Peg Tubes - History and Decision Making
Making a recommendation for alternate forms of nutrition/hydration (ANH) is not one that professionals should take lightly. There are numerous concerns that must be considered - NOT just the bedside evaluation and/or the instrumental assessment. The patient is concerned about the quality of life, religious and cultural issues while the medical professional is more focused on the disease process and the outcomes - positive and negative. This course will provide a review of the history of enteral/parental nutrition as well as the factors involved in the decision making process. Various Advance Directives will be reviewed specifically looking at their nutrition/hydration choices. The bedside eval (standardized and your own), instrumental assessments and resources to utilize for chart review and patient education will be provided.Click here for a Sneak Peek of this video
Course Requirements:
- Computer with internet and working speakers/sound are required for this course.
- Course must be completed within 30 days of activation (activate course within 6 months of purchase).
- An online multiple-choice quiz (80% passing score) and submission of an online evaluation form are required for successful completion.
- A certificate of completion will be available to print immediately after course is successfully completed.
- SLPs - ASHA CEUs may be obtained by completing the online ASHA form and checking the "Report to ASHA" box.
AOTA Classification Codes
OT Process: Intervention
Course Objectives
Upon successful completion of this course, participants will be able to:
- Identify the various forms of enteral/parental nutrition and indications for each
- List specific cultural/religious issues that are important when considering recommendations for alternative nutrition and hydration
- Identify five advance directives available and the specific choices in each for alternate forms of nutrition and hydration
- List at least four resources for information to provide as patient/family education
- Discuss the importance of a thorough chart review including medical history and recommendations
Course Instructor(s)
Denise Dougherty
MA, CCC-SLP
Denise Dougherty, MA, CCC-SLP
Denise owns and operates a private practice in Indiana, PA, where she conducts therapy with both children and adults. She is a legal consultant/expert witness in wrongful death/negligence lawsuits involving dysphagia. Denise is a co-editor of Private Practice Essentials: A Practical Guide for Speech-Language Pathologists, published by ASHA Press. She has presented workshops and written numerous articles appearing in the ASHA Leader on the topic of private practice. Denise served as a consultant for The Arijah Children’s Foundation in Anguilla, BWI, providing evaluations and therapy programs for special needs children. Ms. Dougherty was an adjunct faculty member at York College of Pennsylvania and Wesley College in Dover, Delaware. She is a past President of the American Academy of Private Practice in Speech Pathology and Audiology (AAPPSPA), and received the Academy’s 2007 Honor Award and 2014 Award of Excellence for her achievements. Ms. Dougherty is a member of the Technical Experts Panel for Quality of Insights of Pennsylvania, working on initiating quality measures for CMS to improve effectiveness, efficiency, economy and quality of services delivered to Medicare beneficiaries. She received her bachelor’s degree in communication disorders from Marywood University in Scranton, Pennsylvania; a master’s degree in communication disorders from St. Louis University. Ms. Dougherty is certified in VitalStim® therapy and is a VitalStim® instructor, has completed additional training in orofacial myology, is a member of the American Speech, Language and Hearing Association and has received numerous ASHA ACE Awards. For more information, please visit www.dldspeechpath.com.
Financial Disclosure Denise receives honoraria from CIAO for the presentation of her live courses and royalties for the sale of her online courses. Denise is in private practice and receives legal consultant/expert witness fees
Non-Financial Disclosure: There are no non-financial relationships to disclose.
Course Agenda
Contact hours pre-approved for:
- 4.0 Hours
- CIAO is an ASHA Approved Provider #AAWA (0.4 ASHA CEUs) bubble sheet required
- CIAO is an AOTA Approved Provider #4119 (0.4 AOTA CEUs)
- This course meets PDU requirements for NBCOT (4 PDUs)
- As an IACET Authorized Provider, CIAO offers CEUs for its programs that qualify under the ANSI/IACET Standard
- CIAO is authorized by IACET to offer 0.4 CEUs for this program
- 4.0 Hours OTs in CA - Advanced Practice Swallowing #25-S16
The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
This course is offered for 0.4 ASHA CEUs (Intermediate level, Professional area).
CIAO is accredited by the International Association for Continuing Education and Training (IACET). CIAO complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, CIAO is accredited to issue the IACET CEU.
CIAO is recognized on the NBCOT Provider Registry (meets PDU requirements for NBCOT)