20 Years of Excellence • Celebrate the Past – Embrace the Future
1980’s
• Encouraged vegetable vs. animal fats, not knowing the
hazards of trans fat
• Encouraged MI patients to avoid caffeine and gassy foods
• BMI became standard vs. height/weight tables
• Initial pre-filled enteral feeding systems
• Introduction of disease-specific enteral formulas
(Pulmocare)
• First Fiber containing enteral formula
1989
• First JPEN released
• Alimentum introduced
as first hydrolyzed
protein formula
• Disease-Specific enteral
formula for Diabetic
management introduced
1990’s
• First use of 3 in 1 TPN at Maine Medical Center
• Tube feeds ordered as ½, ¾ strength
1990
• Tenth Edition of the
RDA’s released
• Introduction of Immune-
• First publication of
MMC’s Nutrition
Support Handbook
enhanced Enteral
Formulas
• 1990 article on TPN
described combining
enteral feeding at 10-20
ml per hour to maintain
gut integrity with TPN
during acute illness is an
exciting possibility
1995-1997
• Through the MMC tube feeding clinical indicator process,
patients received greater than 85% goal nutrient delivery
sooner while also decreasing tube feeding waste
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2002- 2004 2005 2006 2007 2008 2009
• First Food Guide
Pyramid released
• Nutrition Symposium
• The American Academy
of Family Physicians,
in partnership with the
ADA and the National
• Nutrition Labeling and
Education Act enacted
requiring nutrition food
labels
• National Kidney
foundation launched
the Dialysis Outcomes
Quality Initiatives
• Dietary Reference
Intakes reported for
calcium, phosphorus,
magnesium, vitamin D
• NIH lowered the
threshold of obesity
based on BMI
from 27.8 to 25 to
• DOQI developed into
the Kidney Disease
Outcome Quality
Initiative (KDOQI) in
• We survived Y2K!
• Started hearing about
Functional Foods,
• First “Careminder”
computer
documentation of
nutrition assessments
2003
• Moratorium on use
of Food dye in tube
feedings
• Nutrition Symposium
presented: Type 2
Diabetes in Children –
A Growing Epidemic
• Updated Dietary
Guidelines released –
“My Pyramid”
• October 2006 – ADA
House of Delegates
voted to implement
the Nutrition Care
• ADA Dietetic Practice
Groups celebrated their
30th anniversary with
increased membership
• New Choose Your Food
Exchange Lists for
Diabetics released:
• Implementation of
new electronic Sunrise
Clinical Manger
documentation
topic - Early Enteral shifting from what to • Enterobacter sakazakii • Rising interest in local, ~ Bagel (4 oz) now 4
Feeding: Pros and Cons Council on Aging, (DOQI) and fluoride match international which target for practice avoid to what to eat for • Initiation of closed infection associated with fresh, whole, organic • National Cholesterol Process Model across the from 42% in 2001 to servings • For the first time in
released the Nutrition guidelines, adding 30 included all phases of profession 47% in 2007. 31,400
• Articles advocating use health system for tube feedings use of powdered infant foods Education Program, ~ Added amaranth and ADA’s 92 year history,
Screening Initiative million Americans to CKD at MMC enteral formula. Adult Treatment Panel • Nutrition Symposium members enrolled in one membership surpassed
of carbonated beverages overweight category • Dietary Reference or more of 29 Dietetic jicama
and meat tenderizers to • Nutrition Services Intakes reported for III Guidelines released presented: Bariatric 70,000
• Dietary Reference Surgery – Lab Band vs Practice Groups. ~ Expanded glossary
unclog feeding tubes wins 1st Place in the sodium, potassium, including A1C,
Intakes reported for B Dr Cox Performance chloride and sulfate Gastric Bypass. Also
vitamins and folate reviewed increased glycemic load
Improvement Fair • Nutrition Services at
incidence and treatment • Implementation of the
• 6/1/02 – First RD/DTRs MMC wins Ivy Award of C.Diff. ADA Nutrition Manual
to use the Professional
Development Portfolio • Changed from
Process traditional ADA
Diabetic diets to
• Breastfeeding rates carbohydrate gram diets
reached an all time high
in the U.S. with 70%
of mothers initiating
breastfeeding in the
hospital
• FDA approved DHA
and ARA in U.S.
formulas with the
first formula, Enfamil
Lipil, released by Mead
Johnson
 20 Years of Excellence • Celebrate the Past – Embrace the Future
1980’s
• Encouraged vegetable vs. animal fats, not knowing the
hazards of trans fat
• Encouraged MI patients to avoid caffeine and gassy foods
• BMI became standard vs. height/weight tables
• Initial pre-filled enteral feeding systems
• Introduction of disease-specific enteral formulas
(Pulmocare)
• First Fiber containing enteral formula
1989
• First JPEN released
• Alimentum introduced
as first hydrolyzed
protein formula
• Disease-Specific enteral
formula for Diabetic
management introduced
1990’s
• First use of 3 in 1 TPN at Maine Medical Center
• Tube feeds ordered as ½, ¾ strength
1990
• Tenth Edition of the
RDA’s released
• Introduction of Immune-
• First publication of
MMC’s Nutrition
Support Handbook
enhanced Enteral
Formulas
• 1990 article on TPN
described combining
enteral feeding at 10-20
ml per hour to maintain
gut integrity with TPN
during acute illness is an
exciting possibility
1995-1997
• Through the MMC tube feeding clinical indicator process,
patients received greater than 85% goal nutrient delivery
sooner while also decreasing tube feeding waste
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2002- 2004 2005 2006 2007 2008 2009
• First Food Guide
Pyramid released
• Nutrition Symposium
• The American Academy
of Family Physicians,
in partnership with the
ADA and the National
• Nutrition Labeling and
Education Act enacted
requiring nutrition food
labels
• National Kidney
foundation launched
the Dialysis Outcomes
Quality Initiatives
• Dietary Reference
Intakes reported for
calcium, phosphorus,
magnesium, vitamin D
• NIH lowered the
threshold of obesity
based on BMI
from 27.8 to 25 to
• DOQI developed into
the Kidney Disease
Outcome Quality
Initiative (KDOQI) in
• We survived Y2K!
• Started hearing about
Functional Foods,
• First “Careminder”
computer
documentation of
nutrition assessments
2003
• Moratorium on use
of Food dye in tube
feedings
• Nutrition Symposium
presented: Type 2
Diabetes in Children –
A Growing Epidemic
• Updated Dietary
Guidelines released –
“My Pyramid”
• October 2006 – ADA
House of Delegates
voted to implement
the Nutrition Care
• ADA Dietetic Practice
Groups celebrated their
30th anniversary with
increased membership
• New Choose Your Food
Exchange Lists for
Diabetics released:
• Implementation of
new electronic Sunrise
Clinical Manger
documentation
topic - Early Enteral shifting from what to • Enterobacter sakazakii • Rising interest in local, ~ Bagel (4 oz) now 4
Feeding: Pros and Cons Council on Aging, (DOQI) and fluoride match international which target for practice avoid to what to eat for • Initiation of closed infection associated with fresh, whole, organic • National Cholesterol Process Model across the from 42% in 2001 to servings • For the first time in
released the Nutrition guidelines, adding 30 included all phases of profession 47% in 2007. 31,400
• Articles advocating use health system for tube feedings use of powdered infant foods Education Program, ~ Added amaranth and ADA’s 92 year history,
Screening Initiative million Americans to CKD at MMC enteral formula. Adult Treatment Panel • Nutrition Symposium members enrolled in one membership surpassed
of carbonated beverages overweight category • Dietary Reference or more of 29 Dietetic jicama
and meat tenderizers to • Nutrition Services Intakes reported for III Guidelines released presented: Bariatric 70,000
• Dietary Reference Surgery – Lab Band vs Practice Groups. ~ Expanded glossary
unclog feeding tubes wins 1st Place in the sodium, potassium, including A1C,
Intakes reported for B Dr Cox Performance chloride and sulfate Gastric Bypass. Also
vitamins and folate reviewed increased glycemic load
Improvement Fair • Nutrition Services at
incidence and treatment • Implementation of the
• 6/1/02 – First RD/DTRs MMC wins Ivy Award of C.Diff. ADA Nutrition Manual
to use the Professional
Development Portfolio • Changed from
Process traditional ADA
Diabetic diets to
• Breastfeeding rates carbohydrate gram diets
reached an all time high
in the U.S. with 70%
of mothers initiating
breastfeeding in the
hospital
• FDA approved DHA
and ARA in U.S.
formulas with the
first formula, Enfamil
Lipil, released by Mead
Johnson