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Course Webinar: Alternative Nutrition and Hydration: Evidence and Ethical Considerations

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 Bioethics will be reviewed.

Presented by Megan Berg, MA, CCC-SLP

Date: Thursday, July 22, 2021
Time: 3 pm pacific | 4 pm mountain | 5 pm central | 6 pm eastern

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.

Duration: 1 hour.

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.

Course accreditation:

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.)

Key learning outcomes:

As a result of this activity, the participant will be able to...
  1. 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.
  2. Define distributive justice in the context of healthcare facility care.
  3. Describe the role of the SLP in interdisciplinary + patient + caregiver discussions regarding alternative nutrition and hydration.

    Webinar information:

    • This course will be presented on the Zoom platform. 
    • High-speed internet connection is required.

    Recorded course information:

    • The recorded course will be made available on July 23, 2021.
    • The course will be available for ASHA CEUs until July 22, 2026.
    • You may register before the course is available and will receive an email with the link to the course once it becomes available.

    Instructor disclosures:

    • Financial
      • Presenter is being paid by Therapy Insights to prepare and present this course.
      • Presenter is a salaried faculty member at Franklin Pierce University, Northeast Rehabilitation Hospital and Supplemental Healthcare.
    • Non-financial:
      • None.

    Instructional methodology: Lecture

    Course completion requirements:

    • Full attendance during webinar, as tracked by on-time login and online presence for the duration of the course.
    • Passing score of 100% on a 5-10 question quiz. You will receive immediate feedback and be able to correct answers. We want to ensure that you have the correct information as presented in this course.
    • Quiz needs to be completed within 2 hours of end of course.
    • Completion of program evaluation form.

    Access to this course is reserved for Access Pass members.


    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.

    Special accommodations: Please email us with any special needs (e.g., people with hearing loss, people with learning disabilities, etc) prior to the event.

    Complaint policy: In the event that an individual is not satisfied with the organization’s continuing education program, we request a formal letter of complaint from the individual that outlines their concerns in writing. For more information, please read our full complaint policy.

    Cancellation policy:

    For Access Pass subscribers: In the event that a course is canceled or rescheduled, no cash refund will be provided to subscribers of the Access Pass. Therapy Insights will work to reschedule the event, or create a new event within the same month. Therapy Insights guarantees access to one live course per month to all subscribers. In the highly unlikely event that this commitment is not met, subscribers will receive a 50% refund for that month’s subscription cost. Subscribers who are on an annual payment plan will receive a pro-rated refund for 50% of the cost of that month.

    All refunds will be provided within 30 days of time of cancellation.

    Refund policy in the event that a participant cancels their registration.
    In the event that a participant/subscriber registers for the live course and then cancels participation, no refund will be provided. The participant will have the opportunity to access the recorded presentation at no additional cost as part of their subscription or registration fee.

    View our full cancellation policy.