Rupinder Dhaliwal is the Program Manager of the Canadian Malnutrition Task Force-Canadian Nutrition Society. She has been involved in advancing the agenda for addressing malnutrition through the development of a national malnutrition standard, scientific literature reviews, creation of evidence-based presentations & resources, and liaising with multiple working groups and partners. Her past accomplishments include leading the expansion of a team-based diet and exercise intervention in primary care clinics across Canada, playing a key role in the development of Clinical Practice Guidelines for Critical Care nutrition and the implementation of several international nutrition studies. She is the recipient of the “Fellow of Dietitians of Canada” award for her professional growth, excellence and career achievements and the Canadian Nutrition Society “Allied Health Award in Nutrition Care” award. Guidelines for Critical Care nutrition and the implementation of several international nutrition studies. She is the recipient of the “Fellow of Dietitians of Canada” award for her professional growth, excellence and career achievements and the Canadian Nutrition Society “Allied Health Award in Nutrition Care” award.
Nutrition Support, i.e., enteral (EN) and parenteral nutrition (PN), is an essential part of therapy for patients who are unable to meet their nutritional requirements orally. Over the years, several evidence based clinical practice guidelines and standards have been developed to guide the bedside practitioner on best practices related to EN and PN. With the huge advances in research, busy practitioners find it hard to keep up with the latest findings and the impact on current practices, especially with staffing restraints related to the pandemic. In this session, nutrition experts will summarize the latest evidence around refeeding syndrome & the potential role of thiamin, inflammation, need for individualized nutrition including indirect calorimetry and the role of protein in hospitalized/critically ill patients. Key strategies and practical solutions for nutrition management of these latest advances and challenges will also be presented.
Learning objectives: By the end of this session, attendees will:
1.Increase their awareness about the latest evidence based practices related to refeeding syndrome, inflammation, and individualized nutrition therapy, including indirect calorimetry.
2.Understand how to identify patients at high risk for refeeding syndrome & the potential role of thiamin.
3.Gain awareness of key strategies to manage refeeding syndrome & inflammation in hospitalized patients.
4.Learn about practical solutions that can assist in implementation of indirect calorimetry.
5.Increase their knowledge of the role of protein in critical illness and recovery.