Overview

Overview

Nutrition support is the provision of nutrients via a tube placed into the stomach or small intestine, or intravenously for patients who are unable to eat adequately when provided a normal diet. These two types of nutrition support are called enteral nutrition and parenteral nutrition.

Enteral and parenteral nutrition are usually administered to patients for short periods of time in the hospital, but are occasionally needed for extended periods of time for patients at home or in long-term care facilities.

At Cleveland Clinic, nutrition support is provided by highly specialized teams of clinicians to both inpatients and outpatients. 

Our Team

Our Team

Nutrition support is a different way to provide patients with nutrients usually found in food when they are not able to meet their needs for calories, fat, and protein. Nutrition support is given via either a tube (enteral) or an IV (parenteral). At Cleveland Clinic, nutrition support is provided by highly specialized teams of clinicians to patients in hospital and for those who need it at home.

The Cleveland Clinic's Nutrition Support Team was established in 1975 by Dr. Ezra Steiger, and includes physicians, dietitians, nurses, and clerical support. An early milestone for the team occurred in 1976, when it discharged its first patient home with IV nutrition, and launched the Cleveland Clinic Home Nutrition Support Service. In 2008, Dr. Donald Kirby joined as Medical Director for the new Center for Human Nutrition. This team is one of the largest providers of IV nutrition in the world.

Department Contact Info:
9500 Euclid Ave/ TT2
Cleveland, OH 44195
216.444.5957

Meet Our Clinicians

Kathy Logan Coughlin, MS, RD, LD, CNSC

  • Title: Nutrition Support Clinician
  • Education:MS Clinical Nutrition, Rush University, Chicago, IL; B.S. Dietetics, University of Dayton, Ohio; Dietetic Internship: Rush University, Chicago, IL; Fellowship: Rush Presbyterian – St. Lukes Medical Center, Chicago, IL
  • Specialty Areas: Nutrition Support, Nutrition-focused Physical Exam, Gut rehabilitation
  • Other: Associate Editor of Support Line, Member of Academy of Nutrition and Dietetics; Member of Dietitians in Nutrition Support Group; Member of American Society for Parenteral and Enteral Nutrition; Member of Ohio Society of Parenteral and Enteral Nutrition

Andrea K. JeVenn, RD, LD, CNSC

  • Title: Nutrition Support Clinician
  • Education: BS Human Nutrition, University of Massachusetts at Amherst; A.A.S. Culinary Arts, Johnson Wales University, Providence, RI; Dietetic Internship: OSF St. Francis Medical Center, Peoria, IL
  • Specialty Areas: Nutrition Support, Gastrointestinal Nutrition, Nutrition-focused Physical Exam, Gut rehabilitation
  • Other: Member of American Society of Enteral and Parenteral Nutrition; Member of Ohio Society of Parenteral and Enteral Nutrition (Newsletter Committee); Member of Academy of Nutrition and Dietetics; Member of Dietitians in Nutrition Support

Amy Nishnick, RD, LD, CNSC

  • Title: Nutrition Support Clinician
  • Education: BS Nutrition, The Pennsylvania State University, University Park, PA ; Dietetic Internship: Marywood University, Scranton, PA
  • Specialty Areas: Home Parenteral Nutrition, Nutrition Support, Gastrointestinal Nutrition, Nutrition-focused Physical Exam, Gut rehabilitation

Christy Hummell, MS, RD, LD, CNSC

  • Title: Nutrition Support Clinician (ICU)
  • Education: MS Human Nutrition and Foodservice, The Ohio State University, Columbus, OH; BS Human Nutrition, The Ohio State University, Columbus, OH. Dietetic
  • Internship: Miami Valley Hospital, Dayton, OH.
  • Specialty Areas: Critical Care, Nutrition Support
  • Other: Member of Academy of Nutrition and Dietetics; Member of Dietitians in Nutrition Support; Chair of Critical Care section of Dietitians in Nutrition Support website; reviewer for Support Line (Dietitians in Nutrition Support); Member of American Society of Parenteral and Enteral Nutrition; Member of Ohio Society of Enteral and Parenteral Nutrition; Member of Greater Cleveland Academy of Nutrition and Dietetics.

Diane Nowak, RD, LD, CNSC

  • Title: Nutrition Support Clinician (ICU)
  • Education: BS Nutrition, The Ohio State University; Dietetic Internship: The Ohio State University Coordinated DI Program, Columbus, OH.
  • Specialty Areas: Critical Care, Nutrition Support, Solid Organ Transplant, Malnutrition in the ICU Population, and Indirect Calorimetry.
  • Other: Member of American Society of Parenteral and Enteral Nutrition; Member of Ohio Society of Enteral and Parenteral Nutrition.

Desiree Gordillo, MS, RD, LD, CNSC

  • Title: Nutrition Support Clinician (ICU)
  • Education: BS Dietetics, Norte Dame College, Cleveland, OH; Dietetic Internship: Case Western Reserve University Public Health Nutrition Program, Cleveland, OH; MS Public Health Nutrition, Case Western Reserve University.
  • Specialty Areas: Critical Care, Nutrition Support, Malnutrition in the ICU Population, and Metabolic Cart.
  • Other: Member of American Society of Parenteral and Enteral Nutrition; Member of Ohio Society of Enteral and Parenteral Nutrition (OSPEN); Member of the OSPEN Newsletter Committee.

Mary Rath, RD, LD, CNSC

  • Title: Nutrition Support Clinician (ICU)
  • Education: BS Dietetics, Miami University, Oxford, OH; Dietetic Internship: MetroHealth Medical Center, Cleveland, OH.
  • Specialty Areas: Critical Care; Malnutrition; Nutrition-Focused Physical Exam.
  • Other: Member of Academy of Nutrition and Dietetics; Member of Dietitians in Nutrition Support; Member of American Society of Parenteral and Enteral Nutrition; Chair of Enteral Nutrition Committee.

Bethany Benesh, RD, LD, CNSC

  • Title: Nutrition Support Clinician (ICU)
  • Education: BS Dietetics, Miami University, Oxford, OH; Dietetic Internship: Dietetic Internship: Augusta Area Dietetic Internship, Augusta, GA.
  • Specialty Areas: Critical Care, Nutrition Support
  • Other: Member of American Society of Parenteral and Enteral Nutrition

Christan Bury, MS, RD, LD, CNSC

  • Title: Nutrition Support Clinician (ICU)
  • Education: BS Nutrition/Dietetics and Foods, BS Nutrition in Business, Purdue University, West Lafayette, IN; Dietetic Internship: Veteran's Hospital of Cleveland, Cleveland, OH; MS Nutrition, Case Western Reserve University, Cleveland, OH.
  • Specialty Areas: Surgical critical care; the use of bedside ultrasound to assess quadricep muscles.
  • Other: Member of Dietitians in Nutrition Support (Speaker's Bureau);Member of Academy of Nutrition and Dietetics; Member of American Society of Enteral and Parenteral Nutrition; Member of Cleveland Academy of Nutrition and Dietetics.

Alyssa Paglia, RD, LD, CNSC

  • Title: Nutrition Support Clinician (ICU)
  • Education: BS Nutrition, The Ohio State University; Dietetic Internship: The Ohio State University Wexner Medical Center, Columbus, OH.
  • Specialty Areas: Critical Care, Nutrition Support
  • Other: Member of American Society of Parenteral and Enteral Nutrition; Member of Ohio Society of Enteral and Parenteral Nutrition.

Ashley Ratliff, MS, RD, LD, CNSC

  • Title: Nutrition Support Clinician
  • Education: MS Clinical Nutrition, Rush University, Chicago, IL; BS Dietetics, Ohio University, Athens, OH; Dietetic Internship: Rush University Medical Center, Chicago, IL
  • Specialty Areas: Nutrition Support, Nutrition-focused Physical Exam, Home Parenteral Nutrition, gut rehabilititation
  • Other: Member of Academy of Nutrition and Dietetics; Member Dietitians in Nutrition Support Group; Member of American Society of Enteral and Parenteral Nutrition

Elizabeth Gallant, RD, LD, CNSC

  • Title: Nutrition Support Clinician
  • Education: BS Dietetics, The Ohio State University, Columbus, OH; Dietetic Internship: Cleveland Clinic, Cleveland, OH
  • Specialty Areas: Nutrition Support, Nutrition-focused Physical Exam, Home Parenteral Nutrition, Gut rehabilitation
  • Other: Member of Academy of Nutrition and Dietetics; Member of Dietitians in Nutrition Support; Member of Ohio Dietetic Association; Member of American Society for Parenteral and Enteral Nutrition

Brian Dubiel, RD, LD

  • Title: Nutrition Support Clinician
  • Education: BS Dietetics, Youngstown State University, Youngstown, OH; Dietetic Internship: Youngstown State University, Youngstown, OH
  • Specialty Areas: Nutrition Support, Critical Care
  • Other: Member of American Society for Parenteral and Enteral Nutrition

Marie (Dorothy) Emery, RN

  • Title: Nutrition Support Nurse
  • Education:AD Nursing, Cuyahoga Community College, OH
  • Specialty Areas: Home Parenteral Nutrition, Nutrition Support, Infusion Nursing
  • Other: Member of Association for Vascular Access

Our Services

  • Recommendations for appropriate nutrition support access and care
  • Management of electrolytes / fluids
  • Dietitians specialized in nutrition-focused physical exams and assessment
  • Physician led daily bedside rounds on hospitalized patients needing parenteral nutrition
  • Coordination of services with physicians, Gut Rehabilitation and Transplant, Home Parenteral Nutrition clinicians, Home Health Care, and other multi-disciplinary services
  • Placement of small bowel feeding tubes
  • Provision of parenteral nutrition education to GI fellows, ICU residents, pharmacy residents, dietetic interns, visiting dietitians
What We Treat

What We Treat

Cleveland Clinic's Home Nutrition Support Team offers a number of specialized nutrition services, including but not limited to the conditions below.

  • Intestinal failure
  • Obstructive tumors
  • Crohn's disease
  • Short bowel syndrome
  • Adhesive obstructions
  • Fistulas
  • High output ostomies
Our Services

Our Services

  • 24/7 availability
  • Management of IV nutrition
  • Coordination of services with physicians, nurses, pharmacy, Gut Rehabilitation and Transplant, and Home Health Care teams
  • Nutrition Support nurses provide training and education, catheter care, and home self-monitoring
  • Recommendations for appropriate nutrition support access and care

For IV (parenteral) nutrition appointments, please contact us at 216.444.6164.

For tube feeding (enteral) nutrition appointments, please contact us at 216.444.3046. For more information on home enteral nutrition.

Organizations such as the Oley Foundation and Crohns & Colitis Foundation provide resources for patients using Nutrition Support.

Resources

Resources

Academy of Nutrition and Dietetics
120 South Riverside Plaza, Suite 2000
Chicago, IL 60606-6995
Toll-free: 800.366.1655 or toll-free 800.877.1600
Fax: 312.899.4899

American Society for Parenteral and Enteral Nutrition
8630 Fenton St., Ste. 412
Silver Springs, MD 20910
Phone: 301.587.6315

The Oley Foundation
214 Hun Memorial, A-28
Albany Medical Center
Albany, NY 12208-3478
Toll-free: 800.776.OLEY

Crohns & Colitis Foundation of America, Inc.
386 Park Avenue South, 17th Floor
New York, NY 10016-8804
Phone: 212.685.3440
Toll-free 1.800.932.2423
Email: [email protected]

American College of Gastroenterology
P.O. Box 342260
Bethesda, MD 20827-2260
Phone: 301.263.9000

American Gastroenterological Association
4930 Del Ray Avenue
Bethesda, MD 20814
Phone: 301.654.2055
Fax: 301.654.5920
Email: [email protected] or [email protected]

American Society for Gastrointestinal Endoscopy
1520 Kensington Rd., Suite 202
Oak Brook, IL 60523
Phone: 630.573.0600