Gastrointestinal Intolerance in Critically Ill Patients: Definitions, Management and Nutrition Considerations

Program Date: 9 December 2021
Publication Date: 9 December 2021
Continuing Education Units: Nurse Contact: 1.0; Dietitian CPEU: 1.0

Course Description:

In this course, you’ll recognize and define GI intolerance in critically ill adult patients; review evidence-based guidelines for the management of GI intolerance in critically ill patients; and evaluate the potential role of nutrients in GI tolerance.

Course Objectives:

• Recognize and define GI intolerance in critically ill adult patients. 
• Review evidence-based guidelines for the management of GI intolerance in critically ill patients. 
• Evaluate the potential role of nutrients in GI tolerance.
  • CDR Level: 2
  • Performance Indicators: 4.1.2, 4.2.6, 8.1.1
  • Run Time: 58

Course Instructor Bio(s)

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Beth Besecker, MD, MBA, SSGB

Director, Adult Medical Affairs 
Abbott Nutrition 
Columbus, OH, USA
Beth Besecker is the Director of Medical Affairs, Adult Nutrition for Abbott Nutrition. She is a board certified in pulmonology, critical care and sleep medicine. Dr Besecker worked as an Assistant Professor of Internal Medicine as a Pulmonary Critical Care attending physician at the Ohio State University Wexner Medical Center form 2009-2020. Additionally, she received an MBA from The Ohio State University Fisher College of Business in 2019. She is six sigma green belt certified and served as a Team Lead and Coach for the Quality Improvements Project Committee at Ohio State for multiple years. Her continuous quality improvement focus is on improving healthcare quality and efficiency in a manner which lessens physician burden. Research interests of Dr Besecker include the role of zinc on immunity in septic patients, participation in the TOP UP Study of supplemental parenteral nutrition in over and underweight critically ill patients, and multiple studies on the treatment of acute respiratory distress syndrome.
Picture of Jan Powers, PhD, RN, CCNS, NE-BC,

Jan Powers, PhD, RN, CCNS, NE-BC

Director Nursing Research & 
Professional Practice 
Parkview Regional Health System 
Fort Wayne, IN, USA
Jan Powers currently serves as the Director of Nursing Research and Professional Practice at Parkview Health System. This role includes accountability for professional practice and research development for 9 hospital system. Responsibilities include oversight of policy and procedures, mentor clinical nurse specialists, advancing nursing practice and ongoing development of research and evidence-based practice. Jan is also part time faculty at IU School of Nursing Graduate Program. Jan has been a nurse for 35 years in various roles related to Critical Care and Trauma and worked as a CNS over 20 years primarily focused on implementation of research and evidence-based practices to improve patient outcomes. Jan received her BSN, MSN and PhD all from Indiana University School of Nursing. She has conducted many research studies related to nursing practice with a primary focus on improving patient outcomes through the advancement of nursing practice. Primary focus areas related to pulmonary, trauma, pressure injuries and nutrition. Jan is passionate about inspiring nurses to own their practice with an emphasis on the implementation of evidence-based practices. She has published over 70 journal articles and book chapters and has given numerous presentations related to a wide variety of areas within nursing practice.
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Katie Robinson, PhD, MPH, RD, CNSC

Medical Science Liaison 
Scientific and Medical Affairs 
Abbott Nutrition 
Columbus, OH, USA
Dr Robinson serves as a Medical Science Liaison with the Adult Therapeutics MSL Team. Prior to joining Abbott, she conducted research on the impact of nutrition and genetics on outcomes of behavioral and surgical weight loss interventions. Dr Robinson completed her bachelor’s degree in Dietetics at Iowa State University and her dietetic internship at the University of Illinois in Urbana-Champaign (UIUC). She earned her Master of Public Health and PhD in Nutritional Sciences in the Illinois Transdisciplinary Obesity Prevention Program at UIUC. Her graduate research sought to understand how preoperative dietary interventions and individual genetic variation contribute to improved insulin sensitivity following bariatric surgery. During her time at UIUC, she taught multiple undergraduate and graduate courses and assisted with coordinating the undergraduate didactic program in dietetics. Following graduate school, she completed postdoctoral training at the University of Iowa in the Fraternal Order of the Eagles Diabetes Research Center. Dr Robinson has numerous publications in peer-reviewed journals and has presented her research at national and international conferences.
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