The 2024 DNS Symposium took place May 31 - June 1, 2024 and included the 13 cutting-edge nutrition support sessions below.
1. How the Revised Scope and Standards Impact Your Nutrition Support Practice
Description: In this session, we will review the recently revised Scope and Standards of Practice for Registered Dietitian Nutritionists and describe how nutrition support practitioners can utilize this content to conduct a self-evaluation and advocate for advanced practice skills.
2. Navigating Nutrition Support in Cancer Care
Description: This session will provide a comprehensive review of nutrition support specific to oncology patients. We will review malnutrition and cancer cachexia, indications for EN/PN, best practices for transition from hospital to home, and the role of nutrition support at end of life.
3. Order Writing Privileges
Description: In 2014 the Center for Medicare and Medicaid Services approved a rule permitting RDN’s to order “therapeutic” diets which includes oral, enteral, and parenteral nutrition. Since that time, many hospitals across the United States have developed processes to implement order writing privileges for RDNs. National data from a 2017 survey on enteral and parenteral order writing privileges will be highlighted including the ordering of specific items such as macronutrients, micronutrients, and other ancillary orders. How one facility successfully obtained order writing privileges will be described along with alternative paths to achieve this capability in your facility will be offered.
4. The Use of Bedside Ultrasound for Lean and Fat Tissue Assessment
Description: This session will focus on the use of bedside ultrasound on assessing muscle and fat mass in the hospitalized patient, particularly in patients where a physical examination is limited. We will focus on the quadriceps and temporalis muscles. There will be a review of the current literature as well as a discussion of technique and factors that affect accuracy of results. Then we will talk about the current recommendations of ultrasound within established guidelines and implementation into RDN practice.
5. The Psychosocial Impact of Home Parenteral Nutrition: Management Strategies of Nutrition Support Clinicians
Description: This session will review the psychosocial components patients face with home parenteral nutrition (HPN) and offer nutrition support clinicians management strategies to help patients adapt to life with HPN.
6. Feeding Tube Placement by Registered Dietitians Nutritionists: Back to the Bedside
Description: This session will provide an overview of the implementation of a dietitian-led feeding tube placement program in the hospital setting. Participants will learn about the importance of these teams and the challenges associated with obtaining and applying this skillset.
7. So You Want to Talk About Shortages: Practical Tips for Bedside Management
Description: Product shortages have plagued both enteral and parenteral nutrition specialties for more than a decade. These shortages affect formulas, additives, diluents, and equipment, and can adversely impact numerous patient populations. This session focuses on specific strategies for managing shortages in clinical practice, and will encourage an interactive discussion where participants can share their experiences and lessons learned.
8. Nutrition Focused Physical Examination: Getting in “Touch” with Techniques
Description: Malnutrition is associated with negative clinical outcomes. Registered dietitian-nutritionists (RDN) play a critical role in the diagnosis and treatment of malnutrition. Nutrition focused physical examinations are used to identify malnutrition characteristics and micronutrient deficiencies. In this session, participants will learn the importance of NFPE and how to incorporate NFPE into clinical practice.
9. Breathing Life into Nutrition: Mastering Indirect Calorimetry
Description: Learn about the fundamentals of indirect calorimetry and practice applications! This session will combine lecture and hands-on experiences to build skills around the gold standard assessment method for energy needs.
10. Exploring Body Composition Assessment via Diagnostic Computed Tomography Scans
Description: Computed tomography (CT) scans have emerged as a powerful tool in healthcare, offering detailed insights into the distribution of lean tissue and fat mass within the body. Throughout this breakout session, attendees will delve into the principles and methodologies underlying body composition assessment using CT scan and gain an understanding of the technical aspects involved in image acquisition, analysis, and interpretation.
11. Elevating Clinical Practice: Reviewing Principles of Clinical Research and Quality Improvement for Dietetic Professionals
Description: In this breakout session attendees will delve into the essential foundations of both clinical research and quality improvement (QI) within the context of dietetic practice. This session aims to equip dietetic professionals with the necessary knowledge and skills to enhance their clinical practice through evidence-based approaches and continuous improvement methodologies. Participants will first explore the fundamental principles of clinical research, including study design, data analysis, and interpretation, enabling them to critically evaluate research literature and apply evidence-based findings to their practice. The session will also focus on the principles of quality improvement, emphasizing the importance of defining aims, measuring outcomes, implementing changes, and sustaining improvements in clinical practice.
12. Pearls of Pediatric Nutrition Support
Description: In this presentation, participants will learn the indications for and management of enteral and parenteral nutrition in the pediatric population. Guidance will be provided on navigating milk protein allergy and using appropriate formulas. Everyday case studies will be used to apply knowledge.
13. Global Malnutrition Composite Score
Description: The Global Malnutrition Composite Score (GMCS) is the first nutrition-focused quality indicator included in the Centers for Medicare and Medicaid Hospital Inpatient Quality Reporting Program. This session will review the four components of the GMCS, how to calculate the GMCS, and explore the role of the Registered Dietitian Nutritionist in supporting the components of the GMCS. This seminar will also review opportunities to improve the capture and coding of the RDN’s malnutrition diagnosis in the hospital setting.