GROWTH & NUTRITION IN CHRONIC DISEASE

Course Description:

Chronic disease in childhood is increasing worldwide. Undernutrition often accompanies chronic disease and can be a result of inflammation, malabsorption, feeding intolerance, increased needs with decreased caloric intake, and psychological issues. All of these can impact growth in children with chronic disease.

In recognition of this growing problem and potentially complex issue, ANHI offered a free paediatric study day—Growth & Nutrition in Chronic Disease— to healthcare professionals in London, England, in May 2019. We’ve created five learning modules from this study day, four of which are available for CE credit.

  • Highlight the risk of undernutrition in chronic disease and the importance of healthy growth on later outcomes
  • Describe the common pathophysiological factors in childhood chronic disease which can lead to faltering growth
  • Provide practical recommendations to prevent and manage undernutrition and faltering growth in children with chronic disease
  • Describe the role of nutrition assessment, macronutrients and micronutrient needs in paediatric conditions: cardiac heart disease, cystic fibrosis, allergy
  • Discuss psychological influencers on feeding behaviors in chronic disease and allergy

Modules

Chronic Conditions: How are Feeding Behaviors Affected?

In this course, you’ll learn how to recognize clinical features and underlying mechanisms for avoidant restrictive food intake disorder (ARFID) in children; and identify how chronic conditions can affect food behaviors.

FREE continuing education: 0.5 RN CE/0.5 RD CPEU

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Program Date: 8 May 2019
Publication Date: 18 March 2019
Continuing Education Units: Nurse Contact: 0.5; Dietitian CPEU: 0.5

Course Description:

In this course, you’ll recognize clinical features and underlying mechanisms for avoidant restrictive food intake disorder (ARFID) in children; and identify how chronic conditions can affect food behaviors in children.

Course Objectives:

•Recognize clinical features and underlying mechanisms for avoidant restrictive food intake disorder in children.
•Identify how chronic conditions and feeding tube dependency can affect food behaviors in children.
  • CDR Level: 1
  • Suggested Learning Codes: 3050, 5080, 5200, 5440
  • ResourceHelper.GetResource("educationPerformanceIndicator", locale) 4.1.2, 8.1.2, 8.3.1
  • Run Time:37

Course Instructor Bio(s)

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Terry Dovey, PhD

Brunel University
London, England, UK
Dr Terry Dovey completed his PhD in appetite regulation at the University of Liverpool in 2006. He has worked at Universities of Staffordshire and Loughborough prior to joining Brunel University London in 2013, where he holds the position of Head of Psychology. His research focuses on primarily on biopsychology of eating behavior and many of his publications can be found on Google Scholar where he has over 4000 citations. In particular, Dr Dovey has a keen interest in the overlap between psychology, appetite regulation, gastroenterology and refusal to eat in children. His research has focused on techniques to influence eating behavior and improve diet within groups of children who typically do not respond to standard advice and interventions. The clinical groups he has primarily focused on are those with Avoidant/Restrictive Food Intake Disorder (ARFID). This population includes both children who refuse to eat based on psychological mechanisms, as well as those who are reliant on feeding tubes to meet their calorie needs. He is also interested in non-verbal methods to manipulate children's food choices, Functional Gastrointestinal Disorders (FGIDs), neurodevelopmental disabilities, and obesity.

Feed-Induced Dystonia in Tube Fed Patients

In this course, you’ll learn how to identify clinical features of feed-induced dystonia (FID); review mechanisms of action in FID; and recognize diagnostic criteria and practical care plan steps in managing FID.

FREE continuing education: 0.5 RN CE/0.5 RD CPEU

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Program Date: 8 May 2019
Publication Date: 21 November 2019
Continuing Education Units: Nurse Contact: 0.5; Dietitian CPEU: 0.5

Course Objectives:

•Identify clinical features of Feed-Induced Dystonia (FID) in tube fed patients.
•Review mechanisms of action in FID.
•Recognize diagnostic criteria and practical care plan steps in managing FID.
  • CDR Level: 2
  • Run Time:33

Course Instructor Bio(s)

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David Campbell, MD, MBBS, MRCPCH

Paediatric Gastroenterologist
Sheffield Children's Hospital
Western Bank, Sheffield, UK
Dr Campbell is a Consultant Paediatric Gastroenterologist at Sheffield Children's Hospital. He is a member of BSPGHAN Council and the Chair of the Research Working Group. His clinical interests include feed-induced dystonia and immunology

Nutrition and Growth in Chronic Disease

In this course, you’ll learn how to recognize the risk of malnutrition in childhood chronic disease; describe the common pathophysiological factors in childhood chronic disease; and identify nutrition intervention strategies for management.

FREE continuing education: 0.5 RN CE/0.5 RD CPEU

CLOSE 

Program Date: 8 May 2019
Publication Date: 3 December 2019
Continuing Education Units: Nurse Contact: 0.5; Dietitian CPEU: 0.5

Course Description:

In this program, you’ll recognize the risk of malnutrition in childhood chronic disease; describe the common pathophysiological factors in childhood chronic disease; and identify nutrition intervention strategies

Course Objectives:

•Recognize the risk of malnutrition in childhood chronic disease, and the importance of healthy growth on later clinical outcomes.
•Describe the common pathophysiological factors in childhood chronic disease which can lead to growth failure.
•Identify nutrition intervention strategies in childhood chronic disease management.
  • CDR Level: 2
  • Suggested Learning Codes: 3000, 5070, 5285
  • ResourceHelper.GetResource("educationPerformanceIndicator", locale) 8.1.4, 8.3.1, 8.3.4
  • Run Time:24

Course Instructor Bio(s)

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Shlomi Cohen, MD

Director, Pediatric Gastrointestinal Unit
Dana-Dwek Children's Hospital
Tel Aviv, Israel
Shlomi Cohen is the Director of the Pediatric Gastroenterology Unit at the Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Israel. Dr Shlomi Cohen graduated from the Hebrew University medical school in Jerusalem. He is a specialist in pediatrics and pediatric gastroenterology and liver diseases. His clinical and research interests focus on children with inflammatory bowel diseases, nutrition in IBD, predictors for aggressive disease and transition to adult clinic in a comprehensive, multidisciplinary transition clinic. Another field of interest is the polyposis syndromes in children. Dr Cohen is a senior lecturer in the Sackler Faculty of Medicine, Tel Aviv University and a member of ECCO, ESPGHAN and ISPGAN.

Respiratory Conditions: Critical Moments in Growth

In this course, you’ll learn how to identify the risks for malnutrition in respiratory conditions during critical periods of growth; and discuss nutrition interventions to manage respiratory conditions.

FREE continuing education: 0.5 RN CE/0.5 RD CPEU

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Program Date: 8 May 2019
Publication Date: 18 November 2019
Continuing Education Units: Nurse Contact: 0.5; Dietitian CPEU: 0.5

Course Description:

In this course, you’ll identify the risks for malnutrition in respiratory conditions during critical periods of growth; and discuss nutrition interventions to manage respiratory conditions.

Course Objectives:

•Identify risks for malnutrition in respiratory conditions during critical periods of growth.
•Discuss nutrition interventions to manage respiratory conditions.
  • CDR Level: 2
  • Suggested Learning Codes: 5070, 5285, 5330
  • ResourceHelper.GetResource("educationPerformanceIndicator", locale) 8.1.4, 8.3.1, 8.3.4
  • Run Time:30

Course Instructor Bio(s)

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Katie O'Brien, RD

Specialist Respiratory Dietitian
Great Ormond Street Hospital
London, England, UK
Katie is a specialist paediatric dietitian with experience in a wide variety of clinical areas including paediatric oncology and haematology and respiratory medicine. She is currently working at Great Ormond Street Children’s Hospital as a member of the respiratory dietetic team. In her role as a dietitian on the respiratory unit she supports infants, children and adolescents nutritionally with a range of clinical conditions including cystic fibrosis, chronic lung disease and neuromuscular disorders to name a few. She also provides support to children and adolescents on ventilation.

Nutrition and Congenital Heart Disease

Note: This course is not for continuing education credit. In this course, you’ll discuss growth and nutritional requirements in children with cardiac conditions; recognize research supporting optimized nutrition outcomes; and identify practical nutrition interventions to meet high nutrient and energy needs. This course is for UK HCPs.

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Publication Date: 27 January 2020
Continuing Education Units: Nurse Contact: NONE; Dietitian CPEU: NONE

Course Description:

This course is not for continuing education credit. In this course, you’ll discuss growth and nutritional requirements in children with cardiac conditions; recognize research supporting optimized nutrition outcomes; and identify practical nutrition interventions to meet high nutrient and energy needs. This course is for UK HCPs.

Course Objectives:

•Discuss growth and nutritional requirements in children with cardiac conditions.
•Recognize research supporting optimized nutrition outcomes.
•Identify practical nutrition interventions to meet high nutrient and energy needs for children with cardiac conditions.
  • Run Time:51

Course Instructor Bio(s)

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Luise Marino, PhD, BSc Hons, PGDip Diet, MMedSci Nutr

Clinical Academic Paediatric Dietitian
Southampton Children’s Hospital
Southampton, England, UK

Luise joined Southampton Children’s Hospital in 2013, working clinically in Neonatal / Paediatric Intensive Care and Cardiology. Prior to this she spent 15 years working in various academic hospitals in South Africa, of which four years were spent as the dietetic manager at Red Cross War Memorial Children’s Hospital, in Cape Town.

Following her return to the UK, she completed a PhD fellowship at Imperial College London, considering the role of HSP70 and the relationship to glutamine in the critically ill child. Luise has a HEE/NIHR Integrated Clinical Academic Fellowship considering “Growth and nutrition of infants with congenital heart disease: development of guidelines and a digital home monitoring programme to support families”. She is the current Chair of the British Dietetic Association Paediatric Cardiology Interest Group.

Luise has published several peer reviewed articles and book chapters and is involved in collaborative research projects within the Children’s Hospital. Luise’s research interest aims to characterise the nutritional journey of infants and children with acute and chronic disease with a focus on those with congenital heart disease, and how the development of pragmatic pathways for nutritional rehabilitation could promote healthy growth and reduce parental stress.

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