Advances in NICU Feeding Management

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1 Advances in Feeding Management 3 DAY SPECIALITY WORKSHOP BOSTON APRIL Learn from world-leading experts in the field of neonatal care and management of feeding difficulties VENUE One Brigham Circle 4th floor conference room Overview Hear from international clinical and research experts from the fields of medicine, respiratory therapy, nursing, lactation consultancy, speech pathology, nutrition, psychology, occupational therapy, and physical therapy. Program consists of talks, panel discussions, practical demonstrations, and simulation activities. Intended audience nurses and feeding therapists Instructional level Intermediate-advanced (clinicians currently practicing in neonatal intensive care units) Venue is opposite on corner of Huntington Ave and Tremont St Boston, MA (Look for TGI Friday restaurant) Nearest subway T stop is Brigham Circle on Green E line CONTACT US therapy@bwh.harvard.edu

2 DAY 1 Thursday 0730 Registration 0800 Welcome introductions and overview Pamela Dodrill 0815 Advances in the - neurological development, management, and outcomes 0915 Advances in the - respiratory development, management, and outcomes 1015 Break (snack provided) Terrie Inder Linda Van Marter 1030 Respiratory therapy from LFNC to HFJV Keith Hirst 1130 Lunch (on your own) 1230 Nutrition in the Mandy Brown Belfort Deirdre Ellard Hunter Pepin 1345 Breastfeeding in the Tina Steele Corinne Pryor 1430 Panel discussion 1445 Break (snack provided) 1500 Advances in the - Feeding in the Level III Pamela Dodrill 1600 Advances in the - Feeding in the Level IV Katherine Gibson Kayla Hernandez 1715 Panel discussion 1730 Day ends DAY 2 Friday 0800 Feeding positioning and strategies in the Jinhee Park 0830 Bottle nipples for use in the Britt Pados 0915 Panel discussion 0930 Feeding assessment tools and post- Britt Pados Jinhee Park 1030 Break (snack provided) 1045 Imaging when to use MBS for infants in the Memorie Gosa 1130 Imaging - when to use FEES for infants in the Jenny Reynolds 1215 Panel 1230 Lunch (on your own) 1330 Developing and implementing feeding clinical practice guidelines; The Boston Infant Feeding Scale 1445 Break (snack provided) Pamela Dodrill Corinne Pryor 1500 Cue-based care in the Katherine Gibson 1545 Supporting parent-child relationships in the Lianne Woodward Carmina Erdei 1645 Panel discussion 1700 Day ends

3 Day 3 Saturday 0800 Motor development and positioning in the Nicole DePalma 0845 Sensory processing and state regulation in the Nadine Frederiksen 0930 Panel discussion 0945 Break (snack provided) 1000 Feeding development post- Pamela Dodrill Kara Larson 1100 Nutrition post- Susanna Huh 1200 Panel discussion 1215 Lunch (on your own) 1315 Human patient simulation feeding scenarios in the, and how to use simulation to build competence and teamwork Pamela Dodrill Katherine Gibson Nicole DePalma Nadine Frederiksen Debra Marks Corinne Pryor Memorie Gosa Kayla Hernandez Kara Larson 1545 Wrap up Pamela Dodrill 1600 Day ends Program Completion Requirements: Participants are expected to be present for the entire program. Individuals who are not present for the full program will not be recommended for CEUs. No partial credit will be provided. RNs: Brigham and Women's Hospital is an Approved Provider of continuing nursing education by the Northeast Multistate Division, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This workshop has been awarded 17.5 hours of RN Continuing Education. SLPs: has entered into a collaborative agreement with Boston Children s Hospital to offer ASHA CEUs for this event. This course is offered for 2.1 ASHA CEUs (Various Levels, Dysphagia). OTs and PTs: We are seeking approval from the Massachusetts APTA and the AOTA. Approval pending. Website: info@feedingworkshops.com

4 Pamela Dodrill, PhD, CCC-SLP Feeding Therapist Financial Disclosures: Salary, Non-Financial Disclosures: Medical Advisory Board, Feeding Matters Terrie Inder, MBChB, MD Neonatologist Chair, Department of Pediatric Newborn Medicine Harvard Medical School, Financial Disclosures: Salary, Linda J. Van Marter, MD, MPH Neonatologist Vice-Chair, Department of Pediatric Newborn Medicine Harvard Medical School, Financial Disclosures: Salary, Keith Hirst, MS, RRT-ACCS, RRT-NPS, AE-C Respiratory Therapist Financial Disclosures: Salary, ; Consultant: Medtronics/ Covidien; Third Pole, Inc Speaker s Fee: Instrumentation Laboratory Mandy Brown Belfort, MD, MPH Neonatologist Financial Disclosures: Salary, ; Grant: Miris AB Deirdre Ellard, MS, RDN, LDN Dietitian Financial Disclosures: Salary, Hunter Pepin, MS, RDN, LDN, CNSC Dietitian Financial Disclosures: Salary, Corinne Pryor, BSc, RN, IBCLC Nurse, Lactation Consultant Financial Disclosures: Salary, Tina Steele, RN, IBCLC Nurse, Lactation Consultant, Nurse Research Coordinator Financial Disclosures: Salary, Debra Marks, RN, PNP Nurse, Pediatric Nurse Practitioner Financial Disclosures: Salary, Katherine Gibson, MS, CCC-SLP Feeding Therapist Financial Disclosures: Salary, Carmina Erdei, MD Neonatologist, Developmental Pediatrician Financial Disclosures: Salary, Susanna Huh, MD, MPH Pediatric Gastroenterologist Boston Children s Hospital Financial Disclosures: Salary, Boston Children s Hospital Non-Financial Disclosures: Medical Advisory Board, Mothers Milk Bank Northeast Kayla Hernandez, MS, CCC-SLP Pediatric Feeding Therapist Boston Children s Hospital Financial Disclosures: Salary, Boston Children s Hospital Kara Larson, MS, CCC-SLP Pediatric Feeding Therapist Boston Children s Hospital Financial Disclosures: Salary, Jenny Reynolds, MS, CCC-SLP Feeding Therapist Baylor University Medical Center Financial Disclosures: Baylor Institute for Rehabilitation Non-Financial Disclosures: Advisory Committee, National Association of Neonatal Therapists Memorie Gosa, PhD, CCC-SLP, BCS-S Pediatric Feeding Therapist University of Alabama Financial Disclosures: Salary, University of Alabama Britt Pados, RN, PhD, NNP-BC Neonatal Nurse Practitioner Boston College Financial Disclosures: Salary, Boston College Jinhee Park, RN, PhD Nurse Boston College Financial Disclosures: Salary, Boston College Nicole DePalma, DPT, PCS Physical Therapist Financial Disclosures: Salary, Nadine Frederiksen, OTR Pediatric Occupational Therapist Lady Cilento Children s Hospital Financial Disclosures: Salary, Queensland Health Lianne Woodward, PhD Developmental Psychologist Harvard Medical School, Financial Disclosures: Salary,

5 TALK Advances in the - neurological development, management, and outcomes Advances in the - respiratory development, management, and outcomes Respiratory therapy from LFNC to HFJV Nutrition in the Breastfeeding in the Advances in the - Feeding in the Level III Advances in the - Feeding in the Level IV Feeding positioning and strategies in the Bottle nipples for use in the Feeding assessment tools and post- LEARNING OBJECTIVES List 3 neurological conditions common in the population List 3 ways to measure neurological outcomes Describe 3 advances in medical management that have the potential to impact on neurological outcomes Define respiratory distress syndrome and bronchopulmonary dysplasia List 3 advances in medical management that have the potential to impact on respiratory outcomes List 2 ways to measure outcomes of respiratory interventions Describe the 5 main types of respiratory support used in the List 3 criteria for weaning from respiratory support List 3 ways that respiratory support can potentially impact on feeding development and safety Explain the critical role of neonatal nutrition in promoting optimal brain development Identify 3 phases of nutritional management in the Choose the appropriate growth chart and interpret growth patterns over time List 3 benefits of breast milk List 3 benefits of breastfeeding Describe 3 specific breastfeeding issues in the population List 2 breastfeeding assessment tools List 3 main stages of feeding development in preterm infants Describe 2 common feeding issues in a Level III List 3 feeding interventions commonly used in a Level III Describe 3 common feeding issues in a Level IV List 3 feeding interventions commonly used in a Level IV List 3 ways that interventions used in a Level IV can potentially impact on feeding development and safety List 3 potential benefits of horizontal milk flow Demonstrate 3 ways to achieve side-lying positioning Demonstrate 2 ways to provide external pacing List 3 features of bottle nipples that may impact on flow rate Describe how milk flow can impact on suck-swallow-breath coordination Describe 3 indicators that a child is not managing with the bottle nipple being used List available feeding assessment tools for use in the List available feeding assessment tools for use post- List 3 potential benefits of using formal assessment measures

6 TALK Imaging when to use MBS for infants in the LEARNING OBJECTIVES List 3 possible indications for need for MBS Describe 3 potential interventions that can be trialed during MBS List at least one safety consideration for performing MBS Imaging - when to use FEES for infants in the Identify indications and contraindications for using FEES in the Describe the necessary components of a FEES program in the Evaluate differences between the MBS and FEES procedures with infants in the Developing and implementing feeding clinical practice Participants will be able to: guidelines; The Boston Infant List 3 potential benefits of having evidence-based clinical practice guidelines Feeding Scale List 4 key steps in developing clinical practice guidelines List 3 ways to measure the success of feeding practices Feeding development post- Describe 3 common feeding issues post- List 3 feeding interventions commonly used post- Explain the potential impact of feeding difficulties on nutrition and growth Nutrition post- Identify normal from abnormal growth patterns in the graduate List 3 nutrition interventions appropriate for the graduate with weight faltering Compare and contrast different tube feeding options Motor development and positioning in the Describe normal developmental progression of tone, reflexes, and motor development in the preterm infant Describe how atypical movement patterns/ postures can interfere with functional activities, such as feeding Identify 3 positioning strategies to enhance an infant s motor and postural development Sensory processing and state regulation in the Describe variants of sensory processing and integration Identify optimal state for infant feeding and strategies for assisting infants to achieve this state Identify 3 potential benefits of positive touch and massage interventions Cue-based care in the List 3 engagement and 3 disengagement cues List 3 potential benefits of cue-based care List 2 potential obstacles to use of cue-based cares and ways to try overcome these Supporting parent-child relationships in the List 3 reasons why supporting parenting in the is important List 3 strategies which can be adopted to support infant neurodevelopment in the List 3 strategies that can be adopted to support the mother-infant relationship in the List 3 domains that greatly benefit from increased parental presence in the Identify 3 strategies which can be adopted in the setting to support infant neurodevelopment Human patient simulation At the end of this session, participants will be able to: feeding scenarios in the, Demonstrate effective use of therapeutic feeding equipment, positions, and strategies and how to use simulation to Demonstrate accurate assessment and management of infant feeding difficulties build competence and Demonstrate effective communication regarding feeding with other staff and patient teamwork care givers List 3 potential benefits of performing simulation activities to develop and maintain Website: info@feedingworkshops.com clinical skills

7 Advances in Feeding Management 3 DAY SPECIALITY WORKSHOP BOSTON APRIL Learn from world-leading experts in the field of neonatal care and management of feeding difficulties REGISTRATION 3 day course (Thursday, Friday, Saturday) Up until 04/13/18 From 04/14/18 $600 $720 VENUE One Brigham Circle 4th floor conference room Venue is opposite on corner of Huntington Ave and Tremont St Boston, MA (Look for TGI Friday restaurant) Nearest subway T stop is Brigham Circle on Green E line CONTACT US therapy@bwh.harvard.edu To register, go to the online registration and payment site: Registration fees include: Workshop handouts, an attendance certificate, snacks. (Note: Lunch is on your own). All fees are payable in advance via the online registration site. Refunds: There will be no refunds given should registrants be unable to attend part of the workshop or for no-shows. Cancellation Policy: A refund on registration (less cancellation fee) will be made on cancellations received via the registration website more than 7 days prior to event. There will be no refunds after this time, although substitute delegates will be welcome. Liability: The speakers, organizers, and host assume no liability for any loss of property or injury that may occur during the workshop or when travelling to and from the workshop.

Advances in NICU Feeding Management

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