Course
Alternative Nutrition and Hydration: Evidence and Ethical Considerations
Presented by Megan Berg, MA, CCC-SLP
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Course Description
We will review the evidence base of alternative nutrition and hydration for patients who have survived a stroke or brain injury, live with a neuro-degenerative disease, are in a persistent vegetative state, and/or have dysphagia, advanced dementia, advanced cancer or organ failure, and/or head and neck cancer. Relevant case studies from the Center for Practical […]
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AdultSLPAlternative Nutrition/HydrationDysphagia
Meet Your Presenter
Megan is the founder of Therapy Insights and a speech-language pathologist in western Montana. She is passionate about health literacy, patient choice, interdisciplinary collaboration, and fostering a healthcare culture of respect, curiosity, and quality of life.
Accreditation
- This program is offered for .1 ASHA CEUs, (Intermediate Level; Professional Area).
Course Details
Learning Objectives
Upon completion of this course, participants will be able to:
- List the evidence base of alternative nutrition and hydration for patients who have survived a stroke or brain injury, live with a neuro-degenerative disease, are in a persistent vegetative state, and/or have dysphagia, advanced dementia, advanced cancer or organ failure, and/or head and neck cancer.
- Define distributive justice in the context of healthcare facility care.
- Describe the role of the SLP in interdisciplinary + patient + caregiver discussions regarding alternative nutrition and hydration.
Time-ordered Agenda
- 0:00 - Overview of SLP’s role in discussions with patients and interdisciplinary care team regarding alternative nutrition and hydration (ANH).
- 0:05 - A review of the evidence base for ANH + people who have survived strokes.
- 0:10 - A review of the evidence base for ANH + people who have survived traumatic brain injuries.
- 0:15 - A review of the evidence base for ANH + people who are diagnosed with neruo-degenerative diseases.
- 0:20 - A review of the evidence base for ANH + people who are in a persistent vegetative state.
- 0:25 - A review of the evidence base for ANH + people who have dysphagia.
- 0:30 - A review of the evidence base for ANH + people who have advanced dementia.
- 0:35 - A review of the evidence base for ANH + people who have advanced cancer or organ failure.
- 0:40 - A review of the evidence base for ANH + people diagnosed with head and neck cancer.
- 0:45 - Case study: SNFs and distributive justice: Can a person be put on a feeding tube per facility request?
- 0:50 - Case study: Refusal to eat in a long-term care facility
- 0:55 - Case study: Withdrawing life-sustaining treatment
- 1:00 - Q/A + end course + exam
Instructional Level
Intermediate
Information is geared to practitioners with a general working knowledge of current practice trends and literature related to the subject matter. Focus is on increasing understanding and competent application of the subject matter.
Target Audience
Speech-language pathologists who address feeding and swallowing in clinical settings and who participate in discussion of alternative nutrition and hydration with patients.
Live Course Information
This course will be presented on the Zoom platform. High-speed internet connection is required.
Recorded Course Information
The course will be available for ASHA CEUs until July 22, 2026.
Instructor Financial Disclosures
- Presenter is the founder and owner of Therapy Insights.
Instructor Non-financial Disclosures
- None.
Certificates of Completion
Once the exam is completed and you have provided feedback about the course, you will receive an emailed certificate of completion with course title, course instructor name/title, learning objectives, your name, your license number (if desired), and a confirmation from the CE Task Force director confirming completion of course. If your state licensing board requires specific records of course participation (all licensing boards are different), please email us and we will provide the documentation.
Instructional Methodology
Lecture
Refunds & Cancellation
Please see our full refund and cancellation policies here.