Course Description
Course Description:
When making recommendations for patients, we may have to consider alternate forms of nutrition and hydration based on their unique set of circumstances. One consideration is how long ANH may be necessary – short term vs. long term. Research has looked at benefits and burdens and trajectory of diseases – COVID-19, CVA, cancer, dementia, EOL to name a few. COVID-19 patients may require short term ANH due to intubation or inability to meet their nutritional needs by mouth or GI issues. Because a patient’s status changes quickly with COVID-19, the individual may not have any advance directives addressing ANH. Individuals who have had mechanical ventilation may experience post-extubation dysphagia. Although we have the ability to provide ANH, the question moves from can we to should we! Patients and families religious and cultural beliefs influence their decision making and sometimes clash those of their health care professional. What options are there for patients and families who don’t accept that recommendation? Waivers are not the answer, but EDAR (eating and drinking with acknowledged risk) or Care Planning for Resident Choice are possibilities.
Contact Hours: 4
Target Audience:
Instructional Level: IntermediateAccreditation Information:
| State | Discipline | Approval Status | Provider Code | Expiration Date |
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Course Outline:
Hour 1
- Disorders and impact on po intake
- Use of ANH or nutrition therapy
- Advance directives
- Withdrawing and/or withholding ANH
- Culture and religion
Hour 2
- Attitudes
- Health literacy and patient centered care
- Decisional capacity
- Decision making
- Medical ethics
- EOL and palliative care
Hour 3
- Benefits and burdens of ANH
- Decision making algorithms
- Prognostic indicators
- Alternatives to ANH
- Scenarios
Hour 4
- New dining practice standards
- Informed consent
- Dehydration
- Accept or refuse recommendations
- Opt out documentation
Course Goals & Objectives:
Course Goals:
This course is intended to increase awareness of religion, culture, QOL, and efficancy of ANH various disorders.
Learning Outcomes:
- Identify information from chart review that impacts a patient’s ability to maintain adequate nutrition and hydration.
- Recognize the benefits and burdens of ANH vs. oral intake.
- Recognize the impact of the patient and family’s religious and cultural beliefs in the decision-making process.
- Identify options available to patients and families who choose to opt out of an ANH recommendation.
Disclosures:
WEBINAR
A webinar is LIVE INTERACTIVE audio and video course delivered over the Internet to your computer. With a HomeCEU webinar, you are able to see, hear and interactive with the course presenter. In many courses, demonstrative video will be used to further enhance your learning experience. All content used in the presentation will also be made available to you for your personal use (PowerPoint Slides, Reference Materials etc.).
Contact Hours: 4 contact hours in length (check your state’s approval status in the state specific course catalog for your profession).
Target Audience: Speech Language Pathologist
Instructional Level: Intermediate
Criteria for Completion: The successful completion of a post course examination is required to receive credit for your webinar participation. A score of 70% or higher is required. You will have additional attempts to pass the examination should it be needed.
PLEASE NOTE: All webinar exams MUST be successfully completed by midnight Central Standard Time on the day of the webinar broadcast.
This course is offered for 0.40 ASHA CEUs (Intermediate level, Professional area).
Personnel Disclosure:
Finanical - Denise Dougherty has a private practice and is a legal consultant specializing in forensic speech pathology and recieves a salary. She receives payment from Colibri Healthcare, LLC for the presentation of this course.
Nonfinancial - no relevant nonfinancial relationship exists.
No relevant conflicts of interest exist for any member of the activity planning committee.
Content Disclosure: This course does not focus solely on any specific product or service
Cancellation Policy: For activity cancellation, returns, or complaint resolution, please contact us by email help@homeceu.com or by phone at 1.800.55.4CEUS (2387). We have a 100% satisfaction guarantee. Refunds will be issued for courses that have not been completed (exam not taken), or for any course that has been rejected by your board of approval. Webinar attendance must be canceled 24 hours before the scheduled start time.
Authors:
Denise Dougherty, MA, CCC-SLP
Denise Dougherty is a Speech-Language Pathologist who has her own private practice, where she conducts therapy with both children and adults. Ms. Dougherty received her Bachelor's degree at Marywood University, Scranton, Pennsylvania, a Master's Degree from St. Louis University and has completed postgraduate courses at Johns Hopkins University and several doctoral courses at University of Phoenix.
She is certified in VitalStim therapy and is an instructor for VitalStim certification, is a member of the American Speech-Language-Hearing Association and has received numerous ASHA ACE Awards. Ms. Dougherty has worked at United Cerebral Palsy, Easter Seals, in long-term care; is a board member of The American Academy of Private Practice in Speech Pathology and Audiology (AAPPSPA), AAPPSPA Program Chair for 2006 and 2007 Conference; is a AAPPSPA liaison for the ASHA Health Care and Economics Committee and served as secretary of CORSPAN.
Ms. Dougherty was also an adjunct faculty member at York College of Pennsylvania and Wesley College in Dover, Delaware. She is the Vice President of The American Academy of Private Practice in Speech Pathology and Audiology and received the Academy's 2007 Honors Award for achievements.
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