ASPEN 2020 Consensus Recommendations for Refeeding Syndrome: Adapting Screening Tools for the Home Infusion Setting

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:

  1. Define and describe the pathophysiology of refeeding syndrome.
  2. Describe signs and symptoms of refeeding syndrome.
  3. List criteria included in ASPEN's 2020 adult refeeding syndrome risk assessment.
  4. 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

Key:

Complete
Failed
Available
Locked
ASPEN's 2020 Consensus Recommendations for Refeeding Syndrome: Adapting Screening Tools for the Home Infusion Setting
Open to download resource.
Open to download resource.
Continuing Education Quiz
10 Questions  |  2 attempts  |  70/100 points to pass
10 Questions  |  2 attempts  |  70/100 points to pass
Post Education Survey
4 Questions
4 Questions ASPEN's 2020 Consensus Recommendations for Refeeding Syndrome: Adapting Screening Tools for the Home Infusion Setting INFUSION Magazine Sep/Oct 2021, Effective 9/17/2021 - 9/17/2024, 1CE 0761-9999-21-303-H01-P&T & 05-115-21-114-RN/RD
Required to Claim CE
Up to 1.00 medical credits available  |  Certificate available
Up to 1.00 medical credits available  |  Certificate available **PHARMACISTS & PHARMACY TECHNICIANS MUST SELECT THE BLUE "CLAIM CREDIT" BUTTON & ENTER YOUR DOB IN ORDER TO RECEIVE CE CREDIT** _____________________________________________________________________________________________________________________________________________________________________ NHIA adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME/CE activity, including faculty, panelists, planners, reviewers, or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.