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Transdisciplinary Approaches for Hospital Malnutrition Care


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Rupinder Dhaliwal, Andra Stancu, Donna Schafer


In this session, the Canadian Malnutrition Task Force (CMTF) will provide a brief update on the latest initiatives being undertaken with its partners and collaborators, aimed at being Stronger Together to address malnutrition. After 2 years of the publication of the Malnutrition Prevention, Detection and Treatment Standard CAN/HSO 5066:2021, the Health Standards Organization (HSO) will share the results of the pilot of the Malnutrition Prevention, Detection and Treatment Required Organizational Practice (ROP). The pilot has been used to assess feasibility of the inclusion of the ROP into Accreditation Canada’s Qmentum Accreditation Program. HSO will also share feedback received from hospitals that participated in the pilot for the ROP. This session will also include the real life experiences of a Clinical Nutrition Manager and her team as they have continued to implement best practices to address malnutrition across several institutions in Montreal.

Learning Objectives:

By the end of this session, the audience will be able to:

  1. Describe current “Stronger Together” efforts to address malnutrition care led by the Canadian Malnutrition Task Force
  2. Understand the process, results and lessons learned from the Malnutrition Prevention, Detection and Treatment ROP pilot 
  3. Reflect on the shared experiences in implementing practices to address malnutrition in a staffing restrained setting
  4. Apply practical strategies to implement best nutrition practices in their own hospital settings


Rupinder Dhaliwal, RD FDC, Program Manager Canadian Malnutrition Task Force
Andra StancuAMSc., PMP, Program Manager, Global Programs, Health Standards Organization (HSO)
Donna Schafer, P.Dt., M.Sc., Chief of Clinical Nutrition, CIUSSS Centre-Ouest-de-l'Ile-de-Montréal

Moderator: Roseann Nasser MSc, RD, FDC, CNSC Research Dietitian, Saskatchewan Health Authority

About the Speakers:

Rupinder Dhaliwal, RD FDC - as a Registered Dietitian for more than 30 years, Rupinder has extensive experience in clinical nutrition, research, program management, leadership, and networking. In her work with CMTF, she has assisted with the development of the national HSO malnutrition standard 2021, scientific literature reviews, creation of evidence-based presentations & resources, and liaising with multiple working groups and partners. Her previous work includes expansion of a team-based diet and exercise intervention in primary care and foundational work in critical care nutrition research. She has co-authored numerous scientific publications and has presented at many national and international conferences. Rupinder was awarded the “Fellow of Dietitians of Canada" and the Canadian Nutrition Society “Allied Health Award in Nutrition Care" award. She is a past member of Canadian Nutrition Society Board of Directors.

Andra Stancu is a Program Manager at Health Standards Organization (HSO), combining skills in research and content development, project management, and stakeholder engagement. Since joining HSO, Andra has led the development of National Standards of Canada covering a range of health and social service needs, and was privileged to lead the Malnutrition Prevention, Detection, and Treatment Required Organizational Practice pilot project with Canadian hospitals from April to June 2023.She holds a Master of Science degree from Maastricht University in Global Health and is a certified Project Management Professional from the Project Management Institute. Andra resides in Toronto, and has had the pleasure of living, working, and learning in several countries including Romania, Thailand, the Netherlands, India, and of course Canada. 

Donna Schafer, P.Dt., M.Sc holds a masters degree from McGill University in nutritional sciences and has worked in the healthcare field for the past 30 years. She worked as a Clinical Dietitian at Chedoke-McMaster Hospital in Hamilton, ON before returning to Montreal to work as a clinical coordinator / faculty lecturer for the dietetic stage program at McGill University. In 2003, she became the Chief of Clinical Nutrition at the Jewish General Hospital in Montreal, Quebec. She now manages the clinical nutrition department across acute care, 3 rehabilitation centers and 5 long term care centers. Donna was a member of the Health Standards Organization committee to develop Required Organization Practices (ROPs) for malnutrition. She has given several presentations on her institution’s practices to address malnutrition across Canada. She is proud to be part of the first center in Quebec to implement a malnutrition pathway.

About the Moderator:

Roseann Nasser MSc, RD, FDC, CNSC is a research dietitian in the Saskatchewan Health Authority in Regina, Saskatchewan. As co-chair of the of the Canadian Malnutrition Task Force, she has been instrumental in promoting nutrition care knowledge and optimal practice through research and education activities. Roseann has participated in a number of research studies to prevent, detect and treat malnutrition in hospitalized adults. She was awarded the “Fellow of Dietitians of Canada" for her professional contributions and leadership in dietetics. She has been actively involved in the educational and regulatory pillars of the dietetic profession. Roseanne is a leading member of the working group that developed a National Malnutrition Standard for Canadian Hospitals.


Original Source: "Canadian Malnutrition Awareness Week Webinars" Tuesday, October 3, 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.

Length: 1:17:44

Type: File

Last Updated: October 3, 2023

Name Type
Dhaliwal - CMTF Stronger Together Initiatives File
Stancu - Update on HSO A5066:2022 File
Schafer - Transdisciplinary Approaches for Hospital Malnutrition Care File
Transdisciplinary Approaches for Hospital Malnutrition Care Video
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