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Issue 2, September/October 2007 |
Editorial |
Welcome
to the second edition of e-News. We hope that you find this an
interesting and additional way of receiving news about BAPEN and the
many activities that it is associated with. BAPEN continues to lead on
and participate in many events and initiatives and a flavour of these
is given in this e- News.
We hope you enjoy the read.
Editorial team |
Contents |
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BAPEN Conference, Harrogate, 27/28
November 2007 |
 BAPEN’s focus on improving nutrition treatment and care receives significant boost as it prepares for Conference
As preparations for BAPEN’s 2007 ‘Malnutrition Matters’
Conference intensify, the charity that is committed to improving
nutritional care and treatment in hospital, care and community,
received a boost from the Department of Health, national agencies and a
wide stakeholder group.
The charity’s Nutrition Screening Week,
aimed at collecting data on malnutrition risk on admission to hospital
and into care homes, has received endorsement from Ivan Lewis Care
Services Minister and the Department of Health, as well as from the
National Patient Safety Agency (NPSA), the Royal College of Nursing
(RCN) and the British Dietetic Association (BDA).
Malnutrition Risk – results at Conference
The
data on malnutrition risk will reflect what is happening in the
community – where most malnutrition exists – as well as providing clear
evidence for hospitals and care homes as to the scale of the problem
they have to tackle. The results from the Screening Week will be
presented on the opening day of the Malnutrition Matters Conference and
will be followed by an address and Question session with Ivan Lewis,
Care Services Minister.
Ivan Lewis’s topic will be the National Nutrition Action Plan which
has been developed by a wide group of stakeholders, including BAPEN,
and will be officially launched in late September. The aim of the
Nutrition Action Plan is to pull together the various strands of
important work being undertaken and provide a clear focus under the
Government’s Dignity & Respect Campaign. Delegates to the Malnutrition Matters Conference will be able to question the Minister on the content and objectives of the Plan.
Nutrition in Cancer
Expertise
and understanding of the importance of appropriate nutrition and
nutritional support throughout the cancer journey – from prevention to
end of life – is accumulating all the time.
Two
major symposia at Conference will bring delegates up to speed with
latest information on complications in cancer therapy (radiation &
chemotherapy) and how nutrition can play a significant part in that
treatment, Home Parenteral Nutrition (HPN) for cancer patients, gut
hormones and appetite in cancer as well as a global view on the
interaction of food, nutrition and cancer prevention.
Nutrition and Liver Disease,
under the Chairmanship of Conference Chair Dr Mike Stroud, is discussed
with presentations from Professor Alan Jackson of Southampton on the
organ itself, Dr Marcia Morgan from London on nutrition support, and
Professor Rosemary Richardson from Glasgow who investigates the options
for feeding patients with liver disease.
The pre-term infant - nutrition matters
A
welcome focus on paediatric nutrition is provided in two
Symposia. Fluid and Nutrition Support in the first week of life
comes under scrutiny on first day of conference with guidelines on
amino acids being presented by Professor Patti Thureen from the
University of Colorado, lipid emulsion by Dr Susan Hill, Great Ormond
Street Hospital and enteral nutrition support by Caroline King from
Hammersmith Hospital.
The second Symposium looks at
managing fluids and electrolytes, managing intravenous glucose and
closes with Tony Murphy, Pharmacist at University College Hospital,
discussing the formulation of standard baby TPN feeds.
Enteral Nutrition – The Iceman Cometh?
Current
practice in nasogastric tube placement comes under scrutiny from the
NPSA on the second day of Conference, together with presentations on
safer routes and future options.
The final
Conference Symposium poses key debate questions on choice regarding
fibre, peptides and high protein in enteral feeds, with expert
argumentation from the likes of David ‘QC’ Silk, Tim ‘Maximum
Impaction’ Bowling and Mike ‘The Iceman’ Stroud. Check out the
programme for full details!
It’s got jam on it!
Pancreatitis and
artificial nutrition, naso-jejeunal feeds and the evidence for
different routes for administration, presented by Professor Peter Layer
from the University of Hamburg, provides one of the well-focused
opening Symposium on Day One.
The parallel session on day one Feeding the Older Person in the Community
looks at micronutrient status, appetite control and body composition
changes in the older person and nutrition in early dementia, for those
with dementia and their carers.
A workshop on the Mental Capacity Act and its impact on nutrition support, the Nutricia Fellowship Awards, the Pennington Lecture and Cuthbertson Medal Lecture, Original Communications and e-poster sessions complete another jam-packed BAPEN meeting. |
Malnutrition Matters BAPEN Conference 27/28 November 2007, Harrogate. Log onto www.bapen.org.uk
for full details on the Conference including Registration and
Accommodation. Early bird registrations available until Friday
19th October 2007.
A flavour of the conference is given below : |
PROVISIONAL PROGRAMME |
Monday 26th November 2007 BAPEN MEDICAL
Post-graduate Teaching Day
| 10:00 – 10:45 |
Perioperative Saline: Endocrine and Renal Effects on Balance: What goes in must come out.
Dr Peter Gosling
Consultant Clinical Biochemist - Birmingham |
| 10:45 – 11:00 |
Discussion |
| 11:00 – 11:45 |
The oedematous post-operative patient with complications - a case-based
discussion
Professor Gordon Carlson
Department of Surgery - Hope Hospital, Salford |
| 11:45 – 12:00 |
Coffee |
| 12:00 – 12:40 |
NICE nutrition support guidelines
Dr Jeremy Nightingale
Consultant Gastroenterologist – St. Marks Hospital, Harrow |
| 12:40 – 13:00 |
Implementing NICE – the view from a DGH
Dr Emma Greig
Consultant Gastroenterologist- Taunton & Somerset Hospital |
| 13:00 – 13:00 |
Discussion |
| 13:15 – 14:00 |
Lunch |
| 14:00 – 15:30 |
PEGs and ethics – a debate
Dr. Barry Jones
Consultant Gastroenterologist - Russell Hall Hospital, Dudley
and
Dr. Simon Gabe
Consultant Gastroenterologist/Hon. Senior Lecturer – St. Marks Hospital, Harrow |
| 15:30 – 16:00 |
Biochemical reprise – the refeeding syndrome
Dr Michael Colley
Consultant Clinical Biochemist - Swindon |
| 16:00 – 16:15 |
Discussion |
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Evening informal curry or chinese at a local restaurant – optional |
Tuesday 27th November 2007 BAPEN 2007 Conference
| 08:30 |
Registration |
| 09:30 – 09:40 |
Welcome & BAPEN Initiatives
Professor Marinos Elia – Honorary Chairman – BAPEN |
| 09:40 – 10:10 |
National Nutrition Action Plan – Presentation & Questions
Ivan Lewis MP
Parliamentary Under Secretary of State for Care Services |
10:10 – 11:30 |
Symposium 1 |
10:10 – 11:30 |
Symposium 2 |
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“Feeding in Pancreatitis” |
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“Feeding the Older Person in the Community” |
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Unrestricted Educational Grant provided by Nutricia |
Chair |
Ruth McKee
Consultant Suregon
Glasgow Royal Infirmary |
Chair |
Joanna Clutterbuck
Lead Renal Dietitian
North Bristol NHS Trust |
10:10 – 10:30 |
What is the best route for providing artificial nutrition in acute pancreatitis?
Mr Ross Carter
Consultant Surgeon
Glasgow Royal Infirmary |
10:10 – 10:30 |
Micronutrient Status in the Older Person
Anne Holdoway
Research Dietitian
Royal National Hospital for Rheumatic Diseases NHS Foundation Trust |
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10:30 – 10:50 |
What evidence guides the prescription of naso-jejunal feeds?
Dr Sorrel Burden
Lead Dietitian in Nutrition Support and Gastroenterology
Manchester |
10:30 – 10:50 |
Appetite control and body composition changes during ageing: implications for clinical practice
Dr Mary Hickson
Therapy Research Facilitator
Hammersmith Hospitals NHS Trust |
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10:50 – 11:10 |
The effect of different routes of nutrient administration on human pancreatic exocrine function
Professor Peter Layer
Professor of Medicine
Israelitic Hospital, University of Hamburg |
10:50 – 11:10
11:10 – 11:17 |
Feeding in early dementia
Carole Barker
Advanced Nurse Practitioner – Memory Clinic
Derbyshire Mental Health NHS Trust
The
prevention of hospital/clinical attendance, or admission of home
enteral nutrition tube feeding patients living in the Avon area
Debbie Reeves
Clinical Nurse Advisor
Fresenius Kabi Limited |
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11:10 – 11:30 |
Discussion |
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11:17 – 11:24
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Home enteral feed dietitians save unnecessary hospital admissions of patients with percutaneous endoscopic gastrostomy (PEG)
Sean White
Sheffield Teaching Hospitals NHS Trust |
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11:24 – 11:27
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Evaluation of a training package for the Malnutrition Universal Screening Tool (MUST)
Rachel Lee
Specialist Intermediate Services Dietitian
Norfolk and Norwich University Hospital |
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11:27 – 11:30 |
Questions & Answers |
| 11:30 – 11:50 |
Coffee and Exhibition |
| 11:50 – 12:30 |
THE PENNINGTON LECTURE |
| 12:30 – 12:50 |
BAPEN Nutricia Research Fellowship Award 2007
Joint Winners from 2005
Development
of Dependency score to be used by a dietitian working with patients on
a home enteral tube feeding scheme to assess case dependency
Lucy Martin and Amanda Judd, Bristol Royal Infirmary
Novel technique for measuring energy expenditure in children with renal failure
Caroline Anderson, Southampton General Hospital |
| 12:50 – 13:50 |
Lunch and Exhibition
E-Poster Presentations
BAPEN Annual General Meeting |
| 13:50 – 15:30 |
Mental Capacity Act Workshop
One hour practical workshop
Should there be sufficient demand this workshop will be repeated
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13:50 – 15:30 |
Symposium 3 |
13:50 – 15:30 |
Symposium 4 |
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“Fluid and Nutrition Support of the Pre-term Infant in the First Week of Life” |
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“Nutrition and Liver Disease” |
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Chair |
Dr Pamela Cairns
Consultant Neonatologist
St Michael’s Hospital, Bristol |
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Dr Mike Stroud
Consultant Gastroenterologist
Institute of Human Nutrition, Southampton |
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13:50 – 14:30 |
Guidelines for the provision of amino acids in the preterm infant during the first week of life
Professor Patti Thureen
Professor of Paediatrics
University of Colorado Health Sciences Centre, USA |
13:50 – 14:10
14:10 – 14:40
14:40 – 14:50
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The Liver as a nutritional organ
Professor Alan Jackson
Director
Institute of Human Nutrition, Southampton
Nutrition Support in Liver Disease
Dr Marsha Morgan
Reader in Medicine and Honorary Consultant Physician
The UCL Institute of Hepatology, London
Chronical Colestasis in patients receiving home parenteral nutrition: prevalence and predisposing factors.
D.A.J. Lloyd
Lennard-Jones Intestinal Failure Unit
St. Mark’s Hospital, Harrow |
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14:30 – 15:00 |
Choice of lipid emulsion in the preterm infant
Dr Susan Hill
Consultant Gastroenterologist
Great Ormond Street Children’s Hospital, London |
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15:00 – 15:30 |
Enteral nutritional support in the preterm infant during the first weeks of life
Caroline King
Chief Dietitian
Hammersmith Hospital, London |
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14:50 – 15:00
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Clinical Application of Magnetic Resonance Spectroscopy of the Liver in Patients Receiving Long Term Parenteral Nutrition
J.M. Woodward
Department of Gastroenterology
Addenbrookes Hospital, Cambridge |
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15:00 – 15:30 |
Thinking Differently about Feeding Patients with Liver Disease
Professor Rosemary Richardson
Practice Development Lead – Dietetics
NHS Greater Glasgow Adult Acute Services |
16:00 – 17:30 |
Symposium 5
“Ethical and Legal Issues – An interactive, case-based symposium”
Professor John MacFie
and
Dr Mike Stroud
The Principles of Ethical Practice
John MacFie
Professor of Surgery
Scarborough
Case presentations and discussion
Pamela Barker
Matron Manager for Medicine & Endoscopy
Scarborough
Emily Waters
Chief Dietitian
Southampton
John MacFie
Professor of Surgery
Scarborough
Mike Stroud
Consultant Gastroenterologist
Southampton |
16:00 – 17:30 |
Satellite Symposium |
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Sponsored by Fresenius-Kabi |
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Chair |
Chair |
Tony Murphy |
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Pharmacy |
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University College Hospital, London |
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16:00 – 16:25 |
Managing fluids and electrolytes in the preterm infant during the first week of life
Dr Pamela Cairns
Consultant Neonatologist
St Michael’s Hospital, Bristol |
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16:25 – 16:50 |
Practical guidelines for managing intravenous glucose in the preterm infant
Dr Jane Hawdon
Consultant Neonatologist
University College London Hospitals NHS Trust |
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16:50 – 17:10 |
Formulating a standard baby TPN feed for the preterm infant
Tony Murphy
Prinicipal Pharmacist
University College Hospital, London |
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17:10 – 17:20
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Outcome of long-term intravenous feeding in hospitalised children
Venetia Horn
Pharmacy
Great Ormond Street NHS Trust |
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17:20 – 17:30 |
Open Forum and Questions to the Panel |
| 17:30 – 18:30 |
Poster Presentations |
| 20:00 |
BAPEN ANNUAL DINNER
Majestic Hotel, Harroga |
Wednesday 28th November 2007 Conference BAPEN 2007
| 08:30 – 09:00 |
Registration |
09:00 – 11:00 |
Symposium 6 – Part I
BAPEN Medical/Nutrition Society |
09:00 – 11:00 |
Symposium 7 |
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“Nutrition Support in Cancer Therapy” |
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“Enteral Nutrition – safer practice” |
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Chair |
Professor Jeremy Powell-Tuck
Centre for Adult and Paediatric Gastroenterology
Barts and the London, School of Medicine and Dentistry |
Chair |
Dr Jeremy Woodward
Consultant Gastroenterologist
Addenbrookes Hospital, Cambridge |
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09:00 – 09:25 |
Nutritional management of radiation enteritis
Dr Jervoise Andreyev
Department of Gastroenterology
Chelsea & Westminster |
09:00 – 09:20 |
Nasogastric tube misplacement: the continuing story
Dr Patricia Bain
Patient Safety Manager
Yorkshire and Humber Region, NPSA |
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09:25 – 09:50
09:50 – 10:15
10:15 – 10:25
OC6 |
The nutrition management of the complications of chemotherapy
Dr Clare Shaw
Consultant Dietitian
The Royal Marsden Hospital
HPN in Cancer
Dr Jon Shaffer
Intestinal Failure Unit
Hope Hospital, Salford
Randomised
Controlled Trial of Early Enteral Nutrition (EEN) versus Conventional
Management (CON) in patients undergoing Major Resection for Upper
Gastrointestinal Cancer
Rachael Barlow
Cardiff and Vale NHS Trust |
09:20 – 10:05 |
Taking measures – actioning wrong route administration – a nutrition overview
Kate Pickering
Lead Nutrition Nurse Specialist
Leicester General Hospital
and
Becky White
Pharmacy Team Manager Surgery
John Radcliffe Hospital, Oxford |
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10:05 – 10:25 |
Future Options
Lynne Colagiovanni
Nutrition Nurse Specialist
Queen Elizabeth Hospital, Birmingham |
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10:25 – 10:35
OC7 |
The
NUT study: the effect of dietetic and oral nutritional interventions on
survival and quality of life in patients with weight loss undergoing
palliative chemotherapy for gastrointestinal (GI) or lung malignancy: a
randomised controlled trial
Christine Baldwin
Royal Marsden Hospital, London |
10:25 – 10:35
10:35 – 10:45
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Use of Corktrak® - an electromagnetic sensing devise in placement of enteral feeding tubes
Milind Rao
Combined Gastroenterology Research Unit
Scarborough General Hospital
Nasogastric tube feeding: Education Needs Training?
Amelia Jukes
Nutrition Support Team
University Hospital of Wales |
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10:35 – 11:00 |
Discussion |
10:45 – 11:00 |
Discussion |
| 11:00 – 11:30 |
Coffee and Exhibition |
11:30 – 13:30 |
Symposium 6 – Part II
BAPEN Medical/Nutrition Society |
Symposium 8 |
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“Nutritional Science in Cancer” |
Original Communications |
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There will be two simultaneous original communication sessions which includes one on Nutritional Assessment.
Further details to be provided in the final programme |
Chair |
Professor Gary Frost
Professor of Nutrition and Dietetics
University of Surrey |
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13:30 – 13:55 |
The second WCRF/AICR Expert Report – Food, Nutrition, Physical Activity and the Prevention of Cancer: A Global Perspective
Professor Martin Wiseman
Medical and Scientific Advisor
WRCF International, University of Southampton |
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13:55 – 14:20 |
Inflammation-based Prognostic Score and its role in the Nutrition Management of People with Cancer
Mr Donald McMillan
Department of Surgery
Royal Infirmary Glasgow |
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14:20 – 14:45 |
Cancer gut hormones and appetite Dr Damien Ashby
Imperial College, London |
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14:45 – 14:55
OC10 |
Audit
to look at the effectiveness of enteral feeding in allogenic bone
marrow transplant patients admitted to the bone marrow transplant unit
at St. James Hospital in Leeds
Gillian Williams
St. James University Hospital, Leeds |
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14:55 – 15:05
OC11 |
The
NUT study: what effect does nutritional intervention have on energy
intake in patients with gastrointestinal cancer receiving chemotherapy
Angeline Bonney
Department of Nutrition & Dietetics
King’s College London |
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15:05 – 15:30 |
Discussion |
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| 13:30 – 14:30 |
Lunch and Exhibition
E-Poster Presentations
PEN Group Annual General Meeting
BAPEN Medical Annual General Meeting |
| 14:30 – 15:15 |
CUTHBERTSON MEDAL LECTURE |
15:15 – 16:15
Chair |
Symposium 9
“Choosing Enteral Feeds – Evidence based or gut reaction”
Ian “The Terminator” Fellows
Consultant Gastroenterologist, Norfolk and Norwich University Hospital
Debate 1 – All enteral feeds should contain fibre
Ceri “Crusher” Green v Tim “Maximum Impaction” Bowling
Debate 2 – Peptide based formula must always be used for jejeunal feeding
David “QC” Silk v Pete “The Terrier” Turner
Debate 3 – Intensive Care Unit patients should be given high protein enteral feed
Richard “Glutaminus Maximus” Griffiths v Mike “The Iceman” Stroud |
| 16:15 |
Close of Conference followed by Tea |
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What's new? |
Council of Europe
10 'key characteristics' event 4th Oct 2007
Many
of you will be aware of the 2nd Nutrition Summit hosted by the Minister
for Care Services, Ivan Lewis at the Department of Health on July 17th.
It was a very encouraging event and there was widespread support from
the Minister and everyone else present for the work of BAPEN and the
Council of Europe Alliance.
Our multi-stakeholder
approach has borne fruit, most people in the room were well aware of
the work we have been doing and the summit provided everyone with the
opportunity to voice their support.
To publicise the
outputs of the Council of Europe Alliance, a UK-wide and pan-profession
press event for the '10 Key Characteristics of Good Nutritional Care'
was held on Thursday 4th October 2007.
Rick Wilson
Director of Nutrition and Dietetics
Kings College Hospital
London
Council of Europe Resolution
Food and Nutritional Care in Hospitals
10 Key Characteristics of good nutritional care in hospitals
- All
patients are screened on admission to identify the patients who are
malnourished or at risk of becoming malnourished. All patients are
re-screened weekly.
- All patients have a care plan which identifies their nutritional care needs and how they are to be met.
- The hospital includes specific guidance on food services and nutritional care in its Clinical Governance arrangements.
- Patients are involved in the planning and monitoring arrangements for food service
provision.
- The ward implements Protected Mealtimes to provide an environment conducive to
patients enjoying and being able to eat their food.
- All staff have the appropriate skills and competencies needed to ensure that
patient’s nutritional needs are met. All staff receive regular training on nutritional
care and management.
- Hospital facilities are designed to be flexible and patient centred with the aim of providing
and delivering an excellent experience of food service and nutritional care 24 hours a day,
every day.
- The hospital has a policy for food service and nutritional care which is patient centred and
performance managed in line with home country governance frameworks.
- Food service and nutritional care is delivered to the patient safely.
- The hospital supports a multi-disciplinary approach to nutritional care and values the
contribution of all staff groups working in partnership with patients and users.
Council of Europe Resolution 12/11/2003
Food and Nutritional Care in Hospitals
Recommendations – Government of the member states should:
- Implement national recommendations in food and nutritional care in hospitals
- Promote implementation both in public and private sectors
- Ensure widest possible dissemination of recommendations
The Five Broad areas cover:
- Nutritional assessment and treatment in hospitals
- Nutritional care providers
- Food Services practices
- Hospital Food
- Health economics
There
are over 100 recommendations within the resolution and they have been
summarised by the Council of Europe Alliance into the 10 Key
Characteristics.
Non-Government
The Stakeholders within the Alliance are:
- British Dietetic Association
- Hospital Caterers Association
- Royal College of Nursing
- Royal College of Physicians
- Royal College of Speech & Language Therapy
- National Association of Care Caterers
- British Medical Association
- British Association for Parenteral and Enteral Nutrition
- Intercollegiate Group on Nutrition Education
- Nutrition Society
Government
The Stakeholders within the Alliance are:
- National Patient Safety Agency
- Department of Health
- Scottish Executive – QIS
- Welsh Assembly Government
- Department of Health and Public Service – Northern Ireland
Copies of this document can be downloaded from the BAPEN website. |
BAPEN is pleaed to announce that there is now a link to BAPEN website via the dignity in care website of DoH www.dh.gov.uk/dignityincar
BAPEN
has a close working relationship with many Agencies and Organisations
and is pleased to congratulate Sue Hawkins , Chairman of NACC (
National Association of Care catering ) on receiving this years
Public Sector Caterer Award.
http://www.thenacc.co.uk/
Organisation of Nutritional Support in Hospitals
This new report and web based interactive module is coming soon!
It will be available on the BAPEN website, watch this space!
BAPEN coverage and articles of interest
This article list is provided as a service for visitors to the BAPEN
website. Unfortunately, we are unable to provide copies of the articles
cited. Interested parties should contact the media title direct.
BAPEN Media Coverage Report 3rd July - 31st July 2007 |
Diary Dates |
Australasian Society of Parenteral and Enteral Nutrition
 http://www.auspen.org.au/
Annual conference Perth from October 24th to 27th at the Perth Convention and Exhibition Centre.
Clinical Nutrition Week
 Research. Treatment. Impact. Results.
Join
your colleagues at Clinical Nutrition Week ’08 and combine education,
networking, and access to the most distinguished presenters in
nutrition support therapy while enjoying the flavor of one of the most
vibrant cities in the world, Chicago.
Mark Your Calendar! February 10 - 13, 2008
Conference registration will open late summer.
http://www.nutritioncare.org/ClinicalNutritionWeek/
New book
Energy and Nitrogen Requirement in Disease States (Paperback)
By Stephen Taylor
- Paperback: 124 pages
- Publisher: Smith-Gordon & Co Ltd
- ISBN-10: 1854632280
- ISBN-13: 978-1854632289
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Regional Representatives |
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