Assessing and Treating Infant Feeding and Swallowing Disorders in the NICU with a Focus on High-Risk Populations

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Handouts/Brochure

Speaker

Alissa Bobek, MS, CCC-SLP Related seminars and products

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Alissa Bobek, MS, CCC-SLP, CNT is a medical speech-language pathologist with 17 years of experience serving complex patients in the acute care and ICU settings. She earned her BS in speech-language and hearing sciences from Texas Tech University Health Sciences Center, and her MS in speech-language pathology from Purdue University. Alissa started her career working with adult patients and quickly discovered her passion for dysphagia evaluation and treatment in the acute care setting. She later trained to transition to the neonatal ICU and has worked in the NICU since 2011. Alissa is currently a senior speech-language pathologist and certified neonatal therapist (CNT) in the Level IV NICU at St. David’s Medical Center in Austin, TX. She is passionate about neuroprotective care, supporting breastfeeding in premature and medically complex infants, empowering parents and caregivers, and mentoring other SLPs.

 

Speaker Disclosures:
Financial: Alissa Bobek has employment relationships with Infant Feeding Specialists, Inc. and St. David's Medical Center. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Alissa Bobek is a member of the National Association of Neonatal Therapists, the American Speech-Language-Hearing Association, and the Texas Speech-Language-Hearing Association. She is a former member of the Washington Speech-Language-Hearing Association, and the National Student Speech-Language-Hearing Association.

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Outline

Introduction 

Neuroprotective feeding practices in the NICU 

• Advocacy and education 
• Family centered care 

Comprehensive Evaluation of Feeding and Swallowing 

• Clinical bedside evaluation 
  • chart review 
    • Identifying high-risk infants 
  • Pre-feeding assessment 
  • Breast/Bottle trials 
  • Collaboration with team 
• Instrumental assessment 
  • Indications and timing 
  • Study selection 
    • MBSS 
    • FEES 
  • Interpreting results 
    • Developing feeding plan with medical team and family 

Individualized Feeding Plan 

• Family-centered 
• Pre-feeding stimulation and therapeutic feeds 
• Breast feeding  
• Bottle feeding 
• Practice challenges 
• Discharge planning 

Case Studies 

Objectives

1. Identify 5 medical diagnoses known to place infants at a higher risk for feeding and swallowing impairments. 
2. State the advantages and limitations for both MBSS and FEES. 
3. Give the rationale behind specific pre-feeding and feeding strategies covered during the course 
4. Identify 3 bottle feeding myths 

Target Audience

• Lactation Consultants
• Nurses
• Nurse Practitioners
• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Speech Language Pathologists
• Other Healthcare Professions