Challenges in Nutrition Support for Hospitalized Adults-Practical Solutions

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Speakers:

Barbara Bielawska, Jennifer Jin

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Speakers:

• Barbara Bielawska MD MSc FRCPC, Department of Medicine, Division of Gastroenterology, University of Ottawa   
• Jennifer Jin, MD FRCPC, Department of Medicine, Division of Gastroenterology, University of Alberta

WEBINAR DESCRIPTION

Nutrition support through enteral and parenteral nutrition is a cornerstone of treating disease related malnutrition in hospitalized adults, particularly medical, surgical patients and critically ill patients. It requires the involvement of a registered dietitian and/or a nutrition support team member and is a key component of the Integrated Nutrition Pathway for Acute Care (INPAC), a standard to meet the nutritional needs of medical and surgical patients. 

In this session, building on the current evidence, gastroenterologist-nutrition specialists will review challenges for enteral access and its complications. Strategies on how parenteral nutrition can be administered to meet nutritional needs, including peripherally administered and supplemental parenteral nutrition will be presented. Recent work done on illuminating MDs perspectives on how to treat malnutrition in a hospitalized setting will also be shared. Practical strategies to overcome challenges faced by dietitians to minimize risks and maximize benefits when administering nutrition support will be offered.

LEARNING OBJECTIVES:

1. Describe options and rationale for selecting an enteral feeding access strategy including percutaneous and transnasal approaches
2. Understand principles of managing complications related to enteral feeding and the enteral access device
3. Understand role and evidence for supplemental parenteral nutrition and peripheral parenteral nutrition
4. Reflect on practical strategies to minimize the risk and maximize benefit of enteral and parenteral nutrition

Moderator: Roseann Nasser, MSc RD CNSC FDC, University of Saskatchewan

ABOUT THE SPEAKERS:

Barbara Bielawska MD MSc FRCPC - has been working as a clinician investigator at The Ottawa Hospital since 2018, where she is the Medical Lead for Inpatient Nutrition and the Medical Director of the Home TPN program. She trained at Queen's University (MD, Internal Medicine, M.Sc. in Clinical Epidemiology) and the University of Toronto (Gastroenterology and Fellowship in Clinical Nutrition). Dr. Bielawska is a member of the Canadian Malnutrition Taskforce advisory committee. Her clinical and research interests include malnutrition, intestinal failure, sarcopenic obesity and bariatric malnutrition, as well as parenteral and enteral nutrition support for benign and malignant disease.

Jennifer Jin, MD FRCPC - finished medical school and internal medicine residency training in her home province in Saskatchewan and went on to a gastroenterology residency at the University of Ottawa.  She then completed a Nutrition fellowship at the University of Toronto.  She moved back out west to Edmonton in 2015 and joined the Division of Gastroenterology at the Royal Alexandra Hospital and is the Medical Lead for Nutrition Services in the northern half of Alberta and program director for the Advanced Clinical Nutrition Fellowship. 

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Length: 0:58:44

Type: File

Last Updated: October 10, 2025