Full Course Description

Pediatric Food Allergy: Diagnosis and Management

Pediatric food allergies are on the rise, presenting unique challenges in care. An overview of everything related to food allergies, from food allergy prevention, emerging diagnostic tools, new treatment options, and improving quality of life for children with allergies. This course is designed to equip you with the latest insights and strategies to effectively manage and support young patients with food allergies.

Program Information

Objectives

Characterize the growing prevalence of food allergy among infants and children and the types of reactions.
Evaluate test methods for detection and diagnosis of food allergy.
Develop management strategies to optimize nutrition in the allergic child and prevent allergic progression.
Identify how to implement oral immunotherapy (OIT) in the management of pediatric food allergy.
Discuss quality of life issues for children with several food allergies.

Outline

Prevalence and Types of Reactions

Growing Prevalence of Pediatric Food Allergies
Possible Causes and Contributing Factors
Types of Allergic Reactions in Children

Detection and Diagnosis of Food Allergies

Overview of Testing Methods… Skin Prick Tests, Blood Tests (e.g., IgE, Component-resolved Testing), Oral Food Challenges
Advantages and Limitations of Each Testing Method

Management Strategies and Nutrition Optimization

Dietary Management…Allergen Avoidance
Reading Food Labels
Meal Planning and Balanced Nutrition
Nutritional Considerations…Essential Nutrients, Supplements
Practical Tips for Families

Oral Immunotherapy (OIT) for Pediatric Food Allergies

Introduction to OIT
Safety and Effectiveness
Implementing OIT
Monitoring and Follow-up

Quality of Life Issues

The Emotional and Psychological Impact
Allergen-Free Lifestyle
Creating Safe Environments
Support Systems and Resources

Conclusion and Key Takeaways

Target Audience

Nurses
Nurse Practitioners
Physician Assistants
Physical Therapist
Speech-Language Pathologists
Occupational Therapists

Copyright : 10/10/2023

Nutrition in Pediatric Renal Disease

In children with kidney diseases, an assessment of the child’s growth and nutritional status is important to guide their dietary recommendations, with a series of indices and tools required for evaluation. In this session, Linda Gavrielov, MS, RND, LD, CCTD, will review the nutritional management of children with kidney diseases, including nutritional assessment and management goals, with an emphasis on improving care of children with chronic and acute kidney injury and post-transplant.

Program Information

Objectives

Differentiate between acute kidney injury (AKI) and chronic kidney disease (CKD)
Determine kidney diseases that lead to CKD
Identify specific nutrition needs of patients with renal issues
Analyze common conditions that are now prevalent in pediatric patients:
1. Hypertension
2. Kidney Stones

Outline

Kidney Disease in Children

Acute kidney injury (AKI)
Chronic kidney disease (CKD)
- Kidney diseases that lead to CKD

Nutritional needs of patients with renal issues

Vitamins
Electrolyte balance
Proteins
Micro and marcro nutrients

Common conditions that are now prevalent in pediatric patients:

Hypertension
Kidney Stones

Renal Transplant

When is it needed
Follow up care
Nutritional needs

Target Audience

Nurses
NPs
APRNs
PAs
Dieticians
Nutritionists
SLPs
Physicians
Others who care for children

Copyright : 08/17/2023

Pediatric Malnutrition and Nutrition-Focused Physical Exam

Have you ever wondered how to accurately define and diagnose pediatric malnutrition? Are you still using the terminology “failure to thrive”? This seminar will give you the tools you need to accurately diagnose pediatric malnutrition as well as how to perform a nutrition-focused physical exam. Accurate malnutrition identification and diagnosis allows for earlier nutrition intervention to best improve patient outcomes.

Program Information

Objectives

Define and interpret the etiology, severity, and chronicity of pediatric malnutrition.
Identify AND/ASPEN pediatric malnutrition indicators and apply them to clinical practice.
Assess for subcutaneous fat loss, muscle loss, and micronutrient deficiencies using a Nutrition Focused Physical Exam (NFPE).
Develop best practice when considering a pediatric malnutrition diagnosis.

Outline

Introduction to Pediatric Malnutrition

Importance of Identifying Pediatric Malnutrition
History of Malnutrition Indicators
Frequency of Malnutrition

Defining Pediatric Malnutrition

New Definition
Malnutrition Etiology
Chronicity and Severity of Malnutrition

Pediatric Malnutrition Assessment

AND/ASPEN Single Data Point Indicators with Examples
Mid Upper Arm Circumference
AND/ASPEN Multiple Data Point Indicators with Examples
Nutrition Diagnosis Statement
Limitations when Using Indicators
Other Malnutrition Assessment Tools/Validation Studies

Nutrition Focused Physical Examination (NFPE)

Subcutaneous Fat Assessment
Muscle Assessment
Infant/Toddler NFPE Considerations
Assessment for micronutrient deficiencies
Edema assessment

Case Studies

Target Audience

Nurses
Nurse Practitioners
Physician Assistants
Physical Therapist
Speech-Language Pathologists
Occupational Therapists

Copyright : 08/30/2023

When Picky Eating Is More Than Just Picky Eating

It’s been ten years, since ARFID (avoidant/restrictive food intake disorder) was recognized as an official diagnosis…and many healthcare providers are still struggling with diagnosing and treating it. Gain a deep understanding of the causes, symptoms, and diagnostic criteria for AFRID, as well as the impact it has on children’s physical and psychological well-being. Learn evidence-based strategies for assessment, intervention, and treatment planning with a focus on creating a supportive environment for those affected. Learn to distinguish between normalized picky eating and ARFID while also improving your understanding of this disorder.

Program Information

Objectives

Distinguish between normalized picky eating and ARFID.
Determine the signs/symptoms and medical consequences of ARFID.
Develop a treatment plan for ARFID in pediatric patients that includes cognitive-behavioral therapy, family-based therapy, and nutritional rehabilitation.

Outline

Introduction to ARFID

Definition and diagnostic criteria
Prevalence and epidemiology
Medical consequences of ARFID

Identification and Diagnosis of ARFID

Signs and symptoms of ARFID in pediatric patients
Differential diagnosis and distinguishing between normalized picky eating and ARFID
Assessment tools and techniques for diagnosing ARFID

Treatment of ARFID in Pediatric Patients

Multidisciplinary approach to treating ARFID
Cognitive-behavioral therapy and family-based therapy interventions
Nutritional rehabilitation and feeding/eating approaches

Limitations of Research and Potential Risks

Acknowledgment of current limitations in research on ARFID
Discussion of potential risks associated with the presented interventions and treatment modalities

Conclusion and Takeaways

Summary of key takeaways from the course
Clinical application of techniques and interventions related to ARFID in pediatric patients
Future directions for research and treatment of ARFID in pediatric patients

Target Audience

Nurses
Nurse Practitioners
Physician Assistants
Physical Therapist
Speech-Language Pathologists
Occupational Therapists

Copyright : 09/12/2023

Developing Healthy Food Relationships in Children: A Practical Demonstration

Your patients are asking you for a “meal plan" and you have assessed that they are ready to make the next step in their health journey. In this engaging demonstration, we’ll show you how to transform the kitchen into a place of healing. Food is medicine, and with the right knowledge, you can use it to boost your pediatric patient’s immunity, energy, and cognitive function. We’ll demonstrate how to create a whole food plant-forward meal starting from the grocery store to the family table.

Bonus! Includes five downloadable family-friendly recipes!

Program Information

Objectives

Teach at least one basic knife skill.
Name the components of the ACLM WFPB plate.
Encourage mindful eating to improve healthy relationships with food.
Recommend at least three activities to increase connection between family members at the family table.

Outline

American College of Lifestyle Medicine Whole Food, Plant Based Plate vs. USDA myPlate

ACLM WFPB emphasizes minimally processed foods and plant based proteins.
Both the ACLM WFBP and USDA myPlate recommend that 50% of plate contain vegetables and fruits
There are many tips and tricks to inject fun, curiosity, and flavor to help kids develop a lifelong habit of eating minimally processed, whole foods.

Practical Cooking Demo

Knife skill competence is the key to increase confidence and efficiency in home cooking.
We will demonstrate one of the basic knife skills that is a foundation for many recipes
Technique driven recipes allow the home cook to use ingredients on hand and to customize dishes based on their flavor preferences.

Mindfulness is an effective tool to encourage healthy food relationships

Using all of our senses to notice and interact with our food is associated with more adventurous eating
Mindful eating encourages us to notice how our body is feeling and is associated with less emotional eating
Teaching mindful eating reduces stressful situations for parents and children

Frequent family mealtimes have been associated with many positive outcomes for children including improved self-esteem, language development, and academic achievement in children

Eating together provides an important source of joy, connection, and communication for family members
The family dinner table can be a source of stress when parents are focussed on their children’s eating behaviors
Intentional strategies can be used to enhance positive family interaction at mealtimes

Target Audience

Nurses
Nurse Practitioners
Physician Assistants
Physical Therapist
Speech-Language Pathologists
Occupational Therapists

Copyright : 09/22/2023

Pediatric Culinary Medicine: Integration of Nutrition and Stress Reduction for Children

Are your patients getting sicker despite you doing your best at giving them evidence-based recommendations for nutrition and exercise? Are you feeling frustrated by your patients continuing to eat highly processed foods and drinking sugar sweetened beverages despite them knowing that these foods are unhealthy? Culinary Medicine provides clinicians the ability to shift from dictating unilateral treatment plans to co-creating collaborative treatment plans with patients. Learn more about this evidence-based modality that engages patients of all ages and provides them with actionable skills to practice a healthy lifestyle.

Program Information

Objectives

Define culinary medicine and explain how it is trauma informed care.
Discuss how culinary medicine is useful to prevent, treat, and reverse stress-associated chronic health conditions.
Collaborate with families to have healthier relationships with food and eating.

Outline

What is Pediatric Culinary Medicine?

Growing field
Takes nutritional science and evidence-based lifestyle medicine and translates it to practical skills
Empowers patients and clinicians to collaborate for wellness and disease prevention
Trauma informed strength-based approach
Innovative and engaging way to teach patients and their families evidence- based stress buster strategies in the clinical setting that can easily be implemented in their own daily life routines

Adverse childhood and community experiences…occur in the household, community, and environment and can result in toxic stress

Strongly associated, in a dose-response fashion, with many of the most common, serious, and costly health conditions in the United States including diabetes, cancer, heart disease, and substance use
Detectable as early as infancy and can emerge even in late adolescence…may manifest as disordered eating, sleep disruption, developmental delay, learning difficulties, complaints of somatic pain, increased engagement in high-risk health behaviors, depression, and anxiety
Stress during the COVID pandemic Parental stress during the pandemic likely had an effect on child feeding during the pandemic related to changes in family life and routines

Pediatric Medicine’s Collaborative Approach

Assesses the Stages of Change
Motivational interviewing and set up supportive follow up schedules
Patients’ next steps are based on the most important chief complaints/priorities of the patient.

Pediatric Culinary Medicine Practical strategies

Clinicians shift away from “diet and exercise” culture, knowing how we talk about our bodies and food matters.
Using the 24- hour recall history, we help families add nutrition to their existing flavor preferences.
Teach families strategies of inviting children to grow in curiosity.
Invite children into the kitchen to cook alongside parents
Cultivate the habit of the family meal

Target Audience

Nurses
Nurse Practitioners
Physician Assistants
Physical Therapist
Speech-Language Pathologists
Occupational Therapists

Copyright : 09/22/2023

Weight-Inclusive Pediatric Healthcare: Everybody Deserves Health-Enhancing and Respectful Care, Starting with Kids

In a world that often fixates on numbers, it's time to shift the paradigm and explore a compassionate approach to children's weight, health, and well-being. Let’s explore the detrimental impact of weight stigma on children's self-esteem, mental health, and overall quality of life and delve into the transformative concept of weight-inclusive care for children. Break free from the limitations of conventional weight-focused approaches and challenge traditional definitions of health and explore the broader spectrum of well-being that encompasses physical, mental, and emotional aspects.

Program Information

Objectives

Differentiate between the current weight-normative model and a weight-inclusive model.
Analyze the adverse health effects of weight bias and stigma in the pediatric setting.
Implement health-enhancing, weight-inclusive care with an emphasis on well-being to assist in eradicating weight stigma in the healthcare setting.

Outline

Overview of Weight in the Pediatric Population

Children’s Perceptions
Stigma and Bias
Terms…Overweight and Obesity

Weight-Normative Care

BMI/Weight
Body Size - Right weight/size
Stigmatization/Harm to Child

Weight-Inclusive Care

Health focus
Collaborative and Inclusive
Growth Charts

Best Practices

Examine your own bias
Guidelines…helpful or harmful?
Health at Every Size
Anti-diet Care

Case Studies

Target Audience

Nurses
Nurse Practitioners
Physician Assistants
Physical Therapist
Speech-Language Pathologists
Occupational Therapists

Copyright : 09/28/2023

Navigating Food Allergies: Guiding Parents to Safe Nutrition

We’ve all seen the stress and confusion that parents of children with food allergies experience. In this session, we delve into the complexities of food allergies, equipping you with the knowledge and communication skills necessary to guide parents effectively. You’ll gain invaluable insights into the best practices for educating parents about food allergies…as we discover strategies to help parents manage their child’s dietary restrictions, from label reading to introducing new foods. You will be able to confidently support families in making safe and informed dietary choices.

Program Information

Objectives

Breakdown the science behind food allergies to parents in a clear and assuring manner.
Provide parents guidance to help manage their child’s dietary restrictions, from label reading to ensuring proper nutrient needs.
Boost parental confidence by providing practical tips for safe food choices, meal planning, introduction of new foods, and eating out.
Provide empathetic communication to ease parental anxiety surrounding food allergies.

Outline

Introduction to Food Allergies

What is a food allergy?
What are the top 9 allergens in the US?
Symptoms and management of a food allergy
Difference between a food allergy and a food intolerance
What to expect with food allergy testing and oral food challenges

Nutrition and Food Allergies

Nutrients in the top 9 food allergens
Substitutions to get in all needed nutritients when you have multiple food allergies
How to get adequate protein into your diet with multiple food allergies
How to introduce new foods into your child’s diet
Tips for eating out at restaurants with food allergies
How to navigate eating at school with food allergies

Grocery Shopping with Food Allergies

Reading food labels
Finding safe food products online
Navigating the supermarket

Support and the Future of Food Allergies

Where to find support
How to teach a child to self advocate
What’s in the pipeline when it comes to food allergy research

Target Audience

Nurses
Nurse Practitioners
Advanced Practice Registered Nurses
Physicians
Physician Assistants
Dietitians
Nutritionists

Pediatric Nutrition: Supporting Healthy Growth through the Early Life Stages

Pediatric nutrition requires a different skillset than managing nutrition for adults. If you’re not familiar with nutrition for babies or bigger kids, making recommendations to parents can be tricky and even intimidating. This session will help providers understand how to evaluate growth, discuss basic nutrition concepts that they should understand when taking care of pediatric patients, and review some common scenarios and interventions seen in pediatric primary care.

Program Information

Objectives

Evaluate growth of infants, toddlers, and older children.
Determine nutrition needs for infancy, childhood, and adolescence.
Discuss appropriate diets for different age groups from infancy through teenage years.

Outline

Evaluating Growth of Infants through Teenagers
Nutrition Needs and Considerations for Different Life Stages

Infant feeding
- Breastfeeding versus formula feeding
- Formula types
- Introducing complementary foods
  - BLW versus conventional
Nutrition concerns for toddler years
- Adequate portion sizes
- Selectiveness
Grade school
Teenagers

Special Considerations

Common Childhood Nutrient Deficiencies
Pediatric malnutrition
Obesity
Food allergies
Picky eating
Constipation

Case studies for common scenarios

Infant with poor growth
Toddler with picky eating
Teenager with weight loss due to anxiety/depression

Target Audience

Nurses
Nurse Practitioners
Advanced Practice Registered Nurses
Physician Assistants
Physicians

Adapting Pediatric Feeding Therapy for the Clinic, Home, School, and Online – Not Just the Kitchen Table

As feeding and swallow specialists, we are challenged with adapting our interventions to all the environments children eat in.

Join pediatric feeding expert, Angela Mansolillo, MA, CCC-SLP, BCS-S, as she shows you concrete strategies to customize your interventions for home, school, the sitter’s...and a hundred other places!

You will finish this recording armed with pediatric feeding strategies that will allow you to:

Manage medical issues related to respiration, airway, and aspiration in non-medical environments
Expand food repertoire wherever your client eat
Design effective individual and group feeding environments in school settings
Conduct tele-visits that really work
And more!

Whether you currently work in pediatric feeding or are new to the field, Angela offers new tips and tools that make it easy to understand and easy to implement.

Program Information

Objectives

Upon completion of this program, participants will be able to:

Determine the challenges and advantages of a variety of feeding environments including school, home, clinic, and online settings.
Utilize two strategies to ensure safe feeding/swallowing in educational settings.
Implement three strategies to facilitate carryover from medical/clinic to home feeding environments.
Conduct effective tele-therapy sessions with children with feeding and swallowing disorders.

Outline

Feeding Environments

Where, what, and with whom?
Challenges and environments

There’s No Place Like Home

Early Feeding Intervention at the kitchen table

School-Based Feeding Therapy

Yes, it is educationally relevant

Medical Settings

The challenge of carryover

Making Teletherapy Work

We’re all Zooming now!

Target Audience

Speech-Language Pathologists
Occupational Therapists
Occupational Therapy Assistants
Early Intervention Specialists
School clinicians

Nutraceuticals and Supplements Use in Children

An extensive review will provide an up-to-date information on integrating the current evidence regarding the use of supplements in children into primary care pediatric practice. Guidelines for counselling patients and monitoring for unsafe use will be included..

Program Information

Objectives

Counsel pediatric patients on evidence-based use of supplements.
Safely prescribe vitamins, probiotics, fiber and phytonutrients.
Assess for unsafe supplement use.

Outline

Evidence-based use of supplements

Nutritional intake of children
Nutritional and vitamin deficiencies in children
Prescribing supplements
Vitamins

Probiotics

fiber
fatty acids
phytonutrients

Unsafe supplement use

Target Audience

Nurses
Nurse Practitioners
Clinical Nurse Specialists
Physician Assistants