Lillian Harvey Banchik, MD, FACS, CNSC

If you are a Program Director and would like to grant access to your trainees, please reach out to education@hospitalmedicine.org for an academic access code.

SUMMARY

Ensuring optimal nutrition for the hospitalized patient is a complex issue fraught with several pitfalls for clinicians as they asses the patient’s nutritional status and determine the caloric needs and appropriate delivery method. Many factors need to be considered when creating this patient-specific plan. The following module discusses these issues and outlines the various dietary formulations (ie, oral, enteral nutrition, and parenteral nutrition). Step-by-step guidance for how to implement a nutritional plan for the different types of hospitalized patients that hospitalists encounter also is provided.

GOAL

To provide hospitalists and other perioperative consultants with a general approach to evaluating and treating patients with perioperative fever, especially those due to pulmonary infections, urinary and central venous catheter-related infections, and fungal infections.

TARGET AUDIENCE

This activity is designed for hospitalists and other perioperative consultants.

LEARNING OBJECTIVES

After completing the module, the participant should be able to

1. Assess the nutritional status of perioperative and critically ill patients.
2. Determine the caloric needs of perioperative and critical ill patients .
3. Calculate the protein, fat, and carbohydrate needs of the perioperative and critically ill patient.
4. Appraise the risks and benefits of different methods of inpatient nutrition.
5. Review the various dietary formulations for oral and enteral nutrition.
6. Describe the available strategies for delivering enteral nutrition.
7. Recognize methods to initiate and manage parenteral nutrition in critically ill patients.

CME INFORMATION

ACCREDITATION STATEMENT

The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CREDIT DESIGNATION STATEMENT:

The Society of Hospital Medicine designates this activity for a maximum of 2.5 AMA PRA Category 1 Credits^TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CONFLICT OF INTEREST DISCLOSURE POLICY

In accordance with the ACCME Standards for Commercial Support, SHM requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. SHM mitigates all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. All relevant financial relationships shall be disclosed to participants prior to the start of the activity.

Furthermore, SHM seeks to verify that all scientific research referred to, reported, or used in a continuing medical education (CME) activity conforms to the generally accepted standards of experimental design, data collection, and analysis. SHM is committed to providing its learners with high-quality CME activities that promote improvements in healthcare and not those of a commercial interest.

INSTRUCTIONS

The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of several sections: a pre-test, a study program, a post-test, & CME evaluation. All sections must be completed to receive CME credit.