Multidisciplinary Approach to Disordered Feeding

1.0 NAPNAP Contact Hour. This continuing education activity is offered at a reduced rate to NAPNAP Members. This continuing education activity rate is 10$ for NAPNAP Members. For non- members, this continuing education activity rate is 20$. Disordered feeding is a concern frequently encountered by the pediatric primary care provider during a routine well child checkup. Disordered feeding can range from mild food avoidant behaviors easily managed in an outpatient clinic setting to severe behavioral challenges requiring inpatient treatment. Utilization of a multidisciplinary team is crucial in helping children with moderate to severe feeding disorders. In this module a team consisting of a Pediatric Nurse Practitioner, Dietitian and 2 Psychologists review the current state of the art of care for kids with disordered eating. Nannette Martin APRN is an independent feeding consultant that recently started her own feeding disorder practice.  Mary Beth Feuling MS, RD is an advanced practice dietitian from Children’s Hospital of Wisconsin and is an expert in the nutritional assessment of children with restricted diets. In the final presentation, Psychologists Robert Demptser and Parker Husted, will discuss the behavioral management of this population.  Both Rob and Parker were instrumental in establishing the current inpatient feeding program at Nationwide Children's Hospital.  

IMPORTANT: This continuing education activity is offered by The Association of Pediatric Gastroenterology and Nutrition Nurses (APGNN). You must be logged in as a NAPNAP member to receive the member discount. If you are an APGNN member, you must use your coupon code to receive your reduced rate.  If current members of either organization are asked to purchase this activity at the Non-Member rate, please contact the NAPNAP National Office at (877) 662-7627 to request assistance prior to entering any payment information.

Participants are forbidden to reproduce, republish, redistribute, or resell this course in any other form. For copyright-related questions, please email your question to: ce@napnap.org 

Copyright 2018 © by The Association of Pediatric Nurse Practitioners (APGNN) and National Association of Pediatric Nurse Practitioners (NAPNAP).

This continuing education activity is administered by the National Association of Pediatric Nurse Practitioners (NAPNAP) as an Agency providing continuing education credit. Individuals who complete this program and earn a 70% or higher score on the post test will be awarded 1.0 NAPNAP contact hour.

Target Audience

Pediatric-focused advanced practice registered nurses, registered nurses, all nurses who work with children.

Learning Objectives

Module 1: Medical Management of Feeding Disorders

  • Understand the importance of a multidisciplinary team approach to feeding disorders
  • Describe common GI conditions that can lead to feeding disorder
  • Discuss potential side effects of long term use of PPI's and current recommendations for pediatric patients
  • Describe the mechanism of action for cyproheptadine, TCA's and gabapentin
  • Describe current research regarding medical management of feeding disordrers

Module 2: Nutritional Management of Children on Restrictive Diets

  • Describe what makes a restrictive diet "restrictive" from a nutrition perspective
  • Recognize how restrictions of the diet impact nutrition status
  • Explain how nutrition can be improved for children on a restrictive diet

Module 3: Avoidant/Restrictive Food Intake Disorder

  • Brief review of diagnostic criteria
  • Evaluation and differential diagnosis
  • Treatment options/methods
     

 

 

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1.5 contact hour. Nearly every day in a primary care setting, providers will encounter a patient with a functional gastrointestinal disorder. This module contains three separate presentations by international experts on topics related to functional GI disorders. The first presentation addresses the art of delivering care to children with FGID’s. Together, a pediatric gastroenterologist and psychologist discuss the proper assessment and diagnostic criteria when FGID is suspected and the best way to discuss this diagnosis with the patient and family. The second module is a brief review of the benefits of hypnosis in pediatrics. Former APGNN President, Robin Shannon APRN, provides practical tips for utilization of hypnosis. In the last presentation of this module, Dr. Miranda van Tilburg, PhD explores the contribution of early adverse childhood experiences (ACE) to the development of pediatric FGID’s. Following review of this 90 minute module, the provider will gain deeper understanding of how to assess, diagnose, treat and discuss the diagnosis of FGID. They will also have an increased awareness to factors related to pediatric functional gastrointestinal disorders.
Course summary
Available credit: 
  • 1.00 Contact hours
Course opens: 
10/10/2019
Course expires: 
10/31/2021
Cost:
$20.00

Nannette Blois-Martin, MSN, RN, CPNP, Center for Pediatric Behavioral Health, PEDZFEEDZ, PLLC

Disclosure: No disclosures to report. Some of the medications in her talk are used off label.

Correspondence: You may email Nannette Blois-Martin at: Pedzfeedz@gmail.com

Mary Beth Feuling, MS, RD, CSP, CD, Advanced Practice Dietition - Research & Technology

Disclosure: No disclosure to report

Correspondence:You may email Mary Feuling at: MFeuling@chw.org

Parker Hutson, PhD, and Rob Dempster, PhD, Nationwide Children's Hospital

Disclosure: No disclosures for either speakers to report.

Correspondence: You may email Dr. Hutson at Parker.Huston@nationwidechildrens.org and Dr. Dempster at Robert.dempster@nationwidehildrens.org

Available Credit

  • 1.00 Contact hours

Price

Cost:
$20.00
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