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IDPN/IPN Home Therapies (non-CEU)
A practical discussion focuses on the nursing role in administration and management of IDPN and IPN provided in the home.
Muscle Mass, Muscle Strength, & Physical Function in Dialysis Patients (1 Contact Hour/CPEU)
Three journal articles are reviewed to examine the prevalence and impact of muscle wasting and sarcopenia on nutritional outcomes, and the effect of nutrition supplements with/without exercise on physical function.
IDPN and IPN: Back to Basics (non-CEU)
This is an introductory overview of IDPN and IPN that discusses the composition and administration as well as insurance coverage and referral process for each therapy.
Protein Losses during Dialysis & Its Impact on Nutrition Outcomes in Patients (1 Contact Hour/CPEU)
This practice focused journal club explores: the amount of amino acids and protein lost during dialysis, its impact on dialysis patients’ nutritional status, and if nutritional supplement can ameliorate these losses.
COVID-19 and Malnutrition Awareness: Abbott Nutrition Health Institute (ANHI) Podcast (non-CEU)
An interview with Dr. Nicolaas Deutz discusses the nutritional impact of COVID-19. Another report provides results of nutritionDay 2009-2015 on prevalence/outcomes of malnutrition in the U.S.
AKI: Transition from ICU to Dialysis Center (1 Contact Hour/CPEU)
This course discusses management of AKI in the hospital and dialysis center with emphasis on fluid management, PEW interventions, and preserving kidney function.
Acute Kidney Injury Nutrition Challenges Journal Club (1 Contact Hour/CPEU)
Three journal articles focusing on the nutrition challenges in AKI are reviewed regarding nutrition assessment, management and outcomes.
IDPN/IPN: What Nurses Should Know to Help Improve Nutritional Outcomes (non-CEU)
This program, focused on the nursing perspective, discusses the manifestations of PEW and identifies potential nutritional interventions for patients on dialysis.
Clinical Characteristics for Diagnosis of Malnutrition in Adults (1 Contact Hour/CPEU)
This program looks at how we define malnutrition within the complexities of CKD and inflammation. Clinical skills, tools and resources to facilitate identification of these patients are reviewed.
Malnutrition Literature Review: Nutrition Assessment and Intervention (1 Contact Hour/CPEU)
Three journal articles are reviewed focusing on malnutrition diagnosis in elderly CKD patients, the GLIM diagnostic criteria for malnutrition and the effect of nutrition supplements/exercise on nutrition status and physical function.
Strength in Motion & Overview of Pentec Prime Malnutrition Series (1 Contact Hour/CPEU)
This program focuses on tools available for assessing functional status of patients. It also provides an overview of the 3-month presentation series on malnutrition diagnosis and treatment.
Home Dialysis: Current Trends, Future Focus (1 Contact Hour/CPEU)
This course reviews the 2019 American Kidney Health Initiative’s goal of increasing the number of patients receiving dialysis in their home. The benefits and challenges of PD and HHD are reviewed in terms of effectiveness, technique survival, nutritional considerations and quality of life.
Nutrition Outcomes and Home Dialysis: A Focused Journal Article Review (1 Contact Hour/CPEU)
This course will focus on three journal articles describing nutrition and clinical outcomes in patients on home dialysis therapies.
Plant Based Diets and CKD (1 Contact Hour/CPEU)
This course reviews the literature on plant based diets and CKD, describes proposed mechanisms and highlights potential health benefits and concerns for CKD patients.
From Plants to Practice: A Focused Journal Article Review (1 Contact Hour/CPEU)
This course discusses fruit/vegetable intake and mortality, as well as practical approaches to the implementation of plant based diets for hemodialysis patients, including the prevention of potential pitfalls.
Creative Approaches to Implementing Plant Based Diets for CKD Patients (1 Contact Hour/CPEU)
This course will begin with a recap of the Pentec Prime Plant Based Diet and CKD webinar series. It will be followed by an interview with Jen Hernandez RDN, CSR, LDN, Owner of Plant-Powered Kidneys Inc., on creative approaches to implementing plant based diets for CKD patients.
Lipids and CKD (1 Contact Hour/CPEU)
The characteristics of fatty acids will be reviewed. Patients with CKD have an altered fatty acid profile with increased MUFA and decreased PUFA. The impact of obesity and lipotoxicity on CKD progression, skeletal muscle wasting and heart failure are discussed. Suggestions for dietary fat intake with CKD and a review of IV fat emulsions will be presented
Pre-Kidney Transplant: Nutrition Considerations (1 Contact Hour/CPEU)
This course will focus on nutrition considerations for CKD patient’s waitlisted for kidney transplantation. The influence of BMI and surrogates of BMI will be explored including risk/benefits of interventions for high BMI, as well as identifying and addressing issues with frailty in the waitlist population. The Clinical Practice Guideline on the Evaluation and Management of Candidates for Kidney Transplantation related to BMI and frailty for pre-kidney transplant will be presented, along with K/DOQI commentary.
Challenges in Pre-Kidney Transplant: Obesity and Frailty (1 Contact Hour/CPEU)
This course is a focused journal article review of nutrition considerations for CKD patients in preparation for kidney transplantation (KT). The clinical and nutritional management of bariatric surgery, sarcopenic obesity, and frailty in pre-KT CKD patients will be discussed. The course will conclude with a review of the nutrition evaluation process for a kidney transplant.
CareDx: Patient Tools! And Pre-Kidney Transplant Nutrition Wrap Up (non-CEU)
The journey from diagnosis to transplant can be a long one for patients that often includes many potential pitfalls and bumps along the way. But there are tools and strategies patients and clinicians can employ that can smooth the path, reduce the frustrations for everyone, and improve both short and long term outcomes. In this program we will discuss both the “road hazards” and how to avoid them.
Nutrition Challenges with Kidney & Kidney/Pancreas Transplant (1 Contact Hour/CPEU)
This program will focus on short-term and long-term nutritional management of kidney transplant and kidney/pancreas transplant patients.
A Closer Look at Nutritional and Pharmacological Management Post-Transplant (1 Contact Hour/CPEU)
This literature review will examine pharmacological and medical interventions for effective management of diabetes mellitus, discuss the findings of the INTENT trial on weight management, and evaluate the effectiveness of single nutrient versus plant-based diet interventions.
Living Donor/Paired Exchange Donor Kidney Transplants (1 Contact Hour/CPEU)
This interview shifts the focus from kidney recipients to kidney donors and addresses the benefits and challenges of living donor and paired exchange donor kidney transplants. A brief overview of the Pentec Prime series on Kidney and Kidney/Pancreas Transplant will be provided.
Nutrition Assessment of Vitamin and Trace Element Status in CKD (1 Contact Hour/CPEU)
This course examines the diseases, conditions, and medications that impact vitamin and trace element status and identifies the signs and symptoms of deficiency and toxicity. The published dosing recommendations for CKD patients will be reviewed.
The Importance of Population Health: A Focus on Chronic Kidney Disease (1 Contact Hour/CPEU)
The course examines population health provides an opportunity for health care systems, agencies and organizations to work together in order to improve the health outcomes of the communities they serve. Some definitions of population health emphasize outcomes, some focus on measurement, and others emphasize accountability. Chronic kidney disease in the United States places a high burden upon society and health systems. Given its uneven distribution across populations and that the disease is largely preventable, chronic kidney disease is an important focus for population health.
Nutrition, CKD and the Older Adult (1 Contact Hour/CPEU)
This course explores the unique nutritional needs of the aging dialysis population. Physical function, frailty, psychosocial concerns and the impact of dialysis treatments will be discussed in relation to the nutritional status of elderly CKD patients.
What is Proplete IDPN/IPN Therapy?
In 2008, with a thorough understanding of many unmet needs for protein malnourished HD patients, our nationally recognized expert in IDPN worked to solve the tolerance issues associated with this therapy. Through her experience and discussions with clinicians, she recognized that the essential issue was composition problems inherent in traditional IDPN solutions, which caused many side effects including nausea, vomiting and chills. Her experience and expertise lead to the creation of newer, better tolerated IDPN solutions for malnourished hemodialysis patients.
The introduction of the Proplete family of IDPN and IPN therapy was the shift in paradigm that patients and clinicians needed. With dextrose greatly reduced and lipid removed with adequate protein provision maintained, these new weight-based solutions had several advantages for both patients and the RN administering them.
Eileen Moore, CNSD, R.D, L.D.
Eileen Moore, Pentec Health's former Clinical Liaison Director-Renal Products, is a nationally recognized expert on IDPN and is the inventor of Pentec’s unique IDPN therapy Proplete for malnourished hemodialysis patients. As a renal clinician, she had many patients who did not respond adequately to standard approaches of liberalized diet and oral supplements. For these patients, protein malnutrition remained a significant problem requiring treatment with IDPN therapy. In the dialysis center and in patients dialyzed at home, she witnessed first-hand the problems they experienced with traditional IDPN solutions prompting a strong desire to find possible solutions.
Her years of experience in a tertiary care trauma hospital advising and monitoring patients requiring partial and total nutrition support allowed her to determine composition problems inherent in these traditional IDPN solutions. When coupled together, the experience and expertise led to the creation of newer, better tolerated IDPN solutions for malnourished hemodialysis patients.