← Go Back

Specialized Nutrition Care- Addressing malnutrition through nutrition support


View Related Content by:


Leah Gramlich, Michele McCall


Specialized nutrition care is an individualized nutrition strategy that often includes enteral nutrition, parenteral nutrition. 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 patients. In this session, a globally renowned gastroenterologist-nutrition specialist will review the role of enteral nutrition, parenteral nutrition, with or without oral nutrition supplementation, in optimizing nutrition and preventing or treating malnutrition. Tools created to assist the bedside practitioner with proper assessment techniques to identify malnutrition will be shared. Learn from a nutrition support dietitian educator about the gaps in current practice compared to latest recommendations for enteral and parenteral nutrition in acute care. Practical strategies to overcome challenges faced by dietitians administering nutrition support will be offered.

Learning Objectives:

By the end of this webinar the audience will be able to:

  1. Understand the role of Specialized Nutrition Care in addressing malnutrition
  2. Learn about tools to assist with assessment of malnutrition
  3. Reflect on the gaps in current practices related to nutrition support in acute care that can impact malnutrition
  4. Apply practical strategies to implement enteral and parenteral recommendations in their own hospital settings


Leah Gramlich, MD, FRCP, Medicine, University of Alberta
Michele McCall, MSc, RD, Director, McCall Dietetics

Moderator: Barbara Bielawska, MD MSc FRCPC -  University of Ottawa & The Ottawa Hospital

About the Speakers:

Dr. Leah Gramlich is a Gastroenterologist and Physician Nutrition Specialist. She graduated from the Faculty of Medicine at University of Alberta in 1987 and currently holds a position as Professor of Medicine at the University of Alberta. She did her Internal Medicine training in Akron, Ohio and completed a Gastroenterology fellowship at the University of Alberta and subsequently did a fellowship in nutrition and metabolism at the Deaconess Hospital, Harvard University in Boston Massachusetts. In addition to her clinical roles in Gastroenterology and Nutrition, Dr. Gramlich is the provincial medical advisor for Nutrition Services in Alberta Health Services. Her key research areas include nutrition support including enteral and parenteral nutrition, home nutrition support, malnutrition and enhanced recovery. She has an interest in implementation science and uses this approach to advance nutrition care locally, nationally and internationally.

Dr. Gramlich is founding president of the Canadian Nutrition Society and a former member of the ASPEN Board of directors. She is a founding member and current co-chair of the Canadian Malnutrition Task force. She is the Chair of the Nutrition Science Advisory Committee of Health Canada. She has published more than 125 peer reviewed articles as author or co-author and received multiple grants for her research.

Michele McCall's career has spanned over 30 years of critical care nutrition practice at St. Michael’s Hospital in Toronto, serving medical, surgical, trauma and cardiovascular ICU patients. She has taught various clinical nutrition and research courses for 19 years at Toronto Metropolitan University in the School of Nutrition. After many years of instructing dietetic interns, Michele developed the first mentoring program for interns in Canada. She has won several teaching awards including the St. Michael’s Hospital Education Excellence Award after her three years as Dietetic Internship Coordinator. Practice-based research has also always been a passion, and Michele has authored or co-authored many studies and has been a member of multiple national and international nutrition support guideline committees. Michele was the recipient of the Canadian Nutrition Society 2023 Allied Health Award in Nutrition Care. She is now the director of McCall Dietetics, providing on-line continuing education courses for clinical dietitians.

About the Moderator:

Dr. Bielawska 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.

Webinar sponsored by

Original Source: "Canadian Malnutrition Awareness Week Webinars" Friday, October 6, 2023.

The views expressed by speakers or other third parties in CNS webinars, events and/or conferences are those of the speaker or third-party and not necessarily of CNS.

CNS is committed to maintaining responsible and transparent processes with respect to support received from industry partners and sponsors for all CNS activities.  While input from industry partners and sponsors is valued by CNS, final control over session topics and content, speaker participation, award recipients, or other factors related to CNS activities is retained by the Society. All CNS conference program content, educational initiatives and award recipients are reviewed and approved by respective CNS committees.

Length: 0:59:21

Type: File

Last Updated: October 11, 2023

Name Type
McCall-Knowledge Gaps and Strategies for Success File
Gramlich-Specialized Nutrition Care File
Specialized Nutrition Care- Addressing malnutrition through nutrition support Video
Questions and Answer Responses File
© 2024 CNS-SCN - Canadian Nutrition Society