Dates: July 10, July 17, July 24, and July 31
Time: 2 - 3:30 p.m. (Central time)
The Pediatric Oncology Fundamentals Course covers assessment of pediatric oncology patients and various childhood cancer treatment plans. This program is designed to assist both the pediatric and adult dietitian in developing competency in the area of pediatric oncology nutrition.
This series is hosted by the Pediatric subunit of the Oncology Nutrition Dietetic Practice Group.
CPE Level: 2
Total CPEU: 6.0 (pending)
Fundamentals of Pediatric Nutrition
Date: July 10
Time: 2 - 3:30 p.m. (Central time)
This presentation will cover pediatric growth assessment, estimating nutrition needs based on treatment, interventions and metabolic stressors. There will also be an introduction to Nutrition Focused Physical Exam given higher prevalence of malnutrition in the pediatric oncology setting. Additionally, this presentation will cover highlights of pediatric malnutrition identification, diagnosis and treatment including and overview of refeeding syndrome.
CPE Level: 2
CPEU: 1.5 (pending)
Performance Indicators:
- 11.2.5
- 11.2.7
- 11.2.14
- 11.3.10
Learning Objectives
- Develop skills for pediatric growth and nutrition needs assessment in the setting of oncology.
- Begin to Identify, diagnose and treat pediatric malnutrition.
- Develop skills in NFPE including a summary of micronutrient changes and areas of fat loss and muscle wasting.
- Recognize inidicators for refeeding syndrome and recommend intervention.
Speaker
Mary Jones Verbovski, MS, RDN, CSO, CD
Mary Jones Verbovski attended Bastyr University and has been working for Seattle Childrens since 2003. She is an AND workshop Trainer for NFPE since 2016, educating students and colleagues locally and regionally. Mary co-chairs the Malnutrition committee, is the co-author of Malnutrition CSW pathway for hospital setting from admission through discharge to outpatient follow up, including EHR informatics, coding, documentation integrity and provider education. Mary is certified in pediatric and adult weight management and has community based expertise in family health and wellness programming. Recently, she was invited to speak as an SME for the Division of Nutrition Physical Activity and Obesity at the CDC National conference about improved access and cultural adaptations to family based healthy lifestyle programs statewide.
Fundamentals of Pediatric Oncology
Date: July 17
Time: 2 - 3:30 p.m. (Central time)
This session is a fundamentals course that will provide an overview of pediatric oncology and the role nutritional status and outcomes as well as review medications commonly utilized in pediatric cancer and their nutrition- related side effects. Interventions such as appetite stimulants, oral supplements and behavior modification strategies will be reviewed. Laboratory assessments as well as micronutrient supplementation as it relates to the pediatric oncology patient will be described. The session will conclude with 1-2 case studies.
CPE Level: 2
CPEU: 1.5 (pending)
Performance Indicators:
Learning Objectives
- Describe the common consequences of cancer and determine the nutritional implications.
- Recognize how both under and over nutrition may contribute to response to cancer therapy and quality of life.
- Identify nutrients of concern for patients undergoing pediatric cancer therapy.
Speaker
Michell Fullmer RDN, LDN, CSP, CNSC
Michell Fullmer is a registered dietitian at Nemours Children’s Hospital in Wilmington Delaware. She has been an RDN for over 35 years, with over 14 years in pediatric oncology. She has been published in peer reviewed journals including, the Journal of Pediatrics, the Journal of Pediatric Gastroenterology and Nutrition and the journal Cancers. Michell has also held both state and national positions with the Academy of Nutrition and Dietetics. Many people perceive working with children who have cancer as sad, Michell finds joy in every day being able to work with these remarkable children and families.
Fundamentals of Diagnosis-Directed Care: Part 1
Date: July 24
Time: 2 - 3:30 p.m. (Central time)
This presentation will cover diagnosis-specific care for leukemias, lymphomas, and other solid tumors apart from neuroblastoma. It will discuss when it is appropriate to use enteral nutrition (EN) and parenteral nutrition (PN) as well as indications for each, types of devices, feeding advancement, and navigating intolerance.
CPE Level: 2
CPEU: 1.5 (pending)
Performance Indicators:
Learning Objectives
- Understand general treatment timelines for different pediatric cancers.
- Determine when patients are at highest risk for poor nutrition during treatment.
- Evaluate patients and determine appropriate nutrition support plan.
Speaker
Susan Reese, MS, RDN, CD, CNSC
Susan Reese has worked as a Clinical Dietitian at Primary Children’s Hospital in Salt Lake City, Utah since 2013. She specializes in pediatric oncology and bone marrow failure patients in the inpatient setting. Susan obtained her bachelor’s degree in Nutritional Science and Chemistry from Brigham Young University and then went on to receive her Master of Science in Nutrition and Dietetics at the University of Utah. She is a Certified Nutrition Support Clinician (CNSC) and collaborates with the hospital’s nutrition support team. Her focus projects have been centered around creating protocols for proactive nutrition interventions in high-risk populations.
Fundamentals of Diagnosis-Directed Care: Part 2
Date: July 31
Time: 2 - 3:30 p.m. (Central time)
This presentation will cover diagnosis-specific nutritional care for neuroblastoma, common neuro-oncology diagnoses, and an overview of the bone-marrow transplant process for malignant diseases. Nutrition support interventions and how they differ throughout the treatment timeline will be discussed.
CPE Level: 2
CPEU: 1.5 (pending)
Performance Indicators:
Learning Objectives
- Review treatment plans for high-risk neuroblastoma and neuro-oncology diagnoses with high nutritional risk.
- Discuss when these patients are at highest risk for nutritional compromise and review nutrition support plans.
- Review the bone-marrow transplant process for malignant diseases.
Speaker
Darielle Wilhelm, RD, LDN
Darielle Wilhelm is a registered dietitian who graduated from James Madison University with a dual degree in Biology and Dietetics. She completed her Dietetic Internship at VCU Health and continued working there in the Surgery Trauma ICU as well as precepting dietetic interns. She currently works at the Children’s Hospital of Philadelphia as an Inpatient Oncology and Bone Marrow Transplant dietitian where she provides comprehensive nutrition support care and specializes in Neuro Oncology Nutrition. She also works with CHOP’s Nutrition Support Service Expert team and provides interdisciplinary education focused on nutrition support practices.