Critical Reading and Thinking (S43)FaCulTy aNd ToPICSronald Koretz, MD, Emeritus Professor of Clinical Medicine, Olive View-uCLA Medical Center, Sylmar, CA

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

ModERaToRTimothy Lipman, MD, Chief, Division of Gastroenterology, Hepatology, and Nutrition, Department of Veterans Affairs Medical Center, Washington, DC

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

lEaRNING obJECTIVES1. Identify different study designs and know when their use is

appropriate in order to answer specific clinical questions2. recognize the limitations and advantages of

different types of review articles3. Evaluate the appropriateness and reliability

of a particular p value4. recognize different risks of bias in randomized trials5. recognize the limitations and advantages of meta-analysis6. Evaluate the reliability of guidelines


CNW FactsCertification Exams Are Taking Place During CNWThe National board of Nutrition Support Certification (NBNSC) will offer their Certified Nutrition Support Clinician (CNSC) exam to eligible international candidates during CNW13. The CNSC exam is open to dietitians, nurses, pharmacists, physicians and physician assistants. Additional information is available at www.nutritioncertify.org.

In addition, the American board of Physician Nutrition Specialists (AbPNS) will offer their Physician Nutrition Specialist certification exam to eligible physicians during CNW13. Additional information is available at www.abpns.net.


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4:00 – 5:30 pm

Focused learning Sessions (Fl1)Here’s your opportunity for an up-close and personal experience with the experts. The CNW13 Focused Learning Sessions will promote discussion on specific nutrition support topics. Sessions will be organized by topics and you will have an opportunity to talk in small groups with the faculty and with 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.

Screening and Treatment for Malnutrition from Hospital to HomeJaime Aranda-Michel, MD, Medical Director, Nutrition Support Team, Mayo Clinic Florida, Jacksonville, FL

ronald Stone, MbA, rD, LD/N, Assistant Manager, Nutrition Services, Mayo Clinic Florida, Jacksonville, FL

1. Describe current validated nutrition screening options in the hospitalized and outpatient settings

2. Identify tools used to categorize severity of malnutrition3. List criteria for development of multidisciplinary approach to

treating malnutrition in the outpatient setting

Presented by the A.S.P.E.N. Dietetic Practice Section

Enteral Solutions to Enhance Patient Care in the HomeAntoinette Neal, rN, CrNI, CNSC, VA-bC, Senior Clinical Infusion Nurse, Cleveland Clinic Home Care Services, Cleveland, OH

Cynthia reddick, rD, CNSC, Northern California Area Nutrition Manager, Apria Healthcare, Sacramento, CA

1. Demonstrate the impact of the hospital feeding regimen on compliance and feasibility in the home setting

2. Identify obstacles in the home setting that inhibit successful home tube feeding

3. Describe safe enteral connections to avoid misconnections at home

blenderized Tube Feeding: does It Have To be all or Nothing?Lisa Epp, rD, LD, Home Enteral Nutrition Coordinator, Mayo Clinic rochester, MN

Adele Pattison, rD, LD, Home Enteral Nutrition Coordinator, Mayo Clinic rochester, MN

1. Define criteria that should be met prior to starting blenderized tube feeding

2. Construct sample recipes for blenderized tube feeding3. Explain scenarios when blenderized tube feeding

was successful

let’s Talk about Tubes: a Review of access devices, adaptors and appropriate Connections for Enteral NutritionHeather Marees, rD, Enteral Dietitian, Apria Healthcare, Littleton, CO

Leanne Saxton, rD, Enteral Dietitian, Apria Healthcare, Littleton, CO

1. Describe the different types of feeding tubes and low-profile devices

2. Demonstrate an understanding of different pieces and additional parts available to aid in the delivery of tube feeding (adaptors, extension sets, etc.)

3. Outline the different types of administration and additional supplies required for enteral feeding along with products available to avoid enteral misconnections

CNW Factsyou can Jump-start your Learning on February 9 with a Pre-conference Course

CNW13 pre-conference courses offer you the opportunity to gain an in-depth analysis on key issues in clinical nutrition and metabolism. Each course is led by international experts who will provide an engaging, stimulating learning experience.

Six courses include:• research Workshop: The Interface between

Nutrition and the Gut Microbiome: Implications and Applications for Human Health (page 10)

• Nutrition Support review Course (page 11)• Post Graduate Course #1: Introduction

to Compounding Parenteral Nutrition Solutions (page 12)

• Post Graduate Course #2: update in Critical Care Nutrition - What is the State of Art? (PG2-2013) (page 12)

• Nutrition for the Practicing Pediatric Clinician #1: Metabolic Support in Critically Ill Children (page 14)

• Nutrition for the Practicing Pediatric Clinician #2: Special Topics in Pediatric Nutrition (page 14)


Nutritional deficiencies in patients with Intestinal Failure (IF) Receiving long-Term Parenteral Nutrition: Prevention, Management and MonitoringAllison blackmer, PharmD, bCPS, Clinical Assistant Professor/Clinical Pharmacist, Pediatric Surgery, university of Michigan, Ann Arbor, MI

M. Luisa Partipilo, PharmD, bCNSP, Clinical Pharmacist, Intestinal rehabilitation/Adjunct Clinical Assistant Professor, university of Michigan, Ann Arbor, MI

1. Account for the challenges of managing nutritional deficiencies in patients with IF receiving long term parenteral nutrition

2. Determine monitoring parameters in preventing and managing acquired nutritional deficiencies

3. Formulate recommendations regarding nutritional deficiencies in patients with IF on long-term parenteral nutrition

Nutrition Considerations for the Critically Ill obese Pediatric Patient

Joyce Owens, rD, CD, CNSC, Clinical Dietitian Specialist, Pediatric Critical Care, Medical College of Wisconsin, Milwaukee, WI

1. Describe the metabolic response to stress, trauma and surgery2. Define the current rationale for the heightened inflammatory

response and insulin resistance associated with obesity3. Analyze the unique challenges and obstacles in determining

the nutrition prescription and provision of nutrition support to the critically ill child and adolescent

demystifying Malnutrition: From diagnosis to Clinical CodingJenefer Cervantes, rD, CDN, CNSC, Clinical Dietitian, MICu/Adult Nutrition Support Service, Department of Food & Nutrition, New york-Presbyterian Hospital, New york, Ny

Louise Merriman, MS, rD, CDN, Director, Clinical Nutrition, Department of Food & Nutrition, New york-Presbyterian Hospital, New york, Ny

1. Apply a systematic health care team approach for the application of the Academy of Nutrition and Dietetics and A.S.P.E.N. standardized characteristics for malnutrition in the acute care patient population

Securing Enteral Feeding TubesCarol McGinnis, MS, rN, CNS, CNSN, Clinical Nurse Specialist, Nutrition Support, Sanford uSD Medical Center, Sioux Falls, SD

1. Discuss means to secure nasally placed enteral feeding tubes in terms of comfort, safety and efficacy

2. Describe considerations for securement of percutaneously placed feeding tubes

a Systematic approach to the assessment and Treatment of diarrhea in Nutrition Support PatientsNicole Keller, PharmD, bCNSP, Critical Care/Nutrition Support Clinical Pharmacy Specialist, Michael E. Debakey VA Medical Center, Houston, Tx

Anne Tucker, PharmD, bCNSP, Clinical Associate Professor, university of Houston College of Pharmacy, Houston, Tx

1. Identify the types of diarrhea2. List the different causes of diarrhea3. Formulate treatment recommendations for

diarrhea management

advanced Practice Skills: What the Nutrition Support dietitian Needs to know and WhyNeha Parekh, MS, rD, LD, CNSC, Project Manager, Intestinal rehabilitation and Transplant, Cleveland Clinic, Cleveland, OH

1. List advanced practice skills essential for practice as an advanced practice nutrition support rD

2. Explain why advanced practice skills are needed to determine the most appropriate nutrition plan in certain patient cases

3. Discuss specific educational tools available for training of the rD on requirements for advanced practice designation

Focused Learning Sessions (FL1) continued


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Strategies for Effective behavioral, Nutrition and Cognitive Therapy in Treatment of Pediatric Eating disorders

Mary Turon-Findley, MS, rD, LD, registered Dietitian, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

raymond Troy, MD, Assistant Professor, Pediatrics, Psychiatry and Child & Adolescent Psychiatry, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

1. Apply guidelines to treatment of pediatric eating disorders2. Incorporate successful techniques into the interview/

treatment process3. Identify internal and external behavioral markers/symptoms

using Indirect Calorimetry data to Inform Evidence-based Nutrition Support Therapy in the ICuJanet Fabling, rD, CD, CSP, CNSC, Critical Care Dietitian, Madigan Healthcare System, Tacoma, WA

Mary McCarthy, PhD, rN, Senior Nurse Scientist, Division of Nursing research Sciences, Madigan Healthcare System, Tacoma, WA

1. Define the hypermetabolism of critical illness2. Describe the utility of indirect calorimetry in preventing

metabolic complications from over- or underfeeding3. Appraise the value of discussing energy needs during daily

ICu rounds

update of drug ShortagesSteven Plogsted, PharmD, bCNSP, Clinical Pharmacy Specialist, Nutrition Support Service, Nationwide Children’s Hospital, Columbus, OH

1. Discuss the role of the A.S.P.E.N. Drug Shortage Taskforce2. review A.S.P.E.N. recommendations on drug shortages3. Discuss the implications of the national drug shortage4. review the industry timelines for returning products

to the market

Presented by the A.S.P.E.N. Drug Shortage Task Force

Management of Refractory GastroparesisJames Scolapio, MD, CNSC, Gastroenterology & Hepatology, Internal Medicine, The Mayo Clinic Hospital, Jacksonville, FL

Andrew ukleja, MD, CNSP, Physician, Assistant Professor of Medicine, Gastroenterology, Cleveland Clinic Florida, Weston, FL

1. Review diet modifications in gastroparesis2. Discuss medical therapy currently available and

drugs in clinical trials3. Describe which patients will benefit from gastric

pacemaker or surgery

6:15 – 7:30 pmPractice Section MeetingsPlan to join your colleagues for a great networking opportunity at A.S.P.E.N.’s Practice Section Meetings. Open to all attendees, these events provide time for exchanging ideas and interacting with colleagues who have similar areas of professional interest. Many section meetings include presentations by expert faculty and time for discussion. Practice sections include Medical, Dietetics, Pharmacy and Nutrition Support Nursing.

INGREdIENTS: 2,500 clinical nutrition

professionals from all disciplines

CNW FactsWait! Don’t Go—Stay until the End!your full-conference registration includes three-and-a-half days of non-stop learning and networking, so we encourage you to stay right until the end. If you don’t, you’ll miss some of the amazing content being offered on February 12, including: • Is My Patient Malnourished? (page 35)• Topics in Critically Ill Surgical Patients (page 35)• Nutritional Challenges of the Post-operative

bariatric Surgery Patient: Avoiding the Pitfalls (page 36)

• Our Gut Microbiota: Friend or Foe? (page 36)• Improving Nutritional Care for Oncology Patients

(page 38)• Nutrition Support Throw Down: The battle

of the Experts (page 39)• Clinical, Economic and Quality of Life

Outcomes Associated with Home Parenteral Nutrition (page 40)

Baxter, Clinimix and the Clinimix logo are trademarks of Baxter International Inc.Baxter Healthcare Corporation, Route 120 and Wilson Road, Round Lake, IL 60073 www.baxter.com 801490 7/12

Medical Products

Contact your Baxter Representative or call 888-229-0001

clinimix.com

Consider Supplemental PN To Help Your Patients Achieve Their Nutritional Goal

Today, an alarming 15 – 60 percent of adult hospitalized patients are malnourished upon admission.1

Providing adequate nutrition can help heal malnourished patients.2-3 Consider manufacturer-prepared CLINIMIX SULFITE-FREE (AMINO ACID IN DEXTROSE WITH CALCIUM) Injections for

supplemental PN when your patient is not meeting their nutritional goals.

1. White, JV, et al. Consensus Statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Characteristics Recommended for the Identification and Documentation of Adult Malnutrition (Undernutrition). JPEN J Parenter Enteral Nutr (2012) 36: 275

2. Chandra, R. Effect of vitamin and trace-element supplementation on immune responses and infection in elderly subjects. The Lancet. (1992) 340:1124–1127.3. Neumayer, LA, et al. Early and Sufficient Feeding Reduces Length of Stay and Charges in Surgical Patients. Journal of Surgical Research (2001) 95:73–77

Please see adjacent page for brief summary of prescribing information.

IndicationsCLINIMIX sulfite-free (Amino Acid in Dextrose) Injections are indicated as a caloric component in a parenteral nutrition regimen and as the protein (nitrogen) source for offsetting nitrogen loss or for the treatment of negative nitrogen balance in patients where (1) the alimentary tract cannot or should not be used, (2) gastrointestinal absorption of protein is impaired, or (3) metabolic requirements for protein are substantially increased, as with extensive burns.

Important Risk Information• It is essential that a carefully prepared protocol based

on current medical practices be followed, preferably by an experienced team. Frequent clinical evaluation

and laboratory determinations are necessary for proper monitoring during administration.

• CLINIMIX Injections are contraindicated in patients having intracranial or intraspinal hemorrhage, in patients who are severely dehydrated, in patients hypersensitive to one or more amino acids and in patients with severe liver disease or hepatic coma. Solutions containing corn-derived dextrose may be contraindicated in patients with known allergy to corn or corn products.

• Because of the potential for life-threatening events, caution should be taken to ensure that precipitates have not formed in any parenteral nutrient admixture.

• Use with caution when administering to patients with anuria or renal insufficiency, pulmonary insufficiency, or heart disease. The intravenous administration of these solutions

can cause fluid and/or solute overloading resulting in dilution of serum electrolyte concentrations, overhydration, congested states, or pulmonary edema.

• Metabolic complications have been reported, such as acid-base, electrolyte, and blood glucose imbalances, elevated liver enzymes, and osmotic diuresis and dehydration.

• Other adverse reactions that may occur include febrile response, infection at the site of injection, extravasation, and hypervolemia. The infusion of hypertonic nutrient injections into a peripheral vein may result in vein irritation, vein damage, and thrombosis.

• This product contains aluminum that may be toxic with prolonged parenteral administration if kidney function is impaired.

• CLINIMIX Injections must be admixed prior to infusion.

VISITBOOTH 601

Baxter, Clinimix and the Clinimix logo are trademarks of Baxter International Inc.Baxter Healthcare Corporation, Route 120 and Wilson Road, Round Lake, IL 60073 www.baxter.com 801490 7/12

Medical Products

Contact your Baxter Representative or call 888-229-0001

clinimix.com

Consider Supplemental PN To Help Your Patients Achieve Their Nutritional Goal

Today, an alarming 15 – 60 percent of adult hospitalized patients are malnourished upon admission.1

Providing adequate nutrition can help heal malnourished patients.2-3 Consider manufacturer-prepared CLINIMIX SULFITE-FREE (AMINO ACID IN DEXTROSE WITH CALCIUM) Injections for

supplemental PN when your patient is not meeting their nutritional goals.

1. White, JV, et al. Consensus Statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Characteristics Recommended for the Identification and Documentation of Adult Malnutrition (Undernutrition). JPEN J Parenter Enteral Nutr (2012) 36: 275

2. Chandra, R. Effect of vitamin and trace-element supplementation on immune responses and infection in elderly subjects. The Lancet. (1992) 340:1124–1127.3. Neumayer, LA, et al. Early and Sufficient Feeding Reduces Length of Stay and Charges in Surgical Patients. Journal of Surgical Research (2001) 95:73–77

Please see adjacent page for brief summary of prescribing information.

IndicationsCLINIMIX sulfite-free (Amino Acid in Dextrose) Injections are indicated as a caloric component in a parenteral nutrition regimen and as the protein (nitrogen) source for offsetting nitrogen loss or for the treatment of negative nitrogen balance in patients where (1) the alimentary tract cannot or should not be used, (2) gastrointestinal absorption of protein is impaired, or (3) metabolic requirements for protein are substantially increased, as with extensive burns.

Important Risk Information• It is essential that a carefully prepared protocol based

on current medical practices be followed, preferably by an experienced team. Frequent clinical evaluation

and laboratory determinations are necessary for proper monitoring during administration.

• CLINIMIX Injections are contraindicated in patients having intracranial or intraspinal hemorrhage, in patients who are severely dehydrated, in patients hypersensitive to one or more amino acids and in patients with severe liver disease or hepatic coma. Solutions containing corn-derived dextrose may be contraindicated in patients with known allergy to corn or corn products.

• Because of the potential for life-threatening events, caution should be taken to ensure that precipitates have not formed in any parenteral nutrient admixture.

• Use with caution when administering to patients with anuria or renal insufficiency, pulmonary insufficiency, or heart disease. The intravenous administration of these solutions

can cause fluid and/or solute overloading resulting in dilution of serum electrolyte concentrations, overhydration, congested states, or pulmonary edema.

• Metabolic complications have been reported, such as acid-base, electrolyte, and blood glucose imbalances, elevated liver enzymes, and osmotic diuresis and dehydration.

• Other adverse reactions that may occur include febrile response, infection at the site of injection, extravasation, and hypervolemia. The infusion of hypertonic nutrient injections into a peripheral vein may result in vein irritation, vein damage, and thrombosis.

• This product contains aluminum that may be toxic with prolonged parenteral administration if kidney function is impaired.

• CLINIMIX Injections must be admixed prior to infusion.

VISITBOOTH 601

CLINIMIX sulfite-free (Amino Acid in Dextrose) InjectionsIn CLARITY Dual Chamber Container

Brief Summary of Prescribing information. See Package Insert for Full Prescribing Information.

Indications and UsageCLINIMIX sulfite-free (Amino Acid in Dextrose) Injections are indicated as a caloric component in a parenteral nutrition regimen and as the protein (nitrogen) source for offsetting nitrogen loss or for treatment of negative nitrogen balance in patients where:

(1) The alimentary tract cannot or should not be used,(2) Gastrointestinal absorption of protein is impaired, or(3) Metabolic requirements for protein are substantially increased, as with extensive burns.

Central Vein Administration: Central vein infusion should be used when amino acid solutions are admixed with hypertonic dextrose to promote protein synthesis such as for hypercatabolic or depleted patients or those requiring long term parenteral nutrition.

Peripheral Vein Administration: For patients in whom the central vein route is not indicated, amino acid solutions diluted with low dextrose concentrations may be infused by peripheral vein.

ContraindicationsCLINIMIX sulfite-free (Amino Acid in Dextrose) Injections are contraindicated in patients having intracranial or intraspinal hemorrhage, in patients who are severely dehydrated, in patients hypersensitive to one or more amino acids, and in patients with severe liver disease or hepatic coma.

Solutions containing corn-derived dextrose may be contraindicated in patients with known allergy to corn or corn products.

WarningsAdditives may be incompatible including fat emulsions. Consult with pharmacist if available.

When introducing additives, use aseptic technique. Mix thoroughly.

Because of the potential for life-threatening events, caution should be taken to ensure that precipitates have not formed in any parenteral nutrient admixture.

These CLINIMIX sulfite-free (Amino Acid in Dextrose) Injections must be admixed prior to infusion. For admixing instructions, see Directions for Use of Plastic Container in full prescribing information.

The infusion of hypertonic nutrient injections into a peripheral vein may result in vein irritation, vein damage, and thrombosis. After mixing, strongly hypertonic nutrient injections should only be administered through an indwelling intravenous catheter with the tip located in a large central vein, such as the superior vena cava.

Proper administration of these admixed amino acid/dextrose injections requires a knowledge of fluid and electrolyte balance and nutrition as well as clinical expertise in recognition and treatment of the complications which may occur.

Laboratory TestsFrequent clinical evaluation and laboratory determinations are necessary for proper monitoring during administration. Studies should include blood sugar, serum proteins, kidney and liver function tests, electrolytes, complete blood count with differential carbon dioxide combining power or content, serum osmolarities, blood cultures, and blood ammonia levels.

Administration of amino acid solutions to patients with hepatic insufficiency may result in serum amino acid imbalances, hyperammonenemia, stupor, and coma.

Hyperammonenemia is of special significance in infants. This reaction appears to be related to a deficiency of the urea cycle amino acids of genetic or product origin. It is essential that blood ammonia be measured frequently in infants.

Conservative doses of these admixed amino acid/dextrose injections should be given to patients with known or suspected hepatic dysfunction. Should symptoms of hyperammonenemia develop, administration should be discontinued and the patient’s clinical status be reevaluated.

Administration of amino acid solutions in the presence of impaired renal function presents special issues associated with retention of electrolytes.

These admixed injections should not be administered simultaneously with blood through the same infusion set because of the possibility of pseudoagglutination.

In very low birth weight infants, excessive or rapid administration of dextrose injection may result in increased serum osmolality and possible intracerebral hemorrhage.

WARNING: This product contains aluminum that may be toxic. Aluminum may reach toxic levels with prolonged parenteral administration if kidney function is impaired. Premature neonates are particularly at risk because their kidney are immature, and they require large amounts of calcium and phosphate solutions, which contain aluminum.

Research indicates that patients with impaired kidney function, including premature neonates, who receive parenteral levels of aluminum at greater than 4 to 5 mcg/kg/day accumulate aluminum at levels associated with central nervous system and bone toxicity. Tissue loading may occur at even lower rates of administration.

PrecautionsWith the administration of these CLINIMIX sulfite-free (Amino Acid in Dextrose) Injections, hyperglycemia, glycosuria, and other hyperosmolar syndrome may result. Blood and urine glucose should be monitored on a routine basis in patients receiving this therapy.

Use with caution when administering to patients with anuria or renal failure.

Electrolytes may be added to the admixed amino acid/dextrose injections as dictated by the patient’s electrolyte profile.

The metabolizable acetate anion and amino acid profiles in these admixed injections were designed to minimize or prevent occurrences of hypercholemic metabolic acidosis and hyperammonenemia. However, the physician should be aware of appropriate countermeasures if they become necessary.

Clinical evaluation and periodic laboratory determinations are necessary to monitor changes in fluid balance, electrolyte concentrations and acid-base balance during prolonged parenteral therapy or whenever the condition of the patient warrants such evaluation.

Because of its anti-anabolic activity, concurrent administration of tetracycline may reduce the protein sparing effect of infused amino acids.

The intravenous administration of these solutions can cause fluid and/or solute overloading resulting in dilution of serum electrolyte concentrations, overhydration, congested states, or pulmonary edema: particularly in patients with renal disease, pulmonary insufficiency, and heart disease.

Administration of admixed amino acid/dextrose injections and other nutrients via central or peripheral venous catheter may be associated with complications which can be prevented or minimized by careful attention to all aspects of the procedure. This includes attention to solution preparation, administration, and patient monitoring. It is essential that a carefully prepared protocol based on current medical practices be followed, preferably by an experienced team.

Other complications (based on current literature):

Technical: The placement of a central venous catheter should be regarded as a surgical procedure. The physician should be fully acquainted with various techniques of catheter insertion as well as recognition and treatment of complications. For details of techniques and placement sites, consult the medical literature.

Septic: The constant risk of sepsis is present during total parenteral nutrition. Since contaminated solutions and infusion catheters are potential sources of infection, it is imperative that the preparation of solution and the placement and care of catheters be accomplished under controlled aseptic conditions. If fever develops, the solution, its delivery system, and the site of the indwelling catheter should be changed.

Metabolic: The following metabolic complications have been reported: metabolic acidosis, hypophosphatemia, alkalosis, hyperglycemia and glycosuria, osmotic dieresis and dehydration, rebound hypoglycemia, elevated liver enzymes, hypo- and hypervitaminosis, electrolyte imbalances, and hyperammonenemia. Frequent clinical evaluation and laboratory determinations are necessary, especially during the first few days of therapy to prevent or minimize these complications. Caution must be exercised in the administration of these admixed amino acid/dextrose injections to patients receiving corticosteroids or corticotrophin. These admixed injections should be used with caution in patients with overt or known subclinical diabetes mellitus.

Drug product contains no more than 25 mcg/L of aluminum.

Carcinogenesis, Mutagenesis, Impairment of Fertility: Studies with CLINIMIX sulfite-free (Amino Acid in Dextrose) Injections have not been performed to evaluate carcinogenic potential, mutagenic potential, or effects on fertility.

Pregnancy: Teratogenic Effects

Pregnancy Category C. Animal reproduction studies have not been conducted with CLINIMIX sulfite-free (Amino Acid in Dextrose) Injections. It is also not known whether CLINIMIX sulfite-free (Amino Acid in Dextrose) Injections can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. These solutions should be given to a pregnant woman only if clearly needed.

Nursing Mothers: Caution should be exercised when administering to a nursing woman.

Pediatric Use: Dextrose is safe and effective for the stated indications in pediatric patients (see Indications and Usage section of the full prescribing information). As reported in the literature, the dosage selection and constant infusion rate of intravenous dextrose must be selected with caution in pediatric patients, particularly neonates and low birth weight infants, because of the increased risk of hyperglycemia/hypoglycemia. Frequent monitoring of serum glucose concentrations is required when dextrose is prescribed to pediatric patients, particularly neonates and low birth weight infants.

Safety and effectiveness of CLINIMIX sulfite-free (Amino Acid in Dextrose) Injections in pediatric patients have not been established by adequate and well-controlled studies. However, the use of amino acid injections in pediatric patients as an adjunct in the offsetting of nitrogen loss or in the treatment of negative nitrogen loss or in the treatment of negative nitrogen balance is referenced in the medical literature. See Dosage and Administration section of the full prescribing information.

Geriatric Use: Clinical studies of CLINIMIX sulfite-free (Amino Acid in Dextrose) Injections did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal or cardiac function, and of concomitant disease or drug therapy.

Adverse Reactions

See Warnings and Precautions section of the full prescribing information.

Too rapid infusion of these CLINIMIX sulfite-free (Amino Acid in Dextrose) Injections may result in dieresis, hyperglycemia, glycosuria, and hyperosmolar coma. Continual clinical monitoring of the patient is necessary in order to identify and initiate measures for these clinical conditions.

Reactions that may occur because of the solution or the technique of administration include febrile response, infection at the site of injection, venous thrombosis or phlebitis extending from the site of injection, extravasation, and hypervol-emia. Policies and procedures should be established for the recognition and management of such reactions.

If an adverse reaction does occur, discontinue the infusion, evaluate the patient, institute appropriate therapeutic countermeasures, and save the remainder of the fluid for examination if deemed necessary.

How Supplied See Table 1 below.

Exposure of pharmaceutical products to heat should be minimized. Avoid excessive heat. Protect from freezing. It is recommended that the product be stored at room temperature (25°C/77°F): brief exposure up to 40 °C/104°F does not adversely affect the product.

Refrigerated storage is limited to 9 days once overwrap has been opened. Do not use if overwrap has been previously opened or damaged.

Be sure the contents of both chambers are mixed together after opening seal between chambers.

Table 1.

Baxter Healthcare Corporation Deerfield IL 60015 USABaxter, Clinimix and Clarity are trademarks of Baxter International Inc.Sourced from Full Prescribing Information: : 07-19-57-358 Rev. July 2010. 801441 1/12

How Supplied After mixing, the product represents

1000 mL Code and

NDC Number

2000 mL Code and

NDC Number

CLINIMIX 2.75/5 sulfite-free (2.75% Amino Acid in 5% Dextrose) Injection

Code 2B7725NDC 0338-1132-03 NA


Code 2B7726NDC 0338-1133-03

Code 2B7704NDC 0338-1089-04


Code 2B7727NDC 0338-1134-03

Code 2B7705NDC 0338-1091-04


Code 2B7728NDC 0338-1135-03

Code 2B7706NDC 0338-1093-04


Code 2B7729NDC 0338-1136-03

Code 2B7707NDC 0338-1095-04

CLINIMIX 5/15 sulfite-free (5% Amino Acid in 15% Dextrose) Injection

Code 2B7730NDC 0338-1137-03

Code 2B7709NDC 0338-1099-04

CLINIMIX 5/20 sulfite-free (5% Amino Acid in 20% Dextrose) Injection

Code 2B7731NDC 0338-1138-03

Code 2B7710NDC 0338-1101-04

CLINIMIX 5/25 sulfite-free (5% Amino Acid in 25% Dextrose w) Injection

Code 2B7732NDC 0338-1139-03

Code 2B7711NDC 0338-1103-04


The Dudrick research Symposium is named in honor of Dr. Stanley J. Dudrick whose pioneering research led to the landmark development of parenteral nutrition. The annual Stanley Dudrick research Scholar Award recognizes and supports an A.S.P.E.N. member/investigator in their early to mid-career who has shown significant achievement and who demonstrates exceptional research productivity and potential. The annual award recipient plans the Dudrick research Symposium for Clinical Nutrition Week the following year.

The 2012 recipient, rose Ann DiMaria-Ghalili, PhD, rN, CNSC is currently an Associate Professor of Nursing and Nutrition Sciences in the College of Nursing and Health Professions at Drexel university. Her research focuses on the impact of nutrition on surgical recovery and health outcomes in older adults; malnutrition screening and assessment in older adults across the care continuum; and the relationship of nutrition, physical performance, inflammation and frailty in older adults. Currently, Dr. DiMaria-Ghalili’s research team is conducting a longitudinal study on the impact of body composition changes on health outcomes in older adults undergoing cardiac surgery. Also in preparation is a transdisciplinary study infusing smart technology in the nutritional care of older adults.

Dr. DiMaria-Ghalili has planned an extraordinary program featuring research that will cover gaps in the continuum of care for recently discharged older adults and how this could impact hospital readmissions; changes in nutritional status in hospitalized older adults and impact on recovery; and protein and muscle metabolism, including optimal protein intake to enhance muscle building and prevent muscle loss. The Dudrick research Symposium will revisit the issues

of malnutrition in older adults by highlighting the latest scientific advances and practice implications of functional decline, nutrition assessment and policy implications of nutrition interventions in older adults.

FaCulTy aNd ToPICSAre Malnourished Older Adults Ready to Be Discharged? Nadine Sahyoun, PhD, FADA, rD, Associate Professor, Nutritional Epidemiology, Department of Nutrition and Food Science, university of Maryland, College Park, MD

Impact of Malnutrition in Older Adultsrose Ann DiMaria-Ghalili, PhD, rN, CNSC, Associate Professor, Doctoral Nursing Department, Nutrition Sciences Department, College of Nursing and Health Professions, Drexel university, Philadelphia, PA

Pathophysiology of Functional Decline William J. Evans, PhD, Adjunct Professor, Division of Geriatrics, Department of Medicine, Duke university; Vice President, Head-Muscle Metabolism DPu, Metabolic Pathways Cardiovascular unit, GlaxoSmithKline, research Park Triangle, NC

ModERaToRrose Ann DiMaria-Ghalili, PhD, rN, CNSC, Associate Professor, Doctoral Nursing Department, Nutrition Sciences Department, College of Nursing and Health Professions, Drexel university, Philadelphia, PA

lEaRNING obJECTIVES1. Examine the gaps in the continuum of care for

recently discharged older adults and how this impacts hospital readmission

2. Explore the implications of early and late recovery on nutrition status in hospitalized older adults

3. Apply evidence-based strategies to reduce muscle loss and functional decline in hospitalized older adults


Monday

dudrick Research Symposium: Revisiting Malnutrition in older adults (M10)

2.11.13

8:00 – 9:30 am


Day 3

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10:30 am – 12:30 pmPremier Paper Session and live Vars award Competition (M20) A.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 forCNW13. This is your opportunity to hear about, firsthand 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 onsite 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 CNW13!


2:00 – 4:00 pmPharmaconutrition in the Critically Ill: What the Most Current Evidence Shows (M30) FaCulTy aNd ToPICSGlutamine: Where Do We Go From Here? 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

Fish Oil: Creating Clarity from Confusion 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

Zinc Supplementation in the Critically Ill: What Do We Know? renee Stapleton, MD, PhD, Assistant Professor of Medicine, Division of Pulmonary and Critical Care, university of Vermont College of Medicine, burlington, VT

Antioxidants: New Data William Manzanares, MD, PhD, Assistant Professor, Department of Critical Care, universidad de la república, Montevideo, uruguay

Anabolic and Anti-Catabolic Therapy in Burn Injury and Critical IllnessMarc 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

ModERaToRSDaren 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

William Manzanares, MD, PhD, Assistant Professor, Department of Critical Care, universidad de la república, Montevideo, uruguay

lEaRNING obJECTIVES1. Assess the current evidence on pharmaconutrition

in the critically ill2. Summarize the most current evidence showing our last

systematic review and meta-analysis in this field3. recommend actions in order to improve nutritional

therapy in clinical practice and conduct future researches on pharmaconutrition in the critically ill


CNW FactsIt’s Easy to Convince your boss That you Must Attend CNW13!

Need a strong argument for attending? Just visit www.nutritioncare.org/cnw for a Justification Toolkit that demonstrates the educational and financial value of attending. Everything you need to make a strong case is ready for you!


2:00 – 3:30 pmHome Parenteral Nutrition Patient Registries: an International Perspective (M31)FaCulTy aNd ToPICSSustainTM: A.S.P.E.N.’s National Patient Registry for Nutrition Care: A Two-year Data AnalysisEzra Steiger, MD, FACS, FASPEN, Professor of Surgery, Department of General Surgery, Cleveland Clinic, Cleveland, OH

The Canadian Home TPN Registry: 5 Year Nutritional Outcomes, Complications and Mean SurvivalJohane Allard, MD, FrCP, Professor of Medicine, Department Director, Division of Gastroenterology, university of Toronto, Toronto, ON, Canada

Home Parenteral Nutrition: An International Benchmarking ExerciseJanet baxter, rD, PhD, Specialist Dietitian - Education in the Medical Curriculum, Ninewells Hospital & Medical School; Manager of Care of burns in Scotland (CObIS), National Managed Clinical Network, Kingscross Health & Community Care Centre, Dundee, united Kingdom

ModERaToRMarion 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

lEaRNING obJECTIVES1. Identify gaps in clinical care as they relate to the

management of home parenteral nutrition2. Compare and contrast international demographics for

HPN-dependent patients, as well as patient outcome and survival data

3. Establish benchmarks for best practice for home parenteral nutrition

uAN: 0216-0000-13-026-L04-PLEVEL: basicPresented by the SustainTM Scientific and Operational Councils

2:00 – 3:30 pmFeeding aversions and Eating disorders across the age Spectrum (M32)

FaCulTy aNd ToPICSPresentation and Evaluation of Young Children with Disordered Feeding ProblemsMitchell Katz, MD, Director, Pediatric Gastroenterology and Nutrition, Children’s Hospital of Orange County, Orange, CA

Nutritional and Therapeutic Management of Children with Feeding Problems by a Multidisciplinary Feeding ProgramJessica brown, rD, CNSC, CSP, Clinical Dietitian, Department of Clinical Nutrition and Lactation, Children’s Hospital of Orange County, Orange, CA

Primer on Diagnosis and Management of Eating Disorders in Adolescents and Young AdultsGary Strokosch, MD, Associate Professor, Pediatrics and Adolescent Medicine, rush university Medical Center, Chicago IL

ModERaToRTimothy Sentongo, MD, AbPNS, Associate Professor of Pediatrics, Director, Pediatric Nutrition Support, The university of Chicago Medical Center, Chicago, IL

lEaRNING obJECTIVES1. Evaluate a child presenting with disordered feeding behavior 2. Describe the importance of multidisciplinary feeding

programs in treating children with feeding aversions and gastrostomy dependency

3. recognize the signs and symptoms of anorexia and bulimia in adolescents and young adults

4. Analyze the various techniques used to help underweight adolescent and young adult patients resume more normal eating and recover lost weight


2:00 – 3:30 pmCutting-edge Nutrition Strategies for Irritable bowel Syndrome (IbS) (M33)FaCulTy aNd ToPICSNutraceutical Supplements for IBS: Hype or Help?Gerard 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

Food Sensitivities and IBSLaura E. Matarese, PhD, rD, LDN, FADA, CNSC, Associate Professor, Gastroenterology, Hepatology and Nutrition, brody School of Medicine, East Carolina university, Greenville, NC

FODMAPs - The New Frontier for Treatment of IBSCarol Ireton-Jones, PhD, rD, LD, CNSC, FACN, Consultant in Private Practice, Carrollton, Tx

ModERaToRGerard 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

lEaRNING obJECTIVES1. Describe the use of nutraceuticals for the treatment of IbS2. Evaluate the role of food sensitivities and intolerances in the

pathophysiology and management of IbS3. Explain the use of FODMAPs for the treatment of IbS

uAN: 0216-0000-13-028-L04-PLEVEL: AdvancedPresented by the A.S.P.E.N. Medical Practice Section

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TWo-PaRT NuTRITIoN-FoCuSEd PHySICal aSSESSMENT WoRkSHoPSpace for these two sessions is limited to 75 participants each. When registering for CNW13 online, be sure to sign-up for one or both of these sessions. If you decide to sign up for one of these sessions after you complete your CNW13 registration, please visit www.nutritioncare.org/cnw13/workshop. There is no additional fee to participate in either of these sessions.

lEaRNING obJECTIVES1. Describe the components of nutrition-focused

physical assessment2. Demonstrate novice skills in completing nutrition-focused

physical examination. Skills will include: assessing abdominal and functional status, and reviewing x-rays to determine feeding tube as well as central line placement

3. Develop a nutrition care plan including the nutrition diagnosis, nutrition intervention, and reassessment plan using the information obtained in nutrition-focused physical assessment to develop a nutrition care plan

2:00 – 3:30 pmPart 1: abdominal assessment and Interpretation of abdominal Radiography for Feeding Tube Placement and Skin assessment for micronutrient deficiencies (m34)FaCulTy aNd ToPICSINTErACTIVE TrAINING:Abdominal Assessment – Use of StethoscopeMary Marian, MS, rD, CSO, Clinical Dietitian and Lecturer, university of Arizona College of Medicine, Tucson, AZNeha Parekh, MS, rD, LD, CNSC, Project Manager, Intestinal rehabilitation and Transplant, Cleveland Clinic, Cleveland, OHJennifer Wooley, MS, rD, CNSC, Patient Food and Nutrition Services, university of Michigan Hospital, Ann Arbor, MI

Interpretation of Abdominal X-Rays for Enteral Feeding Tube PlacementGail Cresci, PhD, rD, LD, CNSC, Assistant Professor, Department of Gastroenterology and Pathobiology, Cleveland Clinic, Cleveland, OH

Jennifer Wooley, MS, rD, CNSC, Patient Food and Nutrition Services, university of Michigan Hospital, Ann Arbor, MI

Interpretation of Micronutrient Status by Skin EvaluationCindy Hamilton, MS, rD, LD, CNSD, Director, Center for Human Nutrition, Cleveland Clinic, Cleveland, OH

Tying it all Together: Correlating Physical Signs with Clinical DataGail Cresci, PhD, rD, LD, CNSC, Assistant Professor, Department of Gastroenterology and Pathobiology, Cleveland Clinic, Cleveland, OH

ModERaToRMarsha Stieber, MSA, rD, CNSC, Independent Nutrition Education Consultant; Clinical Practice Consultant, A.S.P.E.N., Mesa, AZ

uAN: 0216-9999-13-029-L04-PLEVEL: Intermediate Contributed by Dietitians in Nutrition Support – a practicegroup of the Academy of Nutrition and Dietetics

4:00 – 5:30 pmPart 2: Hand-grip dynamometry, Interpretation of Radiography for Central line Placement and Global assessment for Malnutrition (M40)FaCulTy aNd ToPICSINTErACTIVE TrAINING:Interpretation of X-rays for Central Line Placement for Parenteral NutritionLindsay Dowhan, MS, rD, CSO, CNSC, LD, Nutrition Support Clinician, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH

Hand-grip DynamometryMary russell, MS, rD, LDN, Director, Nutrition Services, university of Chicago Hospitals, Chicago IL

Global Skin AssessmentCindy Hamilton, MS, rD, LD, CNSD, Director, Center for Human Nutrition, Cleveland Clinic, Cleveland, OH

Tying it all Together: Correlating Physical Signs with Clinical DataAinsley Malone, MS, rD, LD, CNSC, Nutrition Support Dietitian, Nutrition Support Team, Pharmacy Department, Mt. Carmel West Hospital, Columbus, OH

ModERaToRMary Hise, PhD, rD, LD, CNSD, Director, Medical Affairs, IV Therapy, Nutrition, baxter Healthcare Corporation, Deerfield, IL

uAN: 0216-9999-13-030-L04-PLEVEL: IntermediateContributed by Dietitians in Nutrition Support – a practice group of the Academy of Nutrition and Dietetics


4:00 – 5:30 pmThe New Standards for the Hospitalized Pediatric Patient: 2013 (M41)

FaCulTy aNd ToPICSPediatric Nutrition Support: Implementation and MonitoringElaina Szeszycki, PharmD, bCNSP, Clinical Pharmacist, Nutrition Support and Pediatric Gastroenterology, riley Hospital for Children at Indiana university Health, Indianapolis, IN

Nutrition Support in the Hospitalized Pediatric Patient: Organization and CareLinda Muir, MD, Chief, Pediatric Gastroenterology, Oregon Health Sciences university, Portland, Or

ModERaToRMark r. Corkins, MD, CNSP, SPr, FAAP, Division Chief Pediatric Gastroenterology, Professor of Pediatrics, university of Tennessee Health Sciences Center, Memphis, TN

lEaRNING obJECTIVES1. Explain important changes in the pediatric hospital

patient standards 2. Translate new literature into usable points to optimize care

of pediatric patients in the hospital setting3. utilize the published literature as a guide for directing

hospital pediatric nutrition care

uAN: 0216-0000-13-031-L05-PLEVEL: basicPresented by the A.S.P.E.N. Pediatric Section

4:00 – 5:30 pmbiomarkers (M42)FaCulTy aNd ToPICSBiomarkers in Metabolic Syndromerocco barazzoni, MD, PhD, Professor, Department of Clinical Sciences, Department of Medical and Surgical Health, university of Trieste, Trieste, Italy

Biological Effects of n-3 Fatty Acids: Do We Have Biomarkers?Pierre Singer, MD, Chairman, Department of Anesthesiology and Intensive Care, Sackler School of Medicine, Tel-Aviv university; Critical Care Medicine and Institute for Nutrition research, rabin Medical Center, beilinson Hospital, Petah Tikva, Israel

Biomarkers of Inflammation and Immune FunctionPhilip Calder, bSc(Hons), PhD, DPhil, rNutr, Professor of Nutritional Immunology, School of Medicine, university of Southampton, Southampton, united Kingdom

ModERaToRPierre Singer, MD, Chairman, Department of Anesthesiology and Intensive Care, Sackler School of Medicine, Tel-Aviv university; Critical Care Medicine and Institute for Nutrition research, rabin Medical Center, beilinson Hospital, Petah Tikva, Israel

lEaRNING obJECTIVES1. Examine how inflammatory cytokines, vascular adhesion

factors, antioxidants, C-reactive protein (CrP) as well as vitamins and procalcitonin have changed our approach to clinical follow up of the patient with nutritional deficiency

2. Explore why biomarkers in metabolic syndrome are of importance

3. understand how dietary omega-3 fatty acids are associated with plasma biomarker levels, reflecting lower levels of inflammation and endothelial activation in various disease states

uAN: 0216-9999-13-032-L04-PLEVEL: AdvancedContributed by the European Society for Clinical Nutrition and Metabolism (ESPEN)

4:00 – 5:30 pmTransforming ICu Nutrition Support Practice with Clinical Ethics (M43) FaCulTy aNd ToPICSWhy and How to Apply Clinical Ethics in Nutrition SupportDenise Schwartz, MS, rD, FADA, CNSD, Nutrition Support Coordinator, Providence St. Joseph Medical Center, burbank, CA

International Perspective on Clinical Ethics in Nutrition SupportAlessandro Pontes-Arruda, MD, MSc, PhD, FCCM, Director, Intensive Care Department, Fernandes Tavora Hospital, Fortaleza, Ceara, brazil

What Can A.S.P.E.N. Do to Facilitate Applying Clinical Ethics to Nutrition Support?John r. Wesley, MD, FACS, FAAP, FASPEN, Adjunct Professor of Surgery, Feinberg School of Medicine, Northwestern university, Children’s Memorial Hospital, Chicago, IL

ModERaToRAlbert barrocas, MD, FACS, Chief Medical Officer, South Fulton Medical Center, Atlanta, GA

lEaRNING obJECTIVES1. Apply clinical ethics in nutrition support, including

the nutrition care process for the initial assessment and reassessments

2. Analyze different healthcare models that combine clinical ethics and nutrition support

3. Evaluate opportunities to improve clinical ethics and nutrition support practice in A.S.P.E.N. and other healthcare organizations


INGREdIENTS: Six pre-conference immersion courses

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4:00 – 5:30 pm

Focused learning Sessions (Fl2)Here’s your opportunity for an up-close and personal experience with the experts. The CNW13 Focused Learning Sessions will promote discussion on specific nutrition support topics. Sessions will be organized by topics and you will have an opportunity to talk in small groups with the faculty and with 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.

REdCapSession description to be announced.

Removal of the Enteral Feeding Tube: When Is The Right Time?Caroline Ng, MS, rD, LD, GI Nutrition Support Dietitian, Gastroenterology, Scott and White Healthcare, Temple, Tx

Talitha Thompkins, rN, GI Nurse Clinician, Gastroenterology, Scott and White Healthcare, Temple, Tx

1. Identify the indications to terminate enteral nutrition2. Determine the appropriate timing to increase oral intake3. Evaluate the risk factors involved in early termination of

enteral nutrition

Pediatric Subjective Global assessment

Sarah Vermilyea, MS, rD, CSP, CD, CNSD, Pediatric Dietitian, Critical Care and Trach/Vent Clinic, Children’s Hospital of Wisconsin, Milwaukee, WI

Jodi Wolff, MS, rD, CNSC, Pediatric Clinical Dietitian, Clinical Nutrition, rainbow babies and Children’s Hospital, Cleveland, OH

1. Describe the components of Pediatric Subjective Global Assessment

2. Identify which patients and populations may benefit from the use of Pediatric Subjective Global Assessment compared to objective nutrition assessment methods

3. Implement Pediatric Subjective Global Assessment in an institution

living with Home Parenteral Nutrition: The Clinician as a Patientrex Speerhas, rPh, bCNSP, Nutrition Support Clinical Specialist, Pharmacy Department, Cleveland Clinic, Cleveland, OH

1. Describe the view of a clinician as a patient2. Compare the differences between the view of a clinician and

a consumer of home PN3. Discuss the consumer’s perspective of home PN from the

clinician’s point of view

Current Feeding Strategies to Prevent Postnatal Growth Failure in Very low birth Weight (VlbW) Infants

Heather Hendrikson, rD, CSP, LD, Clinical Dietitian, Nutrition Services, baylor university Medical Center/ArAMArK, Dallas, Tx

1. Evaluate current evidence supporting the importance of initiating early nutrition support in preterm infants with emphasis on providing adequate protein

2. Discuss available options for fortification of feeds for a preterm infant with pros and cons for each method

3. Develop quality improvement initiatives to decrease nutritional deficit in preventing and eliminating postnatal growth failure in VLbW infant

Management of occluded Feeding TubesVanessa Kumpf, PharmD, bCNSP, Clinical Pharmacist, Nutrition Support, Center for Human Nutrition, Vanderbilt university Medical Center, Nashville, TN

beth Lyman, rN, MSN, CNSC, Senior Program Coordinator for the Nutrition Support Team, Gastroenterology, Children’s Mercy Hospital, Kansas City, MO

1. Describe methods used to restore patency of occluded feeding tubes

2. Identify limitations to the various methods used when feeding tubes become occluded

3. Design a protocol for managing adult and pediatric patients with occluded feeding tubes

Gastric acid SuppressionKris M. 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

Diana L. Wells, PharmD, bCPS, Assistant Clinical Professor, Harrison School of Pharmacy, Auburn university, Auburn, AL

1. List three clinical indications for gastric acid suppression2. Identify two medications appropriate for acid suppression in

the patient receiving parenteral and/or enteral nutrition and list dosage recommendations

3. Discuss potential complications associated with long-term acid suppression and how to determine an end point for the therapy

CNW Factsyou Can Save Money if you register by November 14!Why pay more? register by November 14 and save up to $100 on the full conference fee and $20 off some pre-conference program fees. See page 47 for details.


Nutrition Care in Pediatrics: Continuum of Care from admission to discharge and beyond

Judy bailer, rD, CNSC, LDN, Clinical Dietitian, Clinical Nutrition, Children’s Hospital of Philadelphia, Philadelphia, PA

1. Identify pertinent events in medical and nutrition history that affect a successful hand-off to ensure continuity in the nutrition care process

2. understand and apply structured hand-off techniques3. Communicate strategies for successful hand-offs between

nutrition practitioners and among members of the multi-disciplinary team

Presented by the Philadelphia Area Society for Parenteral and Enteral Nutrition

From Print to Practice: bridging the Gap in the Implementation of kidney disease Practice GuidelinesMarcia Kalista-richards, MPH, rD, CNSC, LDN, renal Nutrition Support Dietitian, Department of Nutrition, Cedar Crest College, Allentown, PA

1. List the nutritional needs of patients at all stages of kidney disease along with renal replacement therapy modalities

2. Develop a nutrition care plan incorporating practice guidelines based on chronic kidney disease (CKD) level and consideration of renal replacement therapy (rrT) implemented

3. Identify intervention strategies used to address protein energy wasting in the CKD patient

Presented by the Philadelphia Area Society for Parenteral and Enteral Nutrition

The Challenges and Rewards of Establishing a Nutrition Fellowship for PhysiciansVihas Patel, MD, FACS, CNSC, Director, Metabolic Support Service and Surgical Nutrition Fellowship, brigham and Women’s Hospital, boston, MA

Naomi Shimizu, MD, Co-Director, Surgical Nutrition Fellowship, brigham and Women’s Hospital, boston, MA

1. Demonstrate the need for educational fellowships for physicians practicing nutrition support

2. Design the ideal fellowship model3. Identify barriers to success and construct solutions to

funding, recruitment and accreditation challenges

Safely Incorporating the Internet, E-Mail and Social Media into your PracticeLillian Harvey-banchik, MD, FACS, CNSP, Private Practice, Department of Surgery, North Shore university Hospital, Manhasset, Ny

1. Discuss the various forms of electronic communication available to the healthcare provider

2. review the methods used to safely employ these forms of communication

3. Summarize the potential risk of HIPAA violations due to the inadvertent exposure of patient information

drug-induced Electrolyte disorders: a Case-based approachNicole Keller, PharmD, bCNSP, Critical Care/Nutrition Support Clinical Pharmacy Specialist, Michael E. Debakey VA Medical Center, Houston, Tx

Anne Tucker, PharmD, bCNSP, Clinical Associate Professor, university of Houston College of Pharmacy, Houston, Tx

1. review normal electrolyte values2. Identify medications that cause electrolyte disorders3. Develop a strategy to manage the drug-induced

electrolyte disorder

Focused Learning Sessions (FL2) continued

CNW FactsThe Poster Exchange Showcases research and best PracticesJoin us in the Exhibit Hall on Sunday, February 10 and Monday, February 11 from 12:45 – 1:45 pm for one-on-one discussions at the Poster Exchanges. Poster Professors will guide you through the top-scoring posters in each topic area. Scientific and practice posters will be displayed side-by side, giving you both the cutting-edge science and best-practices of nutrition support and metabolic care for each topic.

Posters will be on display throughout CNW13 during exhibit hours.

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Management of the lipid Restricted Pediatric Parenteral Nutrition (PN) Patient

Mary beth Harris, MPH, rD, Clinical Dietitian, Pediatric Surgery, C.S. Mott Children’s Hospital, university of Michigan, Ann Arbor, MI

Megan Perkowski, MS, rD, Clinical Dietitian, Pediatric Surgery, C.S. Mott Children’s Hospital, university of Michigan, Ann Arbor, MI

1. Describe the rationale for lipid restricted PN for prevention/management of parenteral nutrition-associated liver disease (PNALD)

2. Outline strategies for implementing and monitoring lipid restricted PN

3. Discuss challenges of lipid restricted PN in both the hospital and home PN patient

Revamping ICu Feeding Protocols to Improve the delivery of Enteral Nutrition TherapyJessica Stangenes, rD, LD, Surgical ICu Dietitian, Clinical Nutrition, university of Minnesota Medical Center – Fairview, Minneapolis, MN

1. Identify areas for improvement in practice in your clinical setting

2. Evaluate and report on current practice in order to gain support for process improvement projects

3. Describe methods to organize and deploy process improvement in the clinical setting

The use of Informatics to Evaluate Clinical outcomes of Systematic Nutritional Evaluation and Intervention: an Example from an oncology ProgramCarolyn Lammersfeld, MS, rD, CSO, LD, CNSC, Vice President of Integrative Medicine, Cancer Treatment Centers of America, Zion, IL

Pankaj Vashi, MD, Lead National Medical Director, Department of Gastroenterology and Nutrition, Cancer Treatment Centers of America, Zion, IL

1. Evaluate the use of informatics to obtain outcomes of nutritional interventions in oncology

2. Analyze informatics data to determine the impact of nutritional interventions in oncology

3. Describe the power of informatics in evaluating nutritional outcomes and quality improvement

6:15 – 7:30 pmSpecialty Interest Section MeetingsPlan to join your colleagues for a great networking opportunity at one of A.S.P.E.N.’s specialty interest section meetings. These section meetings provide time for exchanging ideas and interacting with colleagues who have similar areas of professional interest. Many section meetings include presentations by expert faculty and time for discussion. Sections are free with your A.S.P.E.N. membership. Specialty interest sections include renal, Home/Alternate Site Care, Veteran and Military Affairs, Pediatric, IbErO/Latin American (ILAS), research and Drug-Nutrient Interactions. Additionally, a new interest group focused on pediatric intestinal failure will be forming and meeting for the first time at CNW13, and details will be available onsite!

CNW Factsyou can Participate in CNW13 Sessions from your Computer!

Can’t join us in Phoenix? No problem— we’ll bring the sessions right to you with our new and improved virtual platform! The CNW13 Virtual Conference delivers access to 11 sessions, and is an easy, affordable way to participate in the conference. Plus you can earn CE credits. All you need is a computer and Internet connection to join us. See page 3 for details.


Tuesday2.12.13


Day 4

The rhoads Lecture is the highest and most prestigious of A.S.P.E.N.’s annual awards. This honor recognizes Dr. Rhoads’ pivotal role in the field of nutrition support therapy. The lecturer is recognized internationally for major contributions to the field of nutrition support therapy and has demonstrated a career-long commitment to the improvement of the nutrition status of patients. Join A.S.P.E.N. to honor the distinguished 2013 rhoads Lecturer, Dennis M. bier, MD.

Dr. bier is Professor of Pediatrics at the baylor College of Medicine, Director of the uSDA Children’s Nutrition research Center, and was formerly Program Director of the NIH General Clinical research Center at baylor College of Medicine. He is a Fellow of the American Association for the Advancement of Science, a Fellow of the American Society for Nutrition, a member of the Institute of Medicine of the National Academies of Science and former Chairman of the Institute’s Food and Nutrition board.

Dr. bier serves as Editor-in-Chief of The American Journal of Clinical Nutrition, Associate Editor of the Annual Review of Nutrition and was a former Editor-in-Chief of Pediatric Research. Previously, Dr. bier was President of the American Society for Nutrition (with Dr. Naomi Fukagawa), the American Society for Nutritional Sciences, the American Society of Clinical Nutrition, and the NIH General Clinical research Centers Programs Directors Association. He has also been Councilor of the American Pediatric Society, Chairman of the NIH Nutrition Study Section, Chairman of the NIH General Clinical research Centers Committee, a member of the Institute of Medicine of the National Academies of Science and Chairman of the Institute’s Food and Nutrition board, and a member of the FDA Pediatric Advisory Committee and the FDA Food Advisory Committee.

Dr. Bier has authored more than 250 scientific publications and, for his research work, he has received the Nutrition Award from the American Academy of Pediatrics, the E.V. McCollum Award from the American Institute of Nutrition, the Grace A. Goldsmith Award from the American College of Nutrition, and the General Clinical research Centers Award for Excellence in Clinical research from the NIH. We hope you join us for an exciting awards ceremony featuring a presentation by Dr. bier.

dr. bier’s abstract:The Nobel Laureate, Werner Heisenberg, said “Since the measuring device has been constructed by the observer…we have to remember that what we observe is not nature in itself, but nature exposed to our method of questioning.” Perhaps in no other field has the method of questioning produced such disparate views as it has in nutrition. For example, observational studies of dietary habits have produced views of nature that are often diametrically different from views obtained via randomized controlled trials. Plausible hypotheses can be constructed to account for some of the differences, but others are not easily rectified. In addition, there is the fundamental problem that bedevils confidence in nutrition evidence at every level. Thus, while nutrition is the science of food, we have only rudimentary knowledge of the full bioactive constituents of foods. Moreover, our ability to measure, with any real degree of accuracy and precision, what people actually eat in the free-living condition is limited at best. What, then, can we say about providing Evidence-based Nutrition - and at what level of evidence? The conditions of “proof” are the same among all the “hard sciences,” conditions long agreed to as the “Scientific Method.” Should nutrition be excepted because satisfying the conditions in practice is difficult or impossible? Or should we just admit that our final answer is “maybe”?

FaCulTyDennis M. bier, MD, Director, uSDA Children’s Nutrition research Center; Professor of Pediatrics, baylor College of Medicine, Houston, Tx


Rhoads lecture and awards Ceremony – Nutrition: dragged kicking and Screaming into the Evidence-based Century (T10) 8:00 – 9:30 am

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10:00 am – 12:00 pmIs My Patient Malnourished? (T20) FaCulTy aNd ToPICSFeasibility and Validity of Malnutrition Markers and CharacteristicsGordon Jensen, MD, PhD, Professor and Head, Department of Nutritional Sciences, Pennsylvania State university, university Park, PANutrition Care in Canadian Hospitals: Prevalence of Malnutrition, Outcomes and Nutrition Care ProcessesHeather Keller, rD, PhD, FDC, Professor, Schlegel research Chair, Nutrition & Aging, Department of Kinesiology, university of Waterloo, Waterloo, ON, CanadaMoving Toward a Unifying Diagnosis of Pediatric MalnutritionNilesh Mehta, MD, Associate Medical Director, Critical Care Medicine, boston Children’s Hospital; Assistant Professor of Anesthesia, Harvard Medical School, boston, MALate Breaking News: Data from Nutrition Assessment Current Practices SurveyAinsley Malone, MS, rD, LD, CNSC, Nutrition Support Dietitian, Nutrition Support Team, Pharmacy Department, Mt. Carmel West Hospital, Columbus, OH

ModERaToRAinsley Malone, MS, rD, LD, CNSC, Nutrition Support Dietitian, Nutrition Support Team, Pharmacy Department, Mt. Carmel West Hospital, Columbus, OH

lEaRNING obJECTIVES1. Identify the feasibility and validity potential with use

of adult malnutrition characteristics and markers in nutrition assessment

2. Describe the Canadian Malnutrition Task Force mission and activities to ameliorate malnutrition and identify how the study results are being used to leverage and develop culture change for nutrition care

3. Create a definition for pediatric malnutrition and communicate the parameters that define pediatric malnutrition

4. Examine current practice patterns with use of markers and characteristics in nutrition assessment

uAN: 0216-9999-13-035-L01-PLEVEL: basicPlanned in collaboration with the A.S.P.E.N. Malnutrition Committee, the Canadian Nutrition Society and the A.S.P.E.N. Pediatric Section

10:00 – 11:30 amTopics in Critically Ill Surgical Patients (T21) FaCulTy aNd ToPICSProlonged Preoperative Fast: Why Should We Discourage It?José Aguilar-Nascimento, MD, PhD, Professor, Department of Surgery, Federal university of Mato Grosso, Cuiabá, brazil

Acute Intestinal Failure in Critically Ill PatientsMario Ignacio Perman, MD, Former Head, Intensive Care unit; Nutrition Support Coordinator, Department of Internal Medicine, Italian Hospital, buenos Aires, Argentina

Sarcopenia in The Critically Ill: Features and FrameworkAlberto Mijan de la Torre, MD, PhD, CNSC, Coordinator, Clinical Nutrition unit, Internal Medicine, burgos university Hospital, burgos, Spain

ModERaToRGustavo Kliger, MD, Chief, Clinical Nutrition Service and Nutrition Support unit, Austral university Hospital, buenos Aires, Argentina

lEaRNING obJECTIVES1. Provide the tools to understand the deleterious effects of

fasting in the preoperative period2. update diagnostic and prognostic aspects of acute

intestinal failure in critically ill patients3. Define and categorize the concept of sarcopenia in the

critically ill

uAN: 0216-9999-13-036-L04-PLEVEL: basicContributed by the Latin American Federation of Nutritional Therapy, Clinical Nutrition and Metabolism (FELANPE)

10:00 – 11:30 amTransitional Care: Growing up and Independent on HPEN (T22) FaCulTy aNd ToPICSGuiding a Child Dependent on HPEN to Independence: A Parent’s PerspectiveAnn Weaver, Consumer Advocate, Thriverx, Naperville, IL

Transitioning Youth with Special Needs to Adult CareParag Shah, MD, Chronic Illness Transition Medical Director, Department of Pediatrics, Children’s Memorial Hospital, Chicago, IL

Taking Charge: A Young Adult’s Journey to IndependenceTimothy Weaver, PN Consumer, Naperville, IL

ModERaToRJoan bishop, Executive Director, The Oley Foundation, Albany, Ny

lEaRNING obJECTIVES1. Outline the importance of preparing all teens with special

health care needs for adult life and improve health care competency in order to ensure a successful transition to adult health care

2. Describe common medical knowledge and skills HPEN youth need for successful independent self care, ways parents/caregivers can aid in this process, and challenges that families need to overcome

3. Communicate the importance of gradually involving HPEN youth in their care at an early age and the need for HPEN youth to build bonds and relationships with peers through affiliation with organizations such as The Oley Foundation.

uAN: 0216-9999-13-037-L04-PLEVEL: basicContributed by The Oley Foundation


10:00 – 11:30 amNutritional Challenges of the Post-operative bariatric Surgery Patient: avoiding the Pitfalls (T23)FaCulTy aNd ToPICSMetabolic vs. Bariatric Surgery and Management Considerations Depending on Type of Bariatric ProcedureMalcolm K. robinson, MD, Assistant Professor, Department of Surgery, Harvard Medical School/brigham and Women’s Hospital, boston, MA

Pregnancy After Bariatric SurgeryKris M. Mogensen, MS, rD, LDN, CNSC, Team Leader Dietitian, Department of Nutrition, brigham and Women’s Hospital, boston, MA

Neurological Complications Associated with Bariatric SurgeryThomas r. Ziegler, MD, Professor of Medicine, Division of Endocrinology, Metabolism and Lipids, Emory university School of Medicine, Atlanta, GA

Management of Reactive Hypoglycemia in the Bariatric Surgery PatientLorraine young, MS, rD, LDN, CNSD, Home Nutrition Support Manager, Department of Endocrinology, Diabetes and Nutrition, boston Medical Center, boston, MA

ModERaToRMalcolm K. robinson, MD, Assistant Professor, Department of Surgery, Harvard Medical School/brigham and Women’s Hospital, boston, MA

lEaRNING obJECTIVES1. Summarize two major nutritional concerns in the pregnant

post-bariatric surgery patient2. Identify two potential nutritional causes of neurological

deficits in post-bariatric surgery patients3. Describe two nutritional challenges of glucose metabolism

and management in the post-bariatric surgery patient


10:00 – 11:30 amCan Nutrition Prevent Never Events? (T24)Session description to be announced.


1:00 – 2:30 pmour Gut Microbiota: Friend or Foe? (T30) FaCulTy aNd ToPICSEarly Microbial Dysbiosis Predicts Necrotizing Enterocolitis: Does it Offer a Target for Nutritional Intervention?Ardythe L. Morrow, PhD, MSc, Professor, Perinatal Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

Linking Diet to Crohn’s Disease: A Dietary Component Maltodextrin Increases Biofilm Formation and Adhesiveness of E. coliChristine McDonald, PhD, Assistant Staff, Department of Pathobiology, Cleveland Clinic, Cleveland, OH

ModERaToRGail Cresci, PhD, rD, LD, CNSC, Assistant Professor, Department of Gastroenterology and Pathobiology, Cleveland Clinic, Cleveland, OH

lEaRNING obJECTIVES1. Learn three key characteristics of intestinal colonization that

differ between preterm infants and term infants2. Identify early patterns of microbial colonization in

preterm infants that may indicate which will later develop necrotizing enterocolitis

3. Identify nutritional interventions that may influence neonatal intestinal colonization, and the evidence regarding these strategies in preterm infants

4. Outline the current etiology of inflammatory bowel disease emphasizing the role of the gut microbiota

5. Explain how diet influences characteristics of the gut microbiota linking these alterations to inflammatory bowel disease


CNW FactsComing Soon…CNW13 Mobile App!

Take your conference experience to the next level with the new mobile application for your iPhone®, iPad®, Android™ or Smartphone. With easy-to- use-features and a comprehensive guide to CNW13 activities, this digital resource will help you make the most of your time at the conference.

With this free app, you’ll be able to: • build and access a customized schedule • Share contact information and messages

with other conference attendees • Find your way with maps of the Phoenix

Convention Center and local Phoenix area• Plan your time in the Exhibit Hall

register for the conference and we will send access information when the app is released.

Sponsored by Fresenius Kabi

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1:00 – 2:30 pmoutcomes based Nutrition Research in the ICu: Generating knowledge, Synthesizing Evidence & quality Measures (T31)FaCulTy aNd ToPICSCanadian Clinical Practice Guidelines in 2012: What Are The Latest Recommendations?rupinder Dhaliwal, rD, Executive Director, NuTrIC, Clinical Evaluation research unit, Queens university, Kingston General Hospital, Kingston, ON, Canada

Can We Optimize the Amount of Protein and Calories: Predicting Who Needs Nutrition Most 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

Quality Improvement Initiatives and Nutrition Tools in the ICUMichele McCall, rD, MSc, Critical Care Dietitian, Specialized Complex Care Program, St. Michael’s Hospital, Toronto, ON, Canada

ModERaToRJohn Drover, MD, Associate Professor, Chair and Medical Director of Critical Care Program, Department of Surgery, Kingston General Hospital, Kingston, ON, Canada

lEaRNING obJECTIVES1. Explain the nature of the evidence related to optimal amount

of calories/protein and key variables to consider when assessing nutrition risk in ICu

2. review the latest 2012 recommendations from the Canadian Critical Care Nutrition Clinical Practice Guidelines

3. Describe several quality improvement opportunities in nutrition research in the ICu including a bedside monitoring tool


1:00 – 2:30 pmdrug administration in Patients Receiving Nutrition Support (T32)FaCulTy aNd ToPICSAdministering Medications in the Enterally Fed Patient: To Hold or Not to Hold?Mark Klang, MS, rPh, bCNSP, PhD, Core Facility Head, research Pharmacy, Memorial Sloan-Kettering Cancer Center, New york, Ny

Challenges in Administering Medications in the PN Dependent PatientLingtak-Neander Chan, PharmD, bCNSP, Associate Professor, School of Pharmacy, Interdisciplinary Faculty, Graduate Program in Nutritional Sciences, university of Washington, Seattle, WA

Complications: Treatment and PreventionEric H. Frankel, MSE, PharmD, bCNSP, Metabolic Support Service & Neonatal Clinical Lead Pharmacist, Truman Medical Center, Kansas City, MO

ModERaToRMark Klang, MS, rPh, bCNSP, PhD, Core Facility Head, research Pharmacy, Memorial Sloan-Kettering Cancer Center, New york, Ny

lEaRNING obJECTIVES1. Evaluate the impact of holding nutrition for drug

administration and the adjustments needed to allow for adequate nutrition support

2. Appraise the limitations of literature to address specific medications considered for feeding tube administration

3. Discuss how to safely administer medications in the parenterally fed patient with limited vascular access or fluid restrictions

4. Manage occlusions caused by improperly administered medications in the patient receiving specialized nutrition support and offer ways to prevent their recurrence

uAN: 0216-0000-13-042-L01-PLEVEL: basicPresented by the A.S.P.E.N. Drug Nutrient Interaction Section


1:00 – 2:30 pmImproving Nutritional Care for oncology Patients (T33)FaCulTy aNd ToPICSPinpointing the Problem: The Role of Nutrition Screening in the Outpatient Oncology PopulationValaree Williams, MS, rD, LDN, CSO, Clinical Dietitian Specialist, Department of radiation Oncology, university of Pennsylvania Hospital, Philadelphia, PA

Enteral Nutrition Challenges: Optimizing Support for Oncology PatientsMary Marian, MS, rD, CSO, Clinical Dietitian and Lecturer, university of Arizona College of Medicine, Tucson, AZ

Enteral Nutrition Support Protocol for Head and Neck CancerChristina Chiu, MS, rD, LDN, Clinical Dietitian, Vernon Cancer Center, Newton Wellesley Hospital, Newton, MA

ModERaToRSusan roberts, MS, rD, CNSC, Assistant Director, Department of Nutrition, baylor Medical Center, Dallas, Tx

lEaRNING obJECTIVES1. Identify screening criteria used to identify oncology

patients who would benefit from a nutrition referral to achieve adequate nutrient intake

2. Implement a successful nutrition screening and referral program

3. Develop strategies to optimize enteral nutrition support for oncology patients in the outpatient setting

4. Describe the development of and rationale for a formal enteral nutrition protocol for head and neck cancer patients


1:00 – 2:30 pmComplex approach to abdominal Catastrophes (T34)FaCulTy aNd ToPICSComplex Approach to Abdominal CatastrophesLubos Sobotka, MD, Professor of Medicine, Head of Metabolic Care Clinic, Department of Metabolic Care and Gerontology, Charles university in Prague; Faculty of Medicine, Hradec Kralove, Czech republic

Metabolic Response as a Basis for Complex Approach to Abdominal CatastrophesPeter Soeters, MD, Emeritus Professor of Surgery, Department of Surgery, Maastricht university, Maastricht, Netherlands

Nutrition Support as an Important Part of the Complex Treatment of Abdominal Catastrophesrobert Martindale, MD, PhD, FACS, Chief, Division of General Surgery; Medical Director, Hospital Nutritional Services, Oregon Health and Science university, Portland, Or

ModERaToRPeter Soeters, MD, Emeritus Professor of Surgery, Department of Surgery, Maastricht university, Maastricht, Netherlands

lEaRNING obJECTIVES1. Describe the metabolic response to abdominal catastrophes2. Explain indications and possibilities of nutrition support in

abdominal catastrophes3. Identify local treatment of abdominal catastrophes including

wound healing


CNW FactsSustainTM, LLC Discussions Offer you the Latest Information

Join us for sessions about Sustain™, A.S.P.E.N.’s national patient registry for nutrition care. Three events are planned: an educational session about home parenteral nutrition (HPN) programs around the world; an informational session and users group where you’ll find out how your organization can join the growing list of those who are involved in helping us collect data about HPN consumers, plus live demonstrations throughout the conference.

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3:00 – 4:30 pmNutrition Support Throw-down: battle of the Experts (T40)dESCRIPTIoNAre you ready to witness a good old-fashioned throw down to see which team has superior knowledge of nutrition support topics? If so, then join host Gail Cresci as she welcomes Team Martindale and Team McClave who will face off against one another in a popular game show format. This is sure to be entertaining and educational!

FaCulTy aNd ToPICSTeam McClaveGlen Franklin, MD, Professor, Department of Surgery, university of Louisville School of Medicine, Louisville, Kybarbara L. Magnuson, PharmD, bCNSP, Adjunct Associate Professor, university of Kentucky College of Pharmacy, Lexington, KyStephen McClave, MD, Professor of Medicine, Division of Gastroenterology/Hepatology, university of Louisville School of Medicine, Louisville, KyAllyson Stout, rD, LD, CNSC, Clinical Dietitian, Walgreens Infusion Services, Louisville, Ky

Team MartindaleLaszlo Kiraly, MD, Co-Director, Nutrition Support Service, Department of Surgery, Oregon Health and Science university, Portland, Orrobert Martindale, MD, PhD, FACS, Chief, Division of General Surgery; Medical Director, Hospital Nutritional Services, Oregon Health and Science university, Portland, OrMary McCarthy, PhD, rN, Senior Nurse Scientist, Division of Nursing research Sciences, Madigan Healthcare System, Tacoma, WAMalissa Warren, rD, CNSD, Nutrition Support Dietitian, Portland VA Medical Center, Portland, Or

ModERaToRGail Cresci, PhD, rD, LD, CNSC, Assistant Professor, Department of Gastroenterology and Pathobiology, Cleveland Clinic, Cleveland, OH

lEaRNING obJECTIVES1. Discuss nutrition support concepts pertaining

to enteral feeding 2. Identify nutrition support concepts pertaining to

parenteral feeding3. Describe nutrition support concepts pertaining

to pharmaconutrients


3:00 – 4:30 pmThe Role of Nutrigenomics in the Chemoprevention of Colorectal Cancer (T41)FaCulTy aNd ToPICSThe Role of Diet for Chemoprevention of Colon CancerMary Marian, MS, rD, CSO, Clinical Dietitian and Lecturer, university of Arizona College of Medicine, Tucson, AZ

Do Dietary Supplements Prevent Colorectal Cancer? An Evidence-Based ReviewGerard 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

Genetic and Epigenetic Influences on the Response to Food Components for Cancer PreventionJohn Milner, PhD, Director, beltsville Human Nutrition research Center, united States Department of Agriculture/Agriculture research Service, beltsville, MD

ModERaToRGerard 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

lEaRNING obJECTIVES1. Discuss the role of diet for chemoprevention of colon cancer2. Provide specific evidence-based dietary supplement

recommendations for patients to promote colorectal cancer risk reduction

3. Describe metabolic pathways where dietary components may alter gene expression and modulate the risk of developing colorectal cancer

uAN: 0216-0000-13-046-L01-PLEVEL: AdvancedPresented by the A.S.P.E.N. Medical Practice Section

CNW FactsIt’s A Great Time bring a Colleague!Know someone who has never attended Clinical Nutrition Week? Now is the perfect time to invite them! Share this program book or send them to www.nutritioncare.org/cnw so they can review all the excellent content for themselves. And, if they are not A.S.P.E.N. members, joining will save them more than $140 on registration—nearly the cost of an annual membership!


3:00 – 4:30 pmClinical, Economic and quality of life outcomes associated with Home Parenteral Nutrition (T42)

FaCulTy aNd ToPICSQuality of Life in Adult Patients on Home Parenteral Nutrition Across Europe and in the United StatesJanet baxter, rD, PhD, Specialist Dietitian - Education in the Medical Curriculum, Ninewells Hospital & Medical School; Manager of Care of burns in Scotland (CObIS), National Managed Clinical Network, Kingscross Health & Community Care Centre, Dundee, united Kingdom

Complex Home Care: Economic Impact on Family Caregiver Quality of Life and Patients’ Clinical OutcomesCarol E. Smith, PhD, rN, FAAN, Professor, School of Nursing and School of Preventive Medicine & Public Health, university of Kansas Medical Center, Kansas City, KS

Pediatric Health-related Quality of Life after Intestinal TransplantationKhiet D. Ngo, DO, MS, Assistant Professor of Pediatrics & Clinical Skills, Loma Linda university School of Medicine, Loma Linda university Children’s Hospital, Loma Linda, CA

ModERaToRMarion 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

lEaRNING obJECTIVES1. Assess quality of life in home parenteral nutrition

dependent adults2. Identify related costs of complex care to clinical outcomes and

quality of life in families managing home parenteral nutrition3. Compare health related quality of life after pediatric

intestinal transplantation to healthy normal and home parenteral nutrition patients


3:00 – 4:30 pmRole of Pre- and Probiotics in Health, disease and Food allergies (T43)FaCulTy aNd ToPICSRole of Pre- and Probiotics in Disease States in ChildrenAnupama Chawla, MD, Director of Pediatric Gastroenterology and Nutrition, Department of Pediatrics, Stony brook Children’s Hospital, Stony brook, Ny

Role of Pre- and Probiotics in Healthy ChildrenJose Saavedra, MD, Associate Professor of Pediatrics, Department of Pediatrics, Johns Hopkins Hospital, baltimore, MD

Role of Pre- and Probiotics in Food AllergiesElizabeth Wallace, rD, registered Dietitian, Children’s Hospital of Philadelphia, Philadelphia, PA

ModERaToRSandeep Gupta, MD, Pediatric Gastroenterologist, Pediatric Gastroenterology, Hepatology & Nutrition, riley Hospital for Children, Indianapolis, IN

lEaRNING obJECTIVES1. Define the mechanism of action of pre and probiotics2. Explain indications for the use of pre and

probiotics in children3. Discuss the role of pre and probiotics in food allergies

uAN: 0216-0000-13-048-L04-PLEVEL: All LevelsPresented by the A.S.P.E.N. Pediatric Section

INGREdIENTS: 45 symposia, breakouts and

focused learning sessions

CNW FactsNow Available: The A.S.P.E.N. Adult Nutrition Support Core Curriculum, 2nd Edition!

Be one of the first to own The A.S.P.E.N. Adult Nutrition Support Core Curriculum, 2nd Edition! This is an essential book for those involved in nutrition support for the adult patient— from the novice to experienced clinicians. This new edition includes content developed by five editors, 93 authors and 64 reviewers. Perspectives on research, clinical practice, education and advocacy enhance the book’s usefulness in translating the science of nutrition support to its clinical application. Order at www.nutritioncare.org/NSCore or purchase at the CNW13 bookstore.

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CNW FactsNominate your Peers for an A.S.P.E.N. Award! Entries Due Oct. 15!Here’s your chance to recognize the contributions your peers make to clinical nutrition and metabolism! Nominate a colleague for:• Stanley J. Dudrick research Scholar Award: Given

annually to an exceptional mid-career researcher, the awardee receives $5,000, recognition at CNW13, and the honor of planning and chairing A.S.P.E.N.’s Dudrick Symposium at CNW14.

• barney Sellers Public Policy Award: Given annually to an A.S.P.E.N. member who has significantly contributed to advancing our public policy goals. The award is named in honor of barney Sellers, former A.S.P.E.N. executive director.

• A.S.P.E.N. Fellows: Honors exceptional achievement in practice or research and service to the organization through the Fellowship (FASPEN) designation. This award showcases the many contributions of valuable A.S.P.E.N. members and recognizes their commitments to A.S.P.E.N. and to the field of clinical nutrition.

• Lyn Howard Consumer Advocacy Award: Honors a patient, family member and/or a caregiver who has advocated for other patients, families or caregivers of consumers requiring parenteral nutrition or enteral nutrition. The award is named in honor of Dr. Lyn Howard, co-founder of The Oley Foundation.

• Stanley Serlick Award: recognizes a pharmacist who has made significant contributions to improving safe practices for parenteral nutrition through published literature, membership on national committees or task forces and/or presentations at regional and national meetings. Sponsored by Hospira, Inc.

• New! Clinical Nutrition Team of Distinction Award: Designed to recognize and elevate the stature of interdisciplinary nutrition care! Whether your nomination helps promote excellence in nutrition

care internally within an institution or agency, or externally within your communities, A.S.P.E.N.’s newest award is aimed at recognizing those who are working to provide exceptional care to their patients every day.

• Distinguished Service Awards: Five awards are given to A.S.P.E.N. members who have made exceptional leadership and practice contributions that have furthered the vision and mission of the society over a sustained period of time.

► Distinguished Nutrition Support Dietitian Service Award

► Distinguished Nutrition Support Nurse Service Award

► Distinguished Nutrition Support Pharmacist Service Award

► Distinguished Nutrition Support Physician Service Award

► New! Distinguished Nutrition Support International Service Award

• Distinguished Nutrition Support Dietitian Advanced Clinical Practice Award. recognizes a dietitian for his or her outstanding contributions in leadership, practice and advancement of dietitians in the field of nutrition support.

• Excellence in Nutrition Support Education. A $1,000 cash award that honors a nutrition support educator’s excellence in the delivery of professional education. The award is open to A.S.P.E.N. members who have teaching responsibilities in an academic, community, or other supervised training setting.

remember, all nominations are due October 15. Visit www.nutritioncare.org/awards to nominate your peers today!

© Greater Phoenix CVb



Phoenix faCTs

Phoenix, America’s sixth-largest city still has real cowboys and rugged mountains and the kind of cactus most people see only in cartoons. Phoenix is the gateway to the grand Canyon, and its history is a testament to the spirit of puebloans, ranchers, miners and visionaries.

Projected against this rich backdrop is a panorama of urban sophistication: resorts and spas that drop jaws and soothe souls. Stadiums and arenas worthy of the world’s biggest sports spectacles. restaurants with inspired cuisine and inspiring patio views. golf courses that beckon players the year round. Shopping centers as stylish and eclectic as the fashions they house. www.visitphoenix.com

• Phoenix’s elevation is 1,117 feet.• Phoenix and Scottsdale can claim some of the best shopping

including sprawling fashion centers, vintage shops, boutiques and more.

• Greater Phoenix is a year-round paradise for golfers, who can follow in the footsteps of the pros at courses such as TPC Scottsdale and Grayhawk, test their games on challenging desert layouts like Troon North, or play a quick nine holes beneath red-sandstone cliffs at Papago Golf Course.

• The Sonoran Desert is one of the lushest deserts in the world, and, chances are, you have never seen anything quite like it. Stunning sunsets, towering saguaro cactuses, spring wildflowers and mountains on every horizon are just a few of the natural aesthetics that make Phoenix one of the most beautiful big cities in America.

• Greater Phoenix is a dream for dine-arounds. Two things no hungry visitor should miss: authentic Mexican cuisine and patio dining.

• Arizona is home to 23 reservations representing 21 different Native American tribes.

• Phoenix is home to many different motor sports, including Indy Car and NASCAr events at Phoenix International raceway, drag racing at Manzanita Speedway and boat racing at Firebird International raceway.

• Phoenix is home to the largest municipal park in the world, South Mountain Park, which covers more than 20,000 acres. The area has more than 1,700 acres of traditional Park Land.

• Phoenix has museums to suit nearly every taste. The Heard Museum; Desert botanical Garden (the world’s largest collection of desert plants); Taliesin West (home of the Frank Lloyd Wright Foundation); The Phoenix Art Museum (the Southwest’s largest art museum); The Musical Instrument Museum (MIM); The Arizona Science Center; The Hall of Flame (featuring the world’s largest collection of fire-fighting equipment); Pueblo Grande Museum and Cultural Park and the Phoenix Museum of History are among the cultural hot spots.

a FEW FaCTS abouT PHoENIx…


hoTel and TraVel informaTionCNW13 sessions and the Exhibit Hall will take place at the Phoenix Convention Center, 100 North 3rd St, Phoenix, AZ.

HoTEl INFoRMaTIoNA.S.P.E.N. has reserved a block of discounted rooms at two nearby hotels for your convenience, The Sheraton Phoenix Downtown and the Hyatt regency Phoenix. both hotels are walking distance to the Convention Center.

HEadquaRTERSSHErATON PHOENIx DOWNTOWN340 North 3rd StreetPhoenix, AZ 85004602-262-2500

you can make reservations online at www.nutritioncare.org/cnw13/sheraton or call 800-228-1212. be sure to mention Clinical Nutrition Week to receive the preferred rates and use the code A.S.P.E.N.

• Single/Double Occupancy: $225 plus applicable state and local taxes (currently 13.27%). These rates are available three days prior and three days after the meeting dates.

• Cut-off date: January 16, 2013 • reservations received after 5:00 pm local time at the hotel

on the cut-off date and after will be accepted at the hotel’s prevailing rate, based on availability.

• Please note: There is no guarantee that rooms will still be available until January 16 as we anticipate our block selling out. Please reserve your room early.

• Check-in 3:00 pm/Check-out 12:00 pm.

addITIoNal HoTElHyATT rEGENCy PHOENIx 122 North Second Street Phoenix, AZ 85004 602-252-1234

you can make your reservations online at www.nutritioncare.org/cnw13/hyatt or call 888-421-1442. be sure to mention Clinical Nutrition Week to receive the preferred rates and use the code A.S.P.E.N.

• rates: Single/Double Occupancy: $214 plus applicable state and local taxes (currently 13.27%). These rates are available three days prior and three days after the meeting dates.

• Cut-off date: January 16, 2013 • reservations received after 5:00 pm local time at the Hotel

on the cut-off date and after will be accepted at the Hotel’s prevailing rate, based on availability.

• Please note: There is no guarantee that rooms will still be available until January 16 as we anticipate our block selling out. Please reserve your room early.

• Check-in 3:00 pm/Check-out 12:00 pm

addITIoNal TRaVEl INFoRMaTIoNAIrLINE INFOrMATIONAmerican Airlines is offering CNW13 attendees a 5% discount which applies from March 1, 2012 to Phoenix Sky Harbor International Airport (PHx) when using the following code: 6823bQ.

The discount can be booked online at www.nutritioncare.org/cnw13/american_air for AA/AE flights only, without a ticketing charge. Please make sure to enter in the promotion code noted above. Electronic ticketing is required, otherwise a paper ticket charge will apply. Tickets may be purchased through a travel agency or by calling AA Meeting Services at 800-433-1790. For AA ticketing, payment must be made through money order, certified/cashier check, or valid credit card. A separate $20.00 uSD service charge will apply per ticket, (subject to change). For Airport purchase, the service charge is $30.00 uSD per ticket, (subject to change). For purchase outside the uS/Canada the amounts will vary by country currency.

united Airlines is offering discounted airfares of 2% to 10% off published fares for your travel to CNW13. Save an additional 3% off by booking your own reservations at www.nutritioncare.org/cnw13/united_air. Choose your flight times and access your meeting discounts by inserting ZN96105658 in the Offer Code box.

Or, call your travel professional or united Meetings at 800-426-1122 for reservations. Please note that a $25 fee will be charged when reservations are made by calling united Meetings. refer to Z Code ZN96 and Agreement Code: 105658.



GRouNd TRaNSPoRTaTIoNThe Phoenix Sky Harbor International Airport (PHx) is approximately 15 minutes by car from the Sheraton Phoenix Downtown and the Hyatt regency Phoenix. Taxis are available for approximately $20–$25 each way.

SuPEr SHuTTLE Super Shuttle takes passengers from PHx to downtown Phoenix every 15 minutes from the airport’s designated shuttle area outside baggage claim. Travel time varies as the shuttle stops at several hotels in downtown Phoenix. CNW13 attendees will receive $2.00 off one-way/$4.00 off round trip when booking a reservation at www.nutritioncare.org/cnw13/super_shuttle, using code: uSDKr. This discount is valid from February 6–16, 2013 for SuperShuttle shared-ride transfers.

Fees: $11 for one-way transfer; $22 round trip (fees reflect group discount). This discount is available only for online reservations. Phone calls directly into reservations will incur a $2.00 booking fee.

Arrival Information:1. Claim your luggage 2. Proceed outside baggage Claim at each terminal to sign

marked “Van Service” 3. A Super Shuttle representative will arrange service to your

destination. Identify yourself to the agent/driver and provide them with your online confirmation number

Departure Information:1. Please be ready at your hotel designated shuttle/taxi pick

up location. Ask front desk if you do no know where this is 2. Super Shuttle will arrive within 15 minutes of the

pick up time selected when booked online

Contact: 800-258-3826

METrO LIGHT rAIL Fee: $1.75 per ride; $3.50 per passenger for an all-day passTravel Time: 40–50 minContact: 602-253-5000

Hours of OperationSunday–Thursday: 4:40 am to 11:00 pmFriday: 4:40 am to 2:00 amSaturday: 5:00 am to 2:00 am Trains arrive every 12-20 minutes depending on day and time.• From PHx to the Sheraton Phoenix Downtown: Take the FrEE

PHx Airport Shuttle to the 44th Street & Washington METrO light rail stop. Exit the westbound train at the Washington and 3rd Street stop. Walk east to 3rd Street, then north three blocks until you cross Van buren. The hotel is located on Van buren and 3rd Street.

• From PHx to the Hyatt regency Phoenix: Take the FrEE PHx Airport Shuttle to the 44th Street & Washington METrO light rail stop. Exit the westbound train at the Washington and 3rd Street stop. Walk west to 2nd Street then north to Adams Street. The hotel is located on Adams and 2nd Street.

A map depicting light rail service from PHx to Downtown Phoenix is available on the CNW13 website.

CAr rENTAL SErVICE Hertz Car rental. To reserve your special meeting rates, please provide your Convention Number (CV) #04940012 to your corporate travel department or your travel agent when making reservations. you can also make reservations at www.nutritioncare.org/cnw13/hertz or call Hertz directly:

• u.S. and Canada: 800-654-2240 • Other: 405-749-4434 If booking online, please make sure to check off (I have a discount) and then enter in the CV# 04940012. At the time of reservation, the meeting rates will be automatically compared to other Hertz rates and you’ll be quoted the best comparable rate available.

rates are available from February 2–19, 2013.

CNW FactsGet Connected Today with A.S.P.E.N.’s Social Media Sites!

A.S.P.E.N.’s social media sites are an easy way to stay connected and offer an outstanding opportunity to build relationships with other healthcare professionals.• www.nutritioncare.org/connect – A.S.P.E.N.

Connect. A community specifically for CNW13 attendees is available so you can start connecting with other attendees before the conference begins. Find out if your friends or colleagues are attending, send them messages and follow-up with faculty to ask questions after the conference ends.

• www.facebook.com/nutritioncare.org – This page features the latest A.S.P.E.N. and industry news.

• www.twitter.com/ASPENWEb – Visit hashtag: #CNW13 for regular news about the conference.

Please use one registration form per person • Photocopy for multiple registrations • Do not mail or fax form after January 9, 2013

regisTraTion and general informaTion CliNiCAl NutritioN WEEk 2013, fEBruAry 9-12: PhoENix, AZ

REGISTRaTIoN CaTEGoRIESMD, DO, DVM, Non-Health ProfessionalrD, rN, rPh/PharmD, NP, PA, PhD, Other Health ProfessionalStudent/Trainee: Individuals in a residency, intern or fellowship program should fax or mail a letter on institution letterhead to the A.S.P.E.N. national office from their program director verifying their status as a trainee. Students should fax or mail letters on institution letterhead from their school’s dean, department chair or academic advisor confirming status as a student in nutrition support, taking a minimum of 12 credit hours. both students and trainees are eligible for the lowest rate available to attend CNW13.

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. CaN’T TRaVEl To PHoENIx? JoIN uS FoR THE CNW13 VIRTual CoNFERENCE! For the fourth year, A.S.P.E.N. will be broadcasting 11 pre-selected conference sessions virtually. Details about the CNW13 Virtual Conference can be found on page 3. Online registration is encouraged for the virtual conference and can be accessed through www.nutritioncare.org/cnw.

EaSy oNSITE REGISTRaTIoN: Pre-registered conference attendees who arrive on Friday, February 8 can pick-up conference materials from 4:00 to 7:00 pm at the A.S.P.E.N. registration desk located in the West Convention Center Exhibit Hall Foyer. registration opens again on Saturday February 9 at 6:00 am. For additional registration information, please contact A.S.P.E.N. Customer Service at [email protected] or 301-587-6315. We encourage pre-registration to avoid onsite lines.

INTERNaTIoNal aTTENdEES: International attendees who wish to request an invitation letter to CNW13, to inquire about group registrations of 10 or more or who require wire transfer information should contact [email protected] or 301-587-6315. Individuals must be registered for CNW13 to receive an invitation letter.

Start planning now to attend CNW13! It’s never too early to begin your travel visa process. Give yourself time to process the appropriate paperwork by registering for CNW13 early so that you can receive and submit the necessary invitation letter and registration payment information. Wire transfers must be received by January 9, 2013. Please contact [email protected] for wire transfer instructions.

SaVINGS! become an A.S.P.E.N. member when you register for CNW13 and save on the full cost of the conference, pre-conference rates and all purchases in the A.S.P.E.N. bookstore. Joining now will save you more than $140 on registration — nearly the cost of an annual membership!

A $25 administrative fee will be assessed if you choose to join A.S.P.E.N. after you have registered at the regular rate for CNW13.

oNE day REGISTRaTIoNCan’t attend all four days this year? Take advantage of One Day registration and receive a special price. One Day registration allows you to participate in symposia and to visit the Exhibit Hall, bookstore and other conference programs on the selected day.

CaNCEllaTIoN PolICyAll cancellation requests must be sent in writing via fax or email to the A.S.P.E.N. national office on or before January 9, 2013. Telephone cancellations will not be accepted. All refunds will be issued 4-6 weeks after the conclusion of the conference. No refunds will be issued for cancellation requests received after January 9, 2013. This includes participants who must make a last minute cancellation or are unable to attend due to illness, travel delays, unforeseen emergencies or acts of nature. refunds will not be issued for registered participants who do not show.

REFuNd FEES• CNW13 Full Conference registration Fee less $90

administrative fee • Virtual Conference registration Fee less $50

administrative fee • Pre-conference courses registration Fee less $25

administrative fee.

Please direct all refund requests to:Fax: 301-587-2365Email: [email protected], Subject Line-rEFuND CNW13

CoNFERENCE PHoTo PolICyregistration for CNW13 implies consent that any pictures taken during the conference and CNW13-related events can be used for conference coverage and promotional purposes. A.S.P.E.N. is able to use your likeness without remuneration.

quESTIoNS?A.S.P.E.N.’s customer service team is available to answer your questions. Please contact [email protected] or call 800-727-4567 (uS and Canada) or 301-587-6315 (international).

SPECIal SERVICESA.S.P.E.N. will accommodate CNW13 attendees with disabilities or special needs. If you require special services, please contact a member of our customer service team prior to your arrival, contact [email protected] or call 800-727-4567 (uS and Canada) or 301-587-6315 (international).


INGREdIENTS: Globally recognized faculty

2013

THREE EaSy WayS To REGISTER:• Online: www.nutritioncare.org/cnw• Fax: by January 9, 2013 to 301-587-2365• Mail: Postmarked by January 9, 2013 to: A.S.P.E.N.

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

yOur rEGISTrATION WILL bE CONFIrMED VIA EMAIL

ClINICal NuTRITIoN WEEk February 9 – 12, 2013, phoenix, aZREGISTRaTIoN 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 (required for confirmation)

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

I. CNW13 Full CoNFERENCE REGISTRaTIoN RaTES, Conference begins at 4:30 pm on Saturday, February 9 and ends at 4:30 pm on Tuesday, February 12. Pre-conference courses require a separate registration.

rEGISTrATION TyPEEarly bird by 11/14/12 Advance by 1/9/13 Standard/Onsite after 1/9/13

Member Non-Member Member Non-Member Member Non-Member

MD,DO,DVM,Non-health Professional $475 $685 $575 $785 $775 $985rD,rN,rPh/PharmD, PhD, NP, PA, Other Health Professional $410 $555 $510 $655 $710 $855

Student and Trainee* $250 $300 $250 $300 $450 $500*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 11/14/12 Advance by 1/9/13 Standard/Onsite after 1/9/13Member Non-Member Member Non-Member Member Non-Member

$255 $ 355 $255 $355 $455 $555DAILy rEGISTrATION TOTAL $


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

SATurDAy, FEbruAry 9 regular registration rateStudent & Trainee registration rate

A.S.P.E.N. research Workshop The Interface between Nutrition and the Gut Microbiome: Implications and Applications for Human Health (rW-2013) 8:00 am – 4:00 pm

$175 $95

rESEArCH WOrKSHOP rEGISTrATION TOTAL $

SATurDAy, FEbruAry 9Fees indicated are per course.

Early bird by 11/14/12 Advance by 1/9/13 Standard/Onsite after 1/9/13Member Non-Member Member Non-Member Member Non-Member

Nutrition Support review Course (NSrC-2013) 7:00 am – 4:00 pm $215 $295 $235 $315 $265 $345

Post Graduate Course #1: Introduction to Compounding PN Solutions (PG1-2013) 7:00 – 11:00 am

$115 $165 $ 135 $185 $165 $215

Post Graduate Course #2: update in Critical Care Nutrition (PG2-2013) 12:00 – 4:00 pm $115 $165 $135 $185 $165 $215

PEDIATrIC SPECIFIC PrE-CONFErENCE COurSESNutrition for the Practicing Pediatric Clinician #1: Metabolic Support in Critically Ill Children (NPPC1-2013) 7:00 – 11:00 am

$115 $165 $ 135 $185 $165 $215

Nutrition for the Practicing Pediatric Clinician #2: Special Topics in Pediatric Nutrition (NPPC2-2013) 12:00 – 4:00 pm

$115 $165 $135 $185 $165 $215

PrE-CONFErENCE COurSE rEGISTrATION TOTAL $

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

PlEaSE PRINT ClEaRly oR TyPEI am registering for CNW13 as a: Current A.S.P.E.N. Member ID# New Member – Joining with conference discount rate

Prefix: Dr. Mr. Mrs. Ms.

47

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. CNW13 VIRTual CoNFERENCE

Early bird by 11/14/12 Advance by 1/9/13 Standard/Onsite after 1/9/13

Member Non-Member Member Non-Member Member Non-MemberSaturday, February 9 - Tuesday, February 12 CNW13 Virtual Conference (Includes 11 preselected sessions from the main conference)

$295 $425 $395 $525 $495 $625

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 $

GRaNd ToTal $ __________

LAST NAME FIrST NAME

Cancellation Policy All cancellation requests must be sent in writing via fax or email to the A.S.P.E.N. national office on or before January 9, 2013. Telephone cancellations will not be accepted. All refunds will be issued 4-6 weeks after the conclusion of the conference. No refunds will be issued for cancellation requests received after January 9, 2013. This includes participants who must make a last minute cancellation or are unable to attend due to illness, travel delays, unforeseen emergencies or acts of nature. No refunds will be issued for registered participants who do not show.

(continued — please submit both pages 1 and 2)

VII. PayMENT INFoRMaTIoN

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.

receipt of Payment Policy registration forms submitted without payment will be processed at the appropriate rate based on the date that payment is received.

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.


PLEASE PrINT CLEArLy Or TyPE:

Card # Expiration Date (mm/yy) CVV2 #

Printed Name (as it appears on your card - please print clearly) Signature

48

Every day, your patients put their trust in you to provide up to date information and exceptional care. And every day, it’s critical for you to understand, and employ best practices in clinical nutrition that will consistently improve patient outcomes.

When a clinical nutrition question arises, it’s important to have a trustworthy source to turn to for answers. That source is A.S.P.E.N., the American Society for Parenteral and Enteral Nutrition. A.S.P.E.N.’s community includes more than 5,500 dietitians, nurses, pharmacists, physicians, physician assistants, nurse practitioners, researchers, students and other health professionals from every facet of nutrition support inclulding clinical practice, research and education.

Today, we invite you to experience everything A.S.P.E.N. has to offer by attending our annual meeting, Clinical Nutrition Week 2013 (CNW13). This is the premier conference on clinical nutrition and metabolism, and more than 2,000 of your peers from all over the world will attend. The content explores critical topics in clinical nutrition, including: intensive care nutrition, pediatric PN and EN, malnutrition, obesity and much more.

And, if you decide to attend CNW13, we encourage you to also join our organization so that you can receive the discounted member rate (saving you more than $140---nearly the cost of an annual membership). In addition to this special registration fee, your member benefits include: • Free access to A.S.P.E.N. Connect, an online, members-only, secure forum for sharing information,

experience and expertise with an international community of clinical nutrition professionals.• Free access to time-saving members-only toolkits on practice management, reimbursement, ethics

and more.• Free annual subscriptions to industry leading, peer-reviewed journals-- the Journal of Parenteral &

Enteral Nutrition (JPEN) and Nutrition in Clinical Practice (NCP). (A $310 annual value.)

Please join the A.S.P.E.N. community through membership and by attending CNW13. Invest in your career and optimize patient care. We look forward to welcoming you.

Regards,

dear Colleague,

tom Jaksic, M.d., Ph.d.W. Hardy Hendren Professor of surgery, Harvard Medical schoolvice-Chairman, Pediatric General surgery,surgical director of the Center for Advanced Intestinal Rehabilitation,boston Children’s HospitalPresident, A.s.P.E.N.

2013

8630 Fenton Street, Suite 412Silver Spring, MD 20910

February 9 - 12, 2013 Phoenix Convention CenterPhoenix, AZ American Society for Parenteral and Enteral Nutrition

LEADING THE SCIENCE ANDPRACTICE OF CLINICAL NUTRITION

2013

PRELIMINARY PROGRAM

Join us at CNW13. You’ll be in good company.

REGIstER bY NOvEMbER 14, 2012 ANd sAvE!2013

www.facebook.com/nutritioncare.orgwww.twitter.com/ASPENWEB

2013 register by november 14, 2012 and save! phoenix... · 8630 fenton street, suite 412 silver...

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