Nutrition Support for the Critically Ill and Case Studies with Practical Nursing Solutions

Program Date: August 2012
Continuing Education Units: 1.0 Nurse Contact Hours, 1.0 Dietitian CPEUs

Course Description:

Those who may have participated in DVD version of this program cannot receive additional credit for participating in this self-study course.

The first section of the program covers what is what is currently happening and provides evidence-based recommendations for what should be happening in the feeding of ICU patients

Course Objectives:

  • Review new thinking about malnutrition.
  • Discuss the importance of how and when nourishment occurs in the critically ill.
  • Reevaluate the concerns that often lead to chronic starvation of the critically ill.

Section two uses the case-study approach to illustrate patient feeding problems discussed in the first section and offers science-based solutions for these critically ill patient scenarios.

  • Explain the benefits of providing enteral vs. parenteral nutrition.
  • Identify strategies for initiating enteral feeding.
  • Discuss considerations for feeding hemodynamically unstable patients.
  • Identify the method and rationale for feeding patients with severe acute pancreatitis.
  • Define the interrelationship between inflammation and malnutrition.
  • List possible causes of diarrhea in tube fed patients and discuss strategies for managing diarrhea.
  • Discuss how to manage increased gastric residual volume in tube-fed patients.
  • CDR Level: 2
  • Suggested Learning Codes: 5000, 5010, 5090, 5170, 5440
  • Media Format(s): Video(English)
  • Run Time: 54 Minutes

Course Instructor Bio(s)

David Seres, MD

Clinical Assistant Professor of Medicine, Columbia University College of Medicine
Division of Preventive Medicine and Nutrition
Columbia University Medical Center
New York City, NY

Dr. David Seres is one of the few physicians in the country with a primary focus on hospital based nutrition. He supervises the hospital programs in total parenteral nutrition, manages much of the hospital supplementary enteral nutrition, and provides consultation on feeding issues and malnutrition.

Refatt Hegazi, MD, PhD, MS, MPH, ABPNS

Medical Director of Adult Nutrition
Abbott Nutrition
Columbus, OH

Dr. Hegazi is a physician graduate of the Mansoura University, Mansoura, Egypt. He holds two masters and PhD in Nutritional Epidemiology from the University of Pittsburgh. Prior to joining Abbott Nutrition as Medical Director of Adult Nutrition in 2009, Dr. Hegazi was an attending physician and Assistant Professor of Medicine at the University of Pittsburgh Medical Center at the Division of Gastroenterology, Hepatology and Nutrition with speciality in Gastrointestinal Nutrition. His research was funded by both the Cancer Research Foundation of America and the Crohn’s and Colitis Foundation of America. He has authored over 40 peer reviewed publications and five book chapters. He is specially interested in the interaction between nutrition and immune responses.

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