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Guide to Surgical Nutrition
Anne Coltman, MS, RDN, LDN, CNSC, FAND
Edited by
Mary Ann Cockram, MS, RD
Wolf J. Rinke, PhD, RDN

C335
11 CPEUs
HARD COPY
$99.95
C335E
11 CPEUs
ELECTRONIC
$94.95

Manual with 1 reporting form, 86 pgs.
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 program 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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8.1.5, 8.2.1, 8.3.1, 8.3.6, 9.3.5, 10.2.7, 10.2.8, 10.2.9, 10.2.10, 10.4.2, 12.2.1, 12.2.7, 12.4.6

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To order an ADDITIONAL Reporting Form click below:

C335F
11 CPEUs
REPORTING FORM
$40.00

Guide to Surgical Nutrition
Anne Coltman, MS, RDN, LDN, CNSC, FAND

Edited by
Mary Ann Cockram, MS, RD
Wolf J. Rinke, PhD, RDN

© 2020 Wolf Rinke Associates, Inc. All rights reserved for all portions of this program. Reproduction in whole or part without written permission, except for brief excerpts, is prohibited.

OVERVIEW AND INSTRUCTIONS

Surgical patients represent a unique population requiring specialized nutrition assessment and intervention. Understanding the pathophysiology and basic surgical anatomy of the procedures these patients receive is essential to determining and implementing appropriate interventions. Interventions vary greatly across various surgical procedures and significantly impact patient outcomes, including morbidity and mortality. Additionally, a variety of vitamin and mineral deficiencies occur as a result of surgery and can contribute to poor outcomes if not identified and corrected. Nutrition and dietetics practitioners must possess a thorough understanding of all aspects of clinical care for surgical patients to make positive impacts and improve outcomes.
This CPE program is a level 2 Continuing Professional Education (CPE) program approved for eleven (11) continuing professional education units (CPEUs). That means that the reader has a general knowledge of literature and professional practice in the area covered. The focus of the program is to enhance knowledge and application.

To get the most benefit from this program, we suggest you adhere to the following four steps:
Step 1: Review the objectives for the CPE program.
Step 2: Study each chapter. As you read, think of patients from your own practice who fit the situation described.
Step 3: Assess what you have learned by completing the self-assessment instrument at the end of this CPE program.
Step 4: Compare your answers to the answer key that has been provided. If you score at least 80% (40 questions) correct, you are ready to transfer your answers to the CONTINUING PROFESSIONAL EDUCATION REPORTING FORM. If you scored less than 80% correct, re-read the appropriate sections of the book and re-test yourself until you score at least 80% (40 questions) correct.
After you have successfully completed the program, complete the CPE REPORTING FORM and:
Submit online at www.easyCPEcredits.com,
Or fax to (410) 531-9282,
Or mail to Wolf Rinke Associates, Inc., 13621 Gilbride Lane, Clarksville, MD 21029.
Upon receipt of your CPE Reporting Form, we will email you a Certificate of Completion within 3-5 business days.

OBJECTIVES

Upon completion of this CPE program, 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.

TABLE OF CONTENTS

CHAPTER 1 General Introduction to Surgery
TYPICAL PROCEDURES IN OPERATING ROOMS
TRANSITIONS THROUGH RECOVERY
QUALITY IMPROVEMENT METRICS
TYPICAL POST-OPERATIVE NUTRITION PROGRESSION
DRAIN OUTPUT INTERPRETATION
SPECIAL CONSIDERATIONS
Enhanced Recovery after Surgery
Malnutrition
CASE STUDY
CHAPTER 2 Gastrointestinal Surgery
ESOPHAGECTOMY
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
Common Complications: Chyle Leaks
FUNDOPLICATION
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
GASTRECTOMY
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
SMALL BOWEL RESECTION
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
COLECTOMY
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
WHIPPLE
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
ILEOSTOMY/COLOSTOMY
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
Summary
CASE STUDY
CHAPTER 3 Cardiothoracic Surgery
CORONARY ARTERY BYPASS GRAFT
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
ANGIOPLASTY/STENT PLACEMENT
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
VENTRICULAR ASSIST DEVICE
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
LOBECTOMY/WEDGE RESECTION
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
PNEUMONECTOMY
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
EXTRACORPOREAL MEMBRANE OXYGENATION
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
CASE STUDY
CHAPTER 4 Trauma Surgery
FACIAL TRAUMA AND REPAIR
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
ABDOMINAL TRAUMA AND REPAIR
Pathophysiology
Medical Nutrition Therapy
CASE STUDY
CHAPTER 5 Transplant Surgery
HEART
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
LUNG
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
KIDNEY
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
PANCREAS
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
LIVER
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
BOWEL
Pathophysiology
Medical Nutrition Therapy
Diet Modifications
Nutrition Support Considerations
Vitamin and Mineral Deficiencies
CASE STUDY
CHAPTER 6 Summary
REFERENCES
FOR YOUR CONTINUING EDUCATION
LIST OF ABBREVIATIONS
GLOSSARY
RESOURCES
SELF-ASSESSMENT QUESTIONS
ANSWER KEY
EXPLANATIONS FOR ANSWERS
ABOUT THE AUTHOR
ABOUT THE EDITORS

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.

ABOUT THE EDITORS

Mary Ann Cockram, MS, RD is retired from Abbott Nutrition where she was a Research Scientist in the Scientific and Medical Affairs group. In this role, she provided clinical nutrition education and brand support internally to Sales and Marketing and externally to clinicians and consumers for Abbott’s critical care and surgical enteral nutrition products. Her area of interest is enteral feeding.
Mary Ann received a Bachelor of Science degree in Home Economics from Valparaiso University in Valparaiso, IN, and a Master of Science degree in Clinical Nutrition from Rush University in Chicago.
Mary Ann has served as chair of the Medical Nutrition Practice Group, and as the assistant editor and editor of Medical Nutrition Matters, the newsletter of this practice group. Mary Ann continues to write continuing professional education test questions for the articles in Medical Nutrition Matters. She participated as an evidence analyst on the Evidence Analysis Team for Adult Weight Management for the Academy of Nutrition and Dietetics, and she attended the test item writer workshop sponsored by the Commission on Dietetic Registration.

Wolf J. Rinke, PhD, RDN is the president and founder of Wolf Rinke Associates, Inc., a company that has provided high-quality CPE programs to nutrition and dietetics practitioners since 1990.
Dr. Rinke earned a BS at Drexel University, an MS at Iowa State University, a PhD in Continuing and Vocational Education (Adult Ed) at the University of Wisconsin and interned at Walter Reed Army Medical Center. He participated in a test item writer workshop sponsored by the Commission on Dietetic Registration (CDR).
Dr. Rinke is a past Adjunct Associate Professor, Graduate School of Management & Technology at the University of Maryland, and a former Adjunct Faculty Member of the School of Continuing Studies at The Johns Hopkins University.
He has served as past president of the District of Columbia (DC) Dietetic Association and has been honored by the Academy of Nutrition and Dietetics with the Award for Excellence in the Practice of Management, the Outstanding Dietitian of the Year Award, and the Outstanding Service Award, in addition to delivering the Lenna Frances Cooper Lecture.
Dr. Rinke has served in numerous leadership roles at the Academy of Nutrition and Dietetics: Chair of the Scholarship Committee for Dietitians in Business and Communications; Chair of the Communication Committee, Honors Committee, and Licensure Panel and Ethical Practices Task Force for the Commission on Dietetic Registration; Chair of the Area Coordinating Committee and Chair for the Code of Ethics; Member of the Resource for Education Programs Committee; Member of the House of Delegates; and Member of the Board of Directors.
Dr. Rinke is the author of more than 500 articles, numerous CPE self-study programs, and several popular books including Make It a Winning Life: Success Strategies for Life, Love and Business; Winning Management: 6 Fail-Safe Strategies for Building High-Performance Organizations; and Don’t Oil the Squeaky Wheel, and 19 Other Contrarian Ways to Improve Your Leadership Effectiveness.

ACKNOWLEDGMENTS

Special thanks to the following individuals for their careful review of this CPE program.

Alison Barkman, MS, RD, CDN
Certified Intuitive Eating Counselor
Garden City, NY

Michel Darlene Harris, MS, RD, LDN, CDE
Lecturer of Nutrition Sciences and Assistant DPD Director
Dominican University
Chicago, IL

Kris M. Mogensen, MS, RD-AP, LDN, CNSC
Team Leader Dietitian Specialist
Brigham and Women’s Hospital
Boston, MA

Beth Taylor, DCN, RDN-AP, CNSC, FCCM
Research Scientist
Barnes Jewish Hospital
St. Louis, MO

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