ASPEN 2020 Consensus Recommendations for Refeeding Syndrome: Adapting Screening Tools for the Home Infusion Setting
-
Register
- Prices available after logging in
Refeeding Syndrome (RS) has historically been defined as a range of metabolic and electrolyte disturbances that occur after the reintroduction of calories after a period of minimal or no calorie intake. This continuing education article will review RS from its history and pathophysiology to the recent ASPEN 2020 Consensus Recommendations which have redefined RS, established criteria for identifying at risk patients, and updated recommendations for prevention and treatment of patients at RS risk focusing on the adult patient.
Learning Objectives:
- Define and describe the pathophysiology of refeeding syndrome.
- Describe signs and symptoms of refeeding syndrome.
- List criteria included in ASPEN's 2020 adult refeeding syndrome risk assessment.
- Describe steps to prevent refeeding syndrome in at risk adult patients.
Lisa Kinder, RD, CNSC
West Region Nutrition Support Dietitian
Optum Infusion Pharmacy
Lisa Kinder RD, CNSC, is the West Region Nutrition Support Dietitian at Optum Infusion Pharmacy. She has been a registered dietitian for 19 years; has worked exclusively in the home infusion setting caring for parenteral nutrition patients for 16 years; and has maintained certification as a nutrition support clinician for over 15 years. Kinder has co-authored and presented several posters at ASPEN and NHIA and was a podium presenter at NHIA’s annual conference in 2017. She was honored with a Sages of Clinical Service Award from United Health Group in 2019.
No Disclosures to Report
Shirley Au, RD, CNSC
West Regional Nutrition Support Dietitian
Optum Infusion Pharmacy
Shirley Au, RD CNSC is the West Regional Nutrition Support Dietitian at Optum Infusion Pharmacy. She has extensive experience in home infusion, specializing in nutrition support business development and patient care management. She began her home infusion career in 2004 and has held leadership positions with several national providers. Au has published several journal articles and presented posters at ASPEN's annual conference. She has also been honored by her peers as a Dietitian Top Performer, Clinician of the Year, and Everyday Hero.
No Disclosures to Report
Penny Allen, RD, CNSC
National Director Nutrition Support
Optum Infusion Pharmacy
Penny Allen RD CNSC FASPEN FNHIAis the National Director, Nutrition Support for Optum Infusion Pharmacy. Pennybegan her nutrition support career at Beth Israel Hospital in Boston, Massachusettsafter obtaining her nutrition degree from the University of New Hampshire. Shehas spent over 30 years in the home infusion setting in a variety of roles,currently serving as a nutrition support program lead for Optum InfusionPharmacy. She is a Certified Nutrition Support Clinician (CNSC), serves asImmediate Past Chair of the ASPEN Public Policy Committee, current Chair of theNational Home Infusion’s Medicare Contractor and Advisory Committee and is apublished subject matter expert in Medicare PN and EN policies and other homenutrition support related topics.
No Disclosures to Report