Tackling Pediatric Malnutrition in Hospitals: getting started with screening & assessing
Date: Thursday, March 23, 2023
Time: 12:00 - 13:00 ET
Pediatric malnutrition is a serious concern in hospitals that is often not diagnosed or treated. Up to 1 in 3 Canadian children admitted to tertiary pediatric hospitals are reported to be in a malnourished state on admission. Children are also at risk for worsening nutritional status during hospitalization.
The Canadian Malnutrition Task Force’s Pediatric Working Group is a multidisciplinary group of physicians, researchers, dietitians, and nurses that have been addressing malnutrition in pediatric populations since 2018. Building on CMTF’s work in adults, this group developed the evidence-based/consensus-based algorithm pathway Pediatric Integrated Nutrition Pathway for Acute Care (P-INPAC). This pathway aims to prevent, detect, monitor, and treat malnutrition in acute care pediatric patients and aligns with the recommendations from the national HSO Malnutrition Standard. This session will review the components of the P-INPAC Pathway, personal experiences with implementing its components, and how these can be applied in a practical manner to the care of pediatric patients. Speakers will review simple strategies & supporting tools and resources geared for clinicians wanting to get started with nutrition screening and assessment. Responses to commonly asked questions by pediatric health care professional will be addressed within the presentations at the end of the webinar.
By the end of this session, attendees will be able to:
1. Describe what the P-INPAC pathway is and how its key components can be incorporated into a nutrition care plan for hospitalized pediatric patients.
2. Learn about experiences with implementing team based nutrition screening and assessment (SGNA)
3. Apply practical strategies and tools to support the implementation of P-INPAC
4. Learn the commonly asked questions on how to tackle pediatric malnutrition in their hospital setting
Nikhil Pai, MD CNSC NASPGHAN-F FAAP FRCPC - Associate Professor-Pediatrics (Division of Gastroenterology, Hepatology & Nutrition), Medical Lead-Complex Nutrition Service & Intestinal Rehabilitation Program, McMaster Children’s Hospital
Erin Wyllie, BSc RD - Pediatric Dietitian-Children’s Health Centre, Surrey Memorial Hospital (Fraser Health), Clinical Instructor-Faculty of Land and Food Systems, Dietetics at the University of British Columbia
Julie LeBlanc RD, CNSC - Clinical Dietitian, Bluewater Health, Sarnia, Ontario
Jessie Hulst MD - staff gastroenterologist, The Hospital for Sick Children, Toronto
About the Speakers:
Dr. Nikhil Pai MD CNSC FAAP FRCPC, is an Associate Professor of Pediatrics at McMaster University, and Staff Pediatric Gastroenterologist at McMaster Children’s Hospital. He completed medical school at McMaster University, residency at the Hospital for Sick Children (University of Toronto) and his pediatric gastroenterology fellowship at Boston Children's Hospital (Harvard Medical School). He is Medical Lead of the Pediatric Intestinal Failure Program and Complex Nutrition Service and supports a busy outpatient, inpatient and endoscopy practice.
Dr. Pai is also an Associate Member of McMaster University's Farncombe Family Digestive Health Research Institute, and McMaster University’s Metabolism, Obesity and Diabetes Research (MODR) Centre. He is a member of the Pediatric Working Group of the Canadian Malnutrition Task Force, Co-Chair of McMaster Children's Hospital's Pediatric Nutrition Advisory Committee, External Advisor to Health Canada's Fecal Microbiota Transplant (FMT) Advanced Therapeutics Pathway and leads McMaster Children’s Hospital’s Pediatric Stool Bank, the only pediatric FMT program across Canada. Dr. Pai’s research work concentrates on interactions between nutrition and the microbiome, and he leads an active clinical translational research lab assessing host-microbe-nutrient interactions and microbial therapeutics.
Erin Wyllie BSc RD, is a Registered Dietitian with the College of Dietitians of British Columbia. Erin completed her Bachelors of Science in Nutrition and Food Science with distinction from the University of Alberta, along with her dietetic internship through Alberta Health Services. She now works as the inpatient Pediatric Dietitian in the Children’s Health Centre of Surrey Memorial Hospital, British Columbia. She is also a Clinical Instructor with the University of British Columbia Dietetics department, and a member of the Pediatric Working Group of the Canadian Malnutrition Task Force. Erin is firm believer that front line clinicians have the power to make positive change in the healthcare system. She has led a number of pediatric quality improvement initiatives within the Fraser Health Authority, including pediatric malnutrition screening and the SGNA. Outside of her professional work, you will find Erin enjoying the beautiful outdoors of BC hiking and camping with her family or at the rink coaching ringette!
Julie LeBlanc RD CNSC, is Registered Dietitian with Bluewater Health, where she has been employed since 2007. Julie has experience working within inpatient clinical areas across the hospital, and also spent five years as a Senior Registered Dietitian, during which time malnutrition assessment and screening tools were implemented. Most recently, Julie’s role shifted into the Diabetes Education Centre in the fall of 2022, where she focuses on patient education and providing long-term relationships with patients and families. Julie holds a Bachelor of Science in Human Ecology with Honours from Brescia University College at Western University in London, Ontario. She carries a Certified Nutrition Support Clinicians credential and has plans to begin working towards obtaining her Certified Diabetes Educator credential.
About the Moderator:
Dr. Jessie Hulst MD, is a staff gastroenterologist in the Division of Gastroenterology, Hepatology and Nutrition of The Hospital for Sick Children in Toronto and an Associate Professor in the Department of Pediatrics and Department of Nutritional Sciences of the University of Toronto. Dr. Hulst obtained her PhD on the topic of nutritional assessment in critically ill children in 2004 and has been involved in both national and international research about this topic since. In 2009, she developed a simple nutritional (risk) screening tool (STRONGkids), which is used in multiple hospitals around the world. As the Chair of Pediatric section of the Dutch Malnutrition Taskforce she was involved in the development and implementation of a nationwide pediatric malnutrition pathway and development of mandatory National Hospital Quality Indicators on pediatric malnutrition. She is currently the co-chair of the Pediatric working group of the Canadian Malnutrition Task Force and working on the implementation of a pediatric Malnutrition Pathway in Canada. At Sick kids, Jessie is running a complex Nutrition clinic, she is the hospital PN medical lead and the chair of the Nutritional Advisory Committee. She has published > 80 peer-reviewed manuscripts and >10 book chapters.
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This webinar will be recorded and posted in the CNS Education Portal (https://cns-scn.ca/education-portal) within 48 business hours post event. The archived webinar will be available free of charge for both CNS members and non-members for one week. After that one week period, there will be a fee to access for non-CNS members; it will remain free of charge for CNS members. Certificates of Attendance are not sent to those who viewed the recording from the Education Portal.