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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

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