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Conference<br />
<strong>BAPEN</strong> 2011<br />
Annual Conference<br />
The Good, the Bad and the Costly<br />
In Cl<strong>in</strong>ical Nutrition<br />
Harrogate International Centre<br />
<strong>BAPEN</strong><br />
29th & 30th November Advanc<strong>in</strong>g Cl<strong>in</strong>ical 2011<br />
Nutrition<br />
Registered Charity 1023927<br />
<strong>BAPEN</strong><br />
Advanc<strong>in</strong>g Cl<strong>in</strong>ical Nutrition<br />
Registered Charity 1023927<br />
<strong>BAPEN</strong><br />
Advanc<strong>in</strong>g Cl<strong>in</strong>ical Nutrition<br />
Registered Charity 1023927<br />
Quality Nutrition is higher on the healthcare agenda than ever before but will the economic<br />
climate affect our ability to combat the £13 billion cost of malnutrition <strong>in</strong> the UK?<br />
<strong>BAPEN</strong>’s Malnutrition Matters Conference focuses<br />
on provid<strong>in</strong>g quality nutrition care <strong>in</strong> difficult times.<br />
This year’s annual conference will open with<br />
‘Nutrition <strong>in</strong> a Cold Climate’ – a must for all UK<br />
healthcare professionals who care about treat<strong>in</strong>g<br />
malnutrition. By focus<strong>in</strong>g on the many excit<strong>in</strong>g<br />
new quality <strong>in</strong>itiatives to combat malnutrition <strong>in</strong><br />
Wales, Scotland, Northern Ireland and England,<br />
the aim is to br<strong>in</strong>g to light strategies to ensure<br />
these are successful despite the current economic<br />
climate. <strong>BAPEN</strong> Chair Elect Dr Tim Bowl<strong>in</strong>g will<br />
also tell us about ‘The New <strong>BAPEN</strong>’ and the<br />
excit<strong>in</strong>g changes to <strong>BAPEN</strong> as an organisation.<br />
Day one has a number of excit<strong>in</strong>g symposia –<br />
start<strong>in</strong>g with ‘Liv<strong>in</strong>g with Coeliac Disease’. Dietitian<br />
Emile Richman will review the controversial<br />
question of oats <strong>in</strong> a gluten-free diet before we<br />
get a patient’s perspective on life with coeliac<br />
disease. The session will end with a debate.<br />
Consultant Gastroenterologist Neil Haslam has<br />
observed that some asymptomatic patients are<br />
diagnosed with coeliac disease, put on a diet they<br />
don’t like and compla<strong>in</strong> of weight ga<strong>in</strong>. He will,<br />
therefore, contend that we are diagnos<strong>in</strong>g and<br />
treat<strong>in</strong>g too many people with coeliac disease,<br />
while Professor David Sanders will argue aga<strong>in</strong>st<br />
this motion.<br />
‘Comprehensive Intest<strong>in</strong>al Failure (IF)<br />
Management: From dream to reality’ will be a<br />
rapid fire session with many key speakers from the<br />
world of IF, <strong>in</strong>clud<strong>in</strong>g Janet Baxter and Jeremy<br />
Night<strong>in</strong>gale. Organised by <strong>BAPEN</strong>'s <strong>in</strong>test<strong>in</strong>al<br />
failure special <strong>in</strong>terest group, BIFA, it will address<br />
surgical, dietetic and patient-related aspects of<br />
the management of IF <strong>in</strong> both adults and children,<br />
tak<strong>in</strong>g a view of the systems <strong>in</strong> place across<br />
England, Scotland, Wales and Northern Ireland.<br />
Interactive sessions are always popular and<br />
‘Feed<strong>in</strong>g Decisions <strong>in</strong> Critical Care’ is key for all<br />
those work<strong>in</strong>g on ICU and HDU. As well as<br />
cover<strong>in</strong>g difficult topics like fluid management of<br />
the critically ill, the session will question the<br />
widely held belief that enteral nutrition is always<br />
best <strong>in</strong> this patient population.<br />
Paediatrics is well catered for on Tuesday<br />
mak<strong>in</strong>g a great follow on from the BSPGHAN<br />
teach<strong>in</strong>g day on Monday. In ‘Food for Thought’ Dr<br />
John Puntis, Consultant Paediatrician, will expla<strong>in</strong><br />
why malnutrition is a grow<strong>in</strong>g concern <strong>in</strong><br />
children, and Professor Charlotte Wright,<br />
Professor of Community Child Health/Consultant<br />
Paediatrician, will give an overview of the<br />
epidemiological evidence on prevalence and<br />
causes of malnutrition, before Kather<strong>in</strong>e Murphy<br />
from the Patient’s Association expla<strong>in</strong>s ‘The<br />
Perception and Misunderstand<strong>in</strong>g of Malnutrition<br />
amongst Adult Patients’.<br />
This year’s Penn<strong>in</strong>gton Lecture will certa<strong>in</strong>ly<br />
be someth<strong>in</strong>g to look forward to – dietitian<br />
Christ<strong>in</strong>e Russell will be shar<strong>in</strong>g her experiences<br />
of work<strong>in</strong>g on important <strong>BAPEN</strong> projects such as<br />
Nutrition Screen<strong>in</strong>g Week and develop<strong>in</strong>g ‘MUST’<br />
with Professor Mar<strong>in</strong>os Elia.<br />
Abbott Laboratories’ Satellite Symposium will<br />
look at some excit<strong>in</strong>g new developments on the<br />
subject of ‘Nutrition and lean Body Mass’. A<br />
chaired poster session with w<strong>in</strong>e should make the<br />
perfect end to a fasc<strong>in</strong>at<strong>in</strong>g day.<br />
Wednesday 30th should be just as<br />
compell<strong>in</strong>g. With an ever-<strong>in</strong>creas<strong>in</strong>g older<br />
population the subject of muscle wast<strong>in</strong>g, or<br />
sarcopaenia, should be high on the agenda of<br />
everyone work<strong>in</strong>g <strong>in</strong> cl<strong>in</strong>ical nutrition. ‘Muscle<br />
Wast<strong>in</strong>g: A new frontier <strong>in</strong> Nutritional Care. Part<br />
1: The Science of Sarcopaenia’ will look at the<br />
nutritional and physiological factors associated<br />
with age<strong>in</strong>g that lead to muscle wast<strong>in</strong>g. It will<br />
feature contributions from: Professor Stephen<br />
Harridge – Age<strong>in</strong>g and Muscle; Dr Lisa Methven<br />
– Age<strong>in</strong>g and Taste; Professor Gary Frost – Age<strong>in</strong>g<br />
and Appetite; and Professor John McLaughl<strong>in</strong> –<br />
Age<strong>in</strong>g and the Gut. ‘Part 2: Interventions and<br />
Practice <strong>in</strong> Sarcopaenia’ will focus on<br />
management of muscle wast<strong>in</strong>g, with Professor<br />
Joe Millward, Emeritus Professor of Human<br />
Nutrition, cover<strong>in</strong>g ‘Nutritional Therapy of<br />
Sarcopaenia’ and Dr Carolyn Greig look<strong>in</strong>g at<br />
‘Prevent<strong>in</strong>g the Loss of Muscle with Age<strong>in</strong>g’. The<br />
effect of immobility on lean mass is a frequently<br />
forgotten factor when attempt<strong>in</strong>g to optimise<br />
nutritional support <strong>in</strong> the critically ill and the<br />
beneficial effects of ‘Exercise <strong>in</strong> the ICU Patient’<br />
will be reviewed.<br />
Between 2005 and 2010, 21 deaths and 79<br />
cases of harm were reported from feed<strong>in</strong>g<br />
through misplaced f<strong>in</strong>e bore nasogastric (NG)<br />
tubes. The s<strong>in</strong>gle greatest cause of harm was due<br />
to mis<strong>in</strong>terpretation of x-rays, account<strong>in</strong>g for 12<br />
deaths and 45 serious <strong>in</strong>cidents. Consultant GI<br />
Radiologist Robert Law is runn<strong>in</strong>g a lunch<br />
meet<strong>in</strong>g to expla<strong>in</strong> and demonstrate his excellent<br />
onl<strong>in</strong>e tra<strong>in</strong><strong>in</strong>g package for safe confirmation of<br />
f<strong>in</strong>e bore NG tube position.<br />
After lunch there will be a session dedicated<br />
to the safe and efficient discharge of patients<br />
5<br />
<strong>BAPEN</strong> In Touch No.62 August 2011