Individualizing Parenteral Nutrition: Optimizing Care for Adults at Risk of Malnutrition
October 9, 2026 | 12:00 PM - 01:00 PM
This webinar is brought to you by CMTF as part of Canadian Malnutrition Awareness Week™ October 5 - 9, 2026 "Lead The Change"
This webinar is presented in English / Ce webinaire sera présenté en Anglais.
Webinar description:
Despite advances in enteral and oral nutrition, many hospitalized patients- particularly those that are acutely ill, recovering from surgery or experiencing GI dysfunction- continue to receive inadequate amounts of energy, protein, and essential micronutrients. These patients can become malnourished rapidly, increasing their risk of infections, complications, prolonged hospital stays, readmissions, and poorer clinical outcomes, while placing additional strain on healthcare resources.
Parenteral nutrition (PN) can provide significant clinical benefits when oral or enteral nutrition is not feasible or sufficient. However, uncertainty surrounding the use of PN often results in delays or underutilization, even among patients who would benefit from early nutrition intervention. Greater awareness of current evidence and best practices is needed to support timely, individualized nutrition care.
This webinar reviews how nutrition screening and assessment identify hospitalized adults who may benefit from parenteral nutrition (PN), either compounded or multi-chamber bags. Speakers will discuss practical approaches to individualizing PN prescriptions, preventing common complications such as overfeeding and refeeding syndrome, and monitoring therapy throughout the course of illness. Using clinical cases, participants will learn evidence-based strategies to optimize nutrition support and improve patient outcomes.
This webinar is intended for dietitians, physicians, pharmacists, nurses, and other healthcare professionals involved in the nutrition support of hospitalized adult patients.
Learning Objectives:
By the end of the webinar, participants will be able to:
- Identify hospitalized adults who are appropriate candidates for individualized parenteral nutrition using nutrition screening and assessment.
- Apply practical strategies to prescribe, monitor, and adjust parenteral nutrition while minimizing complications such as overfeeding and refeeding syndrome.
- Implement evidence-based parenteral nutrition practices that support multidisciplinary care and improve patient outcomes.
Speakers:
- David Armstrong, MA, MB BChir, FRCP (UK), FRCPC, CAGF, FACG, AGAF, Gastroenterologist, Hamilton Health Sciences, Ontario, Canada
- Michele Apsimon, MSc., RD, Hamilton Health Sciences, Ontario, Canada
Moderator: To be confirmed
About the Speakers:
David Armstrong, MA, MB BChir, FRCP (UK), FRCPC, CAGF, FACG, AGAF - David Armstrong is Professor of Medicine at McMaster University, inaugural holder of the Douglas Family Chair in Nutrition Research and senior investigator for the Farncombe Institute Nutrition Initiative. His clinical and research interests include nutrition, frailty and aging, gastroesophageal reflux disease, dyspepsia, functional bowel disorders, inflammatory bowel disease, celiac disease, short bowel syndrome, colon cancer screening, quality in endoscopy and artificial intelligence. He has published widely, including more than 250 peer-reviewed articles, with an ‘h-index’ of 71. Dr. Armstrong was President of the Canadian Association of Gastroenterology (CAG) from 2016-2018 and Chair of the Canadian National Colon Cancer Screening Network (NCCSN) from 2013-2023. He is the GI Clinical Nutrition Fellowship Program Director, a member of the FIT-HIPS / FIT-JOINTS Research Group, Treasurer of the International Working Group for the Classification of Oesophagitis (IWGCO), Co-Chair of the IWGCO Consensus Guidelines on the Management of Refractory GERD and Co-Founder of A.I. VALI Inc.
Michele Apsimon, MSc., RD - Michele is a critical care nutrition support dietitian with 28 years of experience at Hamilton General Hospital, Hamilton Health Sciences. She holds a Life Sciences degree from Queen's University and a Master's degree in Nutritional Sciences from the University of Guelph. Michele chairs the Regional Parenteral Nutrition Committee at Hamilton Health Sciences, where she has led initiatives including the implementation of fish oil–containing lipid emulsions, dietitian-ordered parenteral nutrition, standardized trace element formulations, and three-chamber PN systems. She has contributed to multicentre research through the REDOX Trial and the International Nutrition Survey and is the author of Dispelling Myths About Intravenous Fish Oil Lipid Emulsions: A Clinical Perspective. A frequent speaker at conferences and webinars across Canada, Michele enjoys translating complex nutrition science into practical bedside strategies—and proving that discussions about protein, lipids, and parenteral nutrition can actually be entertaining.
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