Advances in NICU Feeding Management

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1 Advances in NICU Feeding Management 3 DAY SPECIALITY WORKSHOP BOSTON SEPTEMBER 29 - OCTOBER Learn from world-leading experts in the field of neonatal care and management of feeding difficulties Overview Hear from international clinical and research experts from the fields of medicine, respiratory therapy, nursing, lactation consultancy, speech pathology, nutrition, psychology, and physical therapy. Program consists of talks, panel discussions, practical demonstrations, and simulation activities. Intended audience NICU nurses and feeding therapists Instructional level Intermediate-advanced (clinicians currently practicing in neonatal intensive care units) VENUE 45 Francis St, Boston, MA Bornstein Auditorium Level 2 walkway CONTACT US BWHNICUtherapy@partners.org

2 DAY 1 Friday 1030 Registration (snack provided on arrival) 1100 Welcome introductions and overview Pamela Dodrill 1115 Advances in the NICU - neurological development, management, and Terrie Inder outcomes 1145 Advances in the NICU - respiratory development, management, and Linda Van Marter outcomes 1215 Respiratory therapy from LFNC to HFJV Keith Hirst 1315 Panel discussion 1330 Lunch (on your own) 1430 Nutrition in the NICU Mandy Belford, Deirdre Ellard, Hunter Pepin 1515 Breastfeeding in the NICU Corinne Pryor, Tina Steele 1600 Panel 1615 Advances in the NICU - Feeding in the Level III NICU Pamela Dodrill 1700 Advances in the NICU - Feeding in the Level IV NICU Katherine Gibson, Kayla Hernandez 1745 Panel discussion 1800 Day ends DAY 2 Saturday 0800 Cue-based care in the NICU Katherine Gibson 0830 Supporting parent-child relationships in the NICU Carmina Erdei, Lianne Woodward 0930 Panel discussion 0945 Break (snack provided) 1015 Motor development and positioning in the NICU Nicole DePalma 1100 Feeding positioning and strategies in the NICU Jinhee Park 1145 Bottle nipples for use in the NICU Britt Pados 1230 Practical activity feeding interventions in the NICU 1300 Lunch (on your own) 1400 Imaging when to use MBS for infants in the NICU Memorie Gosa 1445 Imaging - when to use FEES for infants in the NICU Jennifer Reynolds 1530 Panel discussion 1600 Break (snack provided) 1630 Developing and implementing NICU feeding clinical practice guidelines; The Boston Infant Feeding Scale 1800 Day ends Pamela Dodrill, Corinne Pryor

3 DAY 3 Sunday 0800 Human patient simulation feeding scenarios in the NICU, and how to use simulation to build competence and teamwork 1100 Brunch (provided) 1130 Feeding assessment tools NICU and post-nicu Britt Pados Jinhee Park 1230 Feeding development post-nicu Pamela Dodrill Kara Larson 1315 Nutrition post-nicu Susanna Huh 1400 Panel 1430 Wrap up Pamela Dodrill 1500 Day ends Pamela Dodrill, Katherine Gibson, Corinne Pryor, Brit Pados, Jinhee Park, Memorie Gosa, Kayla Hernandez, Kara Larson 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. 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 Contact Hours of Continuing Education. has entered into a collaborative agreement with Boston Children s Hospital to offer ASHA CEUs for this event.

4 Pamela Dodrill, PhD, CCC-SLP NICU Feeding Therapist Financial Disclosures: Salary, Non-Financial Disclosures: Medical Advisory Board, Feeding Matters Terrie Inder, MBChB, MD Neonatologist Chair, Department of Pediatric Newborn Medicine Financial Disclosures: Salary, Linda Van Marter, MD, MPH Neonatologist Vice-Chair, Department of Pediatric Newborn Medicine Financial Disclosures: Salary, Keith Hirst, MS, RRT-ACCS, RRT-NPS, AE-C NICU Respiratory Therapist Financial Disclosures: Salary, ; Consultant: Medtronics/ Covidien; Third Pole, Inc Speaker s Fee: Instrumentation Laboratory Mandy Belford, MD. MPH Neonatologist Financial Disclosures: Salary, ; Grant: Miris AB Deirdre Ellard, MS, RDN, LDN NICU Dietitian Financial Disclosures: Salary, Hunter Pepin, MS, RDN, LDN, CNSC NICU Dietitian Financial Disclosures: Salary, Corinne Pryor, RN, LC NICU Nurse, Lactation Consultant, Nurse Educator Financial Disclosures: Salary, Tina Steele, RN, LC NICU Nurse, Lactation Consultant, Nurse Research Coordinator Financial Disclosures: Salary, Nicole DePalma, DPT, PCS NICU Physical Therapist Financial Disclosures: Salary, Katherine Gibson, MS, CCC-SLP NICU Feeding Therapist Financial Disclosures: Salary, Carmina Erdei, MD Neonatologist, Developmental Pediatrician Financial Disclosures: Salary, Lianne Woodward, PhD Developmental Psychologist Financial Disclosures: Salary, Jinhee Park, RN, PhD NICU Nurse Boston College Financial Disclosures: Salary, Boston College Britt Pados, RN, PhD NICU Nurse Boston College Financial Disclosures: Salary, Boston College Memorie Gosa, PhD, CCC-SLP, BCS-S Pediatric Feeding Therapist University of Alabama Financial Disclosures: Salary, University of Alabama Jenny Reynolds, MS, CCC-SLP NICU Feeding Therapist Baylor University Medical Center00 Financial Disclosures: Baylor Institute for Rehabilitation Non-Financial Disclosures: Advisory Committee, National Association of Neonatal Therapists 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, 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

5 TALK Advances in the NICU - neurological development, management, and outcomes Advances in the NICU - respiratory development, management, and outcomes Respiratory therapy from LFNC to HFJV Nutrition in the NICU Breastfeeding in the NICU Advances in the NICU - Feeding in the Level III NICU Advances in the NICU - Feeding in the Level IV NICU Cue-based care in the NICU Supporting parent-child relationships in the NICU LEARNING OBJECTIVES List 3 neurological conditions common in the NICU population List 3 ways to measure neurological outcomes Describe 3 advances in NICU medical management that have the potential to impact on neurological outcomes Define respiratory distress syndrome and bronchopulmonary dysplasia List 3 advances in NICU 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 NICU List 3 criteria for weaning from respiratory support List 3 ways that respiratory support can potentially impact on feeding development and safety Recognize the critical role of neonatal nutrition in promoting optimal brain development Identify 3 phases of nutritional management in the NICU 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 NICU 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 NICU List 3 feeding interventions commonly used in a Level III NICU Describe 3 common feeding issues in a Level IV NICU List 3 feeding interventions commonly used in a Level IV NICU List 3 ways that interventions used in a Level IV NICU can potentially impact on feeding development and safety 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 List 3 reasons why supporting parenting in the NICU is important List at least 3 strategies which can be adopted to support infant neurodevelopment in the NICU List at least 3 strategies that can be adopted to support the mother-infant relationship in the NICU List 3 domains that greatly benefit from increased parental presence in the NICU Identify at least 3 strategies which can be adopted in the NICU setting to support infant neurodevelopment

6 TALK Motor development and positioning in the NICU Feeding positioning and strategies in the NICU Bottle nipples for use in the NICU Imaging when to use MBS for infants in the NICU Imaging - when to use FEES for infants in the NICU Developing and implementing NICU feeding clinical practice guidelines; The Boston Infant Feeding Scale Human patient simulation feeding scenarios in the NICU, and how to use simulation to build competence and teamwork Feeding assessment tools NICU and post-nicu Feeding development post-nicu Nutrition post-nicu LEARNING OBJECTIVES Describe normal developmental progression of tone, reflexes, and motor development in the preterm infant Identify 3 atypical movement patterns/postures adapted by an infant in the NICU 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 Identify 3 potential benefits of positive touch and massage interventions 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 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 Identify indications and contraindications for using FEES in the NICU Describe the necessary components of a FEES program in the NICU Evaluate differences between the MBS and FEES procedures with infants in the NICU Participants will be able to: List 3 potential benefits of having evidence-based clinical practice guidelines List 4 key steps in developing clinical practice guidelines List 3 ways to measure the success of feeding practices At the end of this session, participants will be able to: Demonstrate effective use of therapeutic feeding equipment, positions, and strategies Demonstrate accurate assessment and management of infant feeding difficulties Demonstrate effective communication regarding feeding with other staff and patient care givers List 3 potential benefits of performing simulation activities to develop and maintain clinical skills List available feeding assessment tools for use in the NICU List available feeding assessment tools for use post- NICU List 3 potential benefits of using formal assessment measures Describe 3 common feeding issues post-nicu List 3 feeding interventions commonly used post-nicu Discuss the potential impact of feeding difficulties on nutrition and growth Distinguish normal from abnormal growth patterns in the NICU graduate List 3 nutrition interventions appropriate for the NICU graduate with weight faltering Compare and contrast different tube feeding options

7 Advances in NICU Feeding Management 3 DAY SPECIALITY WORKSHOP BOSTON SEPTEMBER 29 - OCTOBER Learn from world-leading experts in the field of neonatal care and management of feeding difficulties REGISTRATION 3 day course (Friday, Saturday, Sunday) Up until 09/16/17 After 09/16/17 $600 $720 VENUE 45 Francis St, Boston, MA Bornstein Auditorium Level 2 walkway CONTACT US BWHNICUtherapy@partners.org To register, go to the online registration and payment site: management-3-day-workshop-for-health-professionals-tickets 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 until 7 days prior to event. There will be no refunds after this date, 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

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