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Surgical patients represent a unique population requiring specialized nutrition assessment and intervention. Understanding the pathophysiology and basic surgical anatomy of various procedures is essential to determining and implementing appropriate MNT, which impact patient outcomes, including morbidity and mortality. More specifically this comprehensive CPE activity will enable you to:

• Discuss enhanced recovery after surgery (ERAS) initiatives and explain necessary nutrition interventions to improve surgical outcomes.
  
• Formulate MNT plans for patients receiving common gastrointestinal, cardiothoracic, trauma, and transplant surgical procedures.
  
• Recommend appropriate nutrition support interventions for surgical patients based on the surgical procedure, changes to anatomy, and potential complications.
  
• Identify common vitamin and mineral deficiencies associated with specific surgical procedures and make recommendations for replacement.
  
• Describe common complications of surgical procedures and formulate appropriate MNT for management.

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© 2024 Wolf Rinke Associates. All rights reserved for this self-directed accredited learning activity. Reproduction in whole or part without written permission, except for brief excerpts, is prohibited.

OBJECTIVES

Upon completion of this CPE activity, you will be better able to:

• Explain normal post-operative nutrition advancement progression with metrics to assess tolerance.
  
• Discuss enhanced recovery after surgery (ERAS) initiatives and explain necessary nutrition interventions to improve surgical outcomes.
  
• Describe the impact of malnutrition on surgical outcomes.
  
• Formulate medical nutrition therapy plans for patients receiving common gastrointestinal, cardiothoracic, trauma, and transplant surgical procedures.
  
• Recommend achievable goals of medical nutrition therapy for surgical patients based on procedure type.
  
• Explain the role of nutrition support, including enteral and parenteral nutrition, in gastrointestinal, cardiothoracic, trauma, and transplant surgical patients.
  
• Identify appropriate patients to receive specialized nutrition support interventions.
  
• Recommend appropriate nutrition support interventions for surgical patients based on the surgical procedure, changes to anatomy, and potential complications.
  
• Identify and discuss common vitamin and mineral deficiencies that occur after common gastrointestinal, cardiothoracic, trauma, and transplant surgical procedures along with recommendations for replacement.
  
• Describe common complications of surgical procedures and formulate appropriate medical nutrition therapy for management.

ABOUT THE AUTHOR

Anne Coltman, MS, RDN, LDN, CNSC, FAND is the General Manager, Food and Nutrition Services for Trinity Health as well as on the Graduate Faculty for the Dietetic Internship and Master of Science in Nutrition and Dietetics programs within the Marcella Niehoff School of Nursing at Loyola University Chicago.
She received her Bachelor of Science in Dietetics at the University of Illinois-Urbana Champaign and her Master of Science in Clinical Nutrition, and her dietetic internship at Rush University in Chicago, IL. Anne has previous experience as a nutrition support dietitian in surgical critical care, as well as a faculty member, specializing in nutrition screening, assessment, and physical exams in gastrointestinal, surgical, and critical care nutrition.
Within the Academy of Nutrition and Dietetics, Anne has held numerous leadership roles, including currently serving as the Young Practitioner for the Council on Future Practice, Chair of the Council on Research Workgroup Selection Subcommittee, workgroup member for the CNM NCPT Toolkit Taskforce, an editor of the Nutrition Care Manual sections on gastrointestinal disorders and bariatric surgery, and the Secretary for the Illinois Academy of Nutrition and Dietetics with previous service as a workgroup member for the Evidence Analysis Library Adult Nutrition Screening Workgroup and the Quality Leader Alliance. She serves as an ad hoc reviewer for both the Journal of the Academy of Nutrition and Dietetics and the Journal of Parenteral and Enteral Nutrition as well as an item writer for the Dietetic Technician Examination and has provided numerous presentations at national, state, and local conferences along with many peer-reviewed publications and abstracts. She also previously held several leadership positions within the Chicago Area Society for Parenteral and Enteral Nutrition, including president, membership chair, publication chair, and program chair.

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