Welcome to the fourth annual Canadian Malnutrition Week, Sept 24-28, 2018. Follow us on Facebook and Twitter to help spread the message!
Leah Gramlich and Roseann Nasser, Co-Chairs of the Advisory Committee
Please note: Four webinars will be presented in English and one in French with slide decks for each webinar available in both languages. The slide decks will be posted on the Canadian Nutrition Society education portal https://cns-scn.ca/events-activities/upcoming-events by September 14, 2018.
September 24, 1200 - 1300 hours EDT
Speakers: Members of the Malnutrition Screening Implementation Team from St Michael’s Hospital, Toronto, Canada
Title: Integrated Nutrition Pathway for Acute Care - How We Made It Work
Description: St Michael’s Hospital (SMH) is a 500 bed acute/quaternary care hospital located in the core of Toronto. In November 2017, SMH began implementation of the Integrated Nutrition Pathway for Acute Care (INPAC). Approximately 1200 in-patients a month are screened using the Canadian Nutrition Screen Tool (CNST) with about a quarter of patients screening positive for being at nutrition risk. Subjective Global Assessment (SGA) is completed by Registered Dietitians (RDs) on approximately 60% of patients with positive screens. This webinar will provide detailed information on the screening and management process and challenges identified. Topics include: implementation of a medical directive allowing RDs to make and communicate a diagnosis of malnutrition; engagement with volunteers to facilitate bedside meal assistance; red placemats as a bedside trigger for malnutrition; and optimization of existing resources. The webinar will also briefly explore on-going nutrition screening for specialized populations not targeted by INPAC such as patients with cystic fibrosis, mental health challenges or those receiving hemodialysis. The webinar will communicate the SMH journey from the initial steps taken by the Registered Dietitians’ Practice Council to the inclusion of many different health disciplines in implementing this initiative to impact the care of thousands of patients at St. Michael’s Hospital.
September 25, 1200 - 1300 hours EDT
Speakers: Dr. Khursheed Jeejeebhoy, Manon Laporte P.Dt, MSc, CNSC and Dr. Donald Duerksen
Title: Malnutrition as a phenotype vs Malnutrition due to insufficient intake
Description: Loss of body tissues resulting in wasting is a common phenotype for several different conditions which can be caused by a combination of reduced food intake, excessive requirements, altered metabolism, sepsis, trauma, ageing and inactivity. They have been referred to loosely as “malnutrition” but not all will respond to simply providing nutrients. This webinar will provide a review of phenotypes: Malnutrition, Cachexia and Sarcopenia, their common features and the differences as they relate to cause and response to treatment.
At the end of this webinar, the participant will be able to:
- Understand the key concept that is fundamental in the diagnosis of malnutrition
- Make a distinction between malnutrition and the wasting conditions cachexia and sarcopenia.
September 26, 1200 - 1300 hours EDT
Speaker: Mélissa Lagacé, Dt.P., MBA
Title: Le comité sentinelle de la malnutrition, l’engagement interdisciplinaire pour contrer la malnutrition en centre de soins aigus
Description: À partir des travaux du Groupe de travail canadien sur la malnutrition, plusieurs facteurs influençant les apports alimentaires des usagers et donc la malnutrition hospitalière ont été identifiés. Avec pour objectif d’agir sur les différents facteurs, le comité sentinelle de la malnutrition de l’Institut de Cardiologie et de Pneumologie de Québec (IUCPQ) a été créé. Ce comité regroupe des représentants du secteur de la nutrition clinique, des services alimentaires et des soins infirmiers. Les différentes idées novatrices et applicables proposées lors des rencontres visent à mettre en œuvre des actions permettant d’augmenter le dépistage, de traiter et de conscientiser tout le personnel à la malnutrition. Chaque personne œuvrant dans un centre hospitalier peut avoir un impact sur les apports alimentaires des usagers. Les processus hospitaliers (examen) ainsi que l’organisation des soins ont une influence directe sur les apports des usagers. Le comité sentinelle de la malnutrition est un exemple de pratique qui permet de trouver et de mettre en place en équipe des solutions pour contrer les obstacles qui empêchent les patients de s’alimenter correctement.
September 27, 1200 - 1300 hours EDT
Speakers: Heather Fletcher RD and Janice Sorensen PhD
Title: Hospital Foodservice Standards and Practices to Prevent Malnutrition
Description: Evidence-based hospital foodservice standards will help to ensure that food is an effective first line of defense to prevent and treat malnutrition. Current standards and practices will be shared by the Food in Healthcare Working Group of the Canadian Malnutrition Task Force and next steps towards the implementation of Canadian standards will be discussed.
September 28, 1200 - 1300 hours EDT
Speaker: Heather Keller RD, PhD, FDC
Title: Looking back and moving forward; a decade of CMTF
Description: The Canadian Malnutrition Task Force (CMTF) was established in 2009 to address the longstanding problem of hospital malnutrition. Over the past decade, CMTF has conducted rigorous research, worked collaboratively with a variety of stakeholders to improve the practice of nutrition care, and has become the 'go to' source for credible information to support practice change with respect to the prevention, detection, and treatment of malnutrition in Canada. The future is equally bright with new opportunities and spread of the work of CMTF beyond hospital care. This webinar will provide historical overview of CMTF from its inception to the future advocacy work of this standing committee of the Canadian Nutrition Society.