Use of evidence-based information in clinical practice is essential for speech-language pathologists (SLPs) to effectively assess and treat individuals receiving enteral nutrition (EN) due to aspiration risk or insufficient intake of nutrition and hydration. EN is sometimes only temporary, and SLPs must monitor a variety of factors to determine whether patients could safely reinstate oral feeding. This course defines and discusses various types of EN, reasons for such feeding systems, clinical signs of readiness to return to oral feeding, and assessment and treatment of swallowing deficits during this transition. Importance of open communication within the interdisciplinary team will be highlighted, including the SLP’s role.
Intermediate Level; Related Area Level
0.10 ASHA CEUs
Approved for 1.00 continuing education clock hours for Kansas Speech Pathologists and Audiologists by the Kansas Department of Aging and Disability. Long Term Sponsorship number LTS-S1057. This activity is approved for 1.00 contact hours.
Section 1: Introduction
About This Course
Section 2: Overview of Enteral Nutrition
Definition of Enteral Nutrition (EN)
Prevalence and Incidence of EN
Clinical Rationale for EN
Some EN Options
What About Mildred?
Section 3: Assessing for Readiness to Return to Oral Feeding
Some Screening Tools
Clinical Bedside Dysphagia Evaluation
Instrumental Dysphagia Examinations
Ice Chip Protocol
Volume Viscosity Swallowing Test (V-VST)
Findings with Mildred
Section 4: Transitioning to Oral Feeding
Transitioning to Oral Feeding
Suggestions for Infants and Children
A Protocol for Returning Adults to Oral Feeding
When to Stop EN
What Happened with Mildred?
Section 5: Additional Points Regarding EN
Interdisciplinary Team Communication
Potential Complications of EN
Importance of Oral Care and Hygiene
One Last Look at Mildred
Section 6: Conclusion
Exam and BrainSparks
Susan Almon-Matangos, MS/CCC-SLP, is a certified and licensed speech-language pathologist with over 30 years of experience. She obtained her bachelor's degree in psychology from Jacksonville State University and her Master of Science degree in speech-language pathology from The University of Alabama. She worked with clients of all ages and a variety of diagnostic conditions in school, hospital, skilled nursing facility, outpatient clinic, and home health settings. In her previous role as a national clinical director for a large contract therapy company, she created training programs for physical therapy, occupational therapy, and speech-language pathology related to the clinical rehabilitation needs of older adults in post-acute care. She currently draws upon her expertise in her role at Relias as Lead Subject Matter Expert Writer for Speech-Language Pathology. She is a certified member of the American Speech-Language-Hearing Association and the Pennsylvania Speech-Language-Hearing Association. Disclosure: Susan Almon-Matangos, MS/CCC-SLP discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee Relevant Non-Financial Relationship with No Entities Exists as a Contributor
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