Wisconsin Society for Parenteral and Enteral Nutrition’s

Thirty Seventh Annual Fall Symposium
September 24, 2019

Aurora Medical Center ~ Summit
36500 Aurora Drive
Summit, WI 53066



WiSPEN is pleased to host its 37th Annual Symposium to a multidisciplinary audience of dietitians, pharmacists, physicians, nurses, and students.


Mike Nyffeler
Clinical Specialist Nutrition Support
Meriter Hospital, Madison, WI

Drug Nutrient Interactions and Dos and Don’ts Using PEG and JPEG

  1. Learning Objectives
    • Review definitions that describe the various types of drug-nutrient interactions.
    • Describe selected drug-nutrient interactions and enteral feedings
    • Discuss potential treatment options to address drug-nutrient interactions
  2. ACPE #


    (0.1 CEU)

  3. Presentation Materials
Jayshil Patel
Critical Care Pulmonologist
Froedtert Hospital, Milwaukee, WI

Does Clinical Equipoise Exist for Protein Dose in Critical Illness?

  1. Learning Objectives
    • Deliberate why protein dose remains such an important question to answer
    • Identify the ‘current state’ of prescribed and received protein during critical illness
    • Outline barriers to achieving prescribed protein during critical illness
    • Identify and appraise current evidence favoring lower protein dose during critical illness as well as current evidence favoring higher protein dose during critical illness
    • Describe clinical equipoise and the need for a stronger evidentiary base
    • Discuss the role of exercise and protein supplementation in optimizing post critical care physical function outcomes
  2. ACPE #


    (0.1 CEU)

  3. Presentation Materials
Jonathan Gully
Assistant Professor, Department of Medicine
Medical College of Wisconsin
Jo Weis
Director of Behavioral Medicine
Medical College of Wisconsin

Nutritional Challenges at the End of Life

  1. Learning Objectives
    • Discuss the psychological and societal tension of anorexia at end-of-life, and the subsequent implications for patient care
    • Identify the elements of the syndrome of imminent death
    • Address caregiver and family concerns about the changes they observe in the eating habits of their loved one
    • Critique arguments supporting benefits ad burdens of artificial hydration and nutrition in the dying patient
  2. ACPE #


    (0.1 CEU)

  3. Presentation Materials
Daniel A. Sturgill
Assistant Professor Medical College of Wisconsin
Department of Medicine, Division of Nephrology, Milwaukee, Wisconsin

Nutrition Support in Acute and Chronic Kidney Injury

  1. Learning Objectives
    • Review current guidelines of nutrition support in acute kidney injury
    • Review current guidelines of nutrition support in chronic kidney disease
    • Discuss cutting edge research in nutrition and renal disease
  2. ACPE #


    (0.1 CEU)

  3. Presentation Materials
David Shen
Instructor of Medicine
University of Pennsylvania

The Role of Nutrition in Modifying the Microbiome

  1. Learning Objectives
    • Discuss current concepts in diet-related gut microbiome changes.
    • Recognize key metabolites from diet-gut microbiota interactions and relevance to health and disease.
    • Discuss the efficacy of dietary interventions for the treatment of inflammatory bowel diseases and their impact on the gut microbiome.
  2. ACPE #


    (0.1 CEU)

  3. Presentation Materials

September 24, 2019PROGRAM AGENDA

08:00 - 8:25

Registration and Display Visitation

08:25 - 08:30


Lynn Koepke RD, CD, CNSC
WiSPEN President

08:30 - 9:00

Drug Nutrient Interactions and Dos and Don’ts using PEG and JPEG

Mike Nyffeler, PharmD

View presentation materials

09:30 - 10:30

Nutritional Challenges at the End of Life

Jo Weis, PhD
Jonathan Gully, MD

View presentation materials

10:30 -11:00


11:00 -12:00

The Role of Nutrition in Modifying the Microbiome

David Shen, MD

View presentation materials

12:00 - 1:15

Lunch and WiSPEN Business Meeting

1:15 - 2:15

Does Clinical Equipoise Exist for Protein Dose in Critical Illness?

Jayshil Patel, MD

2:15 - 2:30


2:30 - 3:30

Nutrition Support in Acute and Chronic Kidney Injury

Daniel A. Sturgill, MD

View presentation materials

3:30 - 4:30

Breakout Sessions


Daniel A. Sturgill
Assistant Professor Medical College of Wisconsin
Department of Medicine, Division of Nephrology, Milwaukee, Wisconsin

Nutritional Interventions for Acute Kidney Disease and Dialysis

  1. Learning Objectives
    • Review the evidence of protein intake through stages of CKD
    • Discuss whether potassium restriction matters in patients with more advanced CKD
    • Discuss the nephrology challenges of TPN in the anuric and polyuric patient
    • Review the challenges the challenges CKD patients face with phosphorus and sodium intake
  2. ACPE #


    (0.1 CEU)

  3. Presentation Materials
Amanda Motl
Registered Dietitian Outpatient and Inpatient
Aurora Medical Center, Summit WI


  1. Learning Objectives
    • Review what FODMAPs are and the various subtypes
    • Briefly explain how FODMAPs contribute to GI symptoms
    • Identify patients which would benefit from a low FODMAP diet
    • Describe the 3 phases of a low FODMAP diet
  2. ACPE #


    (0.1 CEU)

  3. Presentation Materials


Our educational objectives are to discuss the most recent research in the field of nutrition support. All our topics are knowledge-based with the following objectives:

  • Recognize the signs and symptoms of catheter related blood stream (CRBSI), exit site, and tunneled tract infections involving central venous catheters.
  • Discuss metabolic complications from PN including fatty liver, metabolic, bone, and hyperglycemia.
  • Review catheter locking techniques to prevent CRBSIs in long term PN patients.
  • Identify refeeding syndrome and be able to recognize those at increased risk.
  • Be able to construct recipes for blenderized tube feeding, both homemade and a combination of commercial formulas.
  • Discuss the expected use of blenderized tube feeding (BTF).
  • Analyze clinical cases for potential ethical challenges that are present or may present.
  • Relate basic ethical principles to specific case examples encountered.
  • Determine appropriate resources needed to approach challenging cases
  • Identify the Center for Medicare and Medicaid Services (CMS) criteria of coverage for parenteral nutrition therapy: diagnoses and length of therapy
  • Be able to list tools needed to make and administer BTF.
  • Discuss differences between the premade whole food formulas.
  • Describe prevalence of hyperglycemia and its clinical impact.
  • Describe blood glucose goals.
  • Describe treatment of hyperglycemia in patients on parenteral and enteral nutrition.
  • Describe management of hyperglycemia in patients on corticosteroids.
  • Describe management of hyperglycemia in patients on enteral feeds (continuous, bolus, nocturnal).
  • Describe management of hyperglycemia in patients on parenteral nutrition.
  • Attendees will be able to state foods to avoid and why due to food safety concerns for an immunosuppressed patient/client (pregnant, oncology, immunocompromised, post-organ transplant.
  • Attendees will be able to discuss the role and application of nutrition support within the various stages of solid organ transplant nutrition care. Specifically addressing the concepts of “pre-hab” and “re-hab” for nutrition care and monitoring.
  • Describe at least 3 potential adult gastrostomy/jejunostomy tube site complications.
  • List at least 3 strategies to prevent gastrostomy/jejunostomy tube site complications in the adult patient.
  • Discuss at least 3 interventions to treat gastrostomy/jejunostomy tube site complications occasionally seen in the adult patient.
  • The opportunity to interact with the experts is offered as part of the break-out sessions in the afternoon.

Continuing Education

• Dietitians-Prior approval for 7 hours of Continuing Professional Education Credits (CPEUs) has been submitted to the Commission of Dietetic Registration

• Pharmacists-Southeastern Continuing Medical Education Consultants, LLC is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This educational program offers a total of 6 contact hours (0.6 CEUs). Program participants who complete the onsite learning assessment and evaluation will receive 6 live CE contact hours documented in their individual NABP e-profiles within four to six weeks of the program date.


Registration Fees

Dietitians and RNs WISPEN Member Non-Member
Early (7/1 - 7/26) $120 $165
Regular (7/27 - 8/23) $125 $170
Late (8/24 - 9/17 $135 $180
RPh/Licensed Independent Practitioner/Industry    
Early (7/1 - 7/26) $145 $190
Regular (7/27 - 8/23) $150 $195
Late (8/24 - 9/17) $160 $205
Full Time Students Undergraduate/Interns *    
Early (7/1 - 7/26) $40 $40
Regular (7/27 - 8/23) $45 $45
Late (8/24 - 9/17) $50 $50

If there are any special diet or handicap needs, please email by September 17, 2019 (no special dietary requests will be taken after this date).
If you have any questions, please email

Registrants will have only online access to presentations,  no printed booklet.

Photography waiver: I understand that WISPEN and ASPEN may, at its option, make photographs, videos or recordings of WISPEN events, which may include my likeness or participation, and reproduce them in WISPEN and ASPEN educational, news or promotional material, whether in print, electronic or other media, including the WISPEN and ASPEN Web sites and WISPEN and ASPEN managed social media sites. By participating in the WISPEN symposium, I hereby grant WISPEN and ASPEN permission to make, use and distribute such items, and I waive any rights to seek payment or compensation.

Hotel Reservations

WiSPEN has reserved a block of rooms at Hilton Garden Inn-Oconomowoc. Rooms start at $127/night and will be available until either August 23, 20189 or the block of reserved rooms is depleted.
Use the Group Code: WiSPEN Block when making reservations to receive the reduced WiSPEN group rate.


WiSPEN acknowledges the following vendors for supporting the 37th Annual 2019 Fall Symposium: