Course Description: Preterm infants are surviving younger gestational ages due to advances in medical care. The risk of necrotizing enterocolitis (NEC) is inversely related to younger premature infants. The development of the gastrointestinal system is interdependent upon cardiac, pulmonary, and immune system maturation. Infants with NEC are at risk for intestinal perforation which requires surgical intervention for creation of a fistula and ostomy. The neonatal therapist working with these premature infants utilizes their knowledge of gastrointestinal maturation, surgical recovery, gross motor development of the abdominal wall, understanding of GI motility, and feeding skill development to create comprehensive care plans that progress these infants motor and feeding goals. During this presentation, we will review the anatomical changes to the GI system as related to initial surgical correction and re-anastomosis of the small intestine. Clinical education will be provided regarding critical reasoning for pain management, scar assessment/treatment, re-feeding stool to the distal fistula to assist with the development of the rectal anal inhibitory reflex, nutritional factors to reduce weight loss, risk factors for dumping syndrome, oral feeding strategies, assessing the infant for complex oral feeding co-morbidities associated with prolonged NPO status, positioning strategies to support GI motility, and interpretation of perfusion monitoring to the GI system. We will share the critical reasoning algorithm our neonatal therapy team has created for continuity of care with premature infants’ post-surgical correction for NEC. Upon completion of this session, participants will have a deeper understanding of intestinal correction surgery for premature infants and treatment strategies to address the positioning, handling, developmental, and oral feeding goals for the infant.
Target Audience: OT, SLP, PT and neonatal professionals
Educational Level: Advanced
Instructional Methods: Recorded webinar, lecture, videos, case studies, and recorded question and answer session. Learning assessment and course evaluation follow course.
Course Completion Requirements:
The learner must view the entire webinar, complete the course evaluation and complete the post webinar learning assessment with at least 80% to receive education credit. Login and logout times will be recorded and documented.
Following completion of this course physical therapists, nurses and other disciplines will receive a certificate of completion and a zip file containing information necessary to submit to their individual state for education credit. Zip file will include course bibliography. Physical therapists are responsible for knowing and adhering to their state’s deadlines, rules and regulations.