Learner Objectives: As a result of participation in this activity, participants should be able to: Who should attend?

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1 August 24 28, 2015 Sheraton Denver West Lakewood, CO Revision date: Provided by: For more information, please visit: (not active yet)

2 Needs Assessment and Course Description : A common challenge in the NICU, especially with very premature infants, is feeding. Typically the focus is on quantity, and subsequent growth of the infant. However, an argument can be made that focus should be on the quality of the feeding skills over quantity of food consumed....many studies show that infants who develop feeding problems are averse to food and feeding...repeated experiences solidify over time into behavioral repertoires, and therefore the quality of the feeding experience should also be measured.... This course seeks to close the gap on feeding challenges by focusing on the neurodevelopmental aspects of infant feeding, supporting the infant-parent relationship, and the development of systems to enhance practice behaviors. The Fragile Infant Feeding Institute is a four and a half day intensive study of feeding and nutrition for infants with special needs. FIFI 2015 is held in an environment that allows for close interaction between faculty and participants. Participating faculty represent a variety of perspectives from both research and clinical backgrounds, and provide evidence-based research with a focus on practical application. This course expands the knowledge base of professionals caring for infants with feeding and nutrition challenges. The development of feeding skills and the impact of early nutrition and feeding experiences is discussed in the context of developmentally appropriate and family centered care. Based on concepts adapted from the Synactive theory, the Newborn Individualized Developmental Care & Assessment Program (NIDCAP) and the Family Infant Relationship Support Training (FIRST) program, the Institute provides a sound foundation for observation and assessment of developing feeding skills. Supportive interventions for infants while in the hospital, as well as during the transition to home are addressed. The Institute places a special emphasis on feeding and nutritional issues through the transition to supplementary (baby) foods. The nutritional needs of premature infants and those with special medical needs, as well as the interaction between feeding skills and nutritional needs are discussed. Presenters represent the disciplines of nursing, nutrition, therapy, parenting, and psychology. Each day successively builds on the knowledge and information from the previous day. An interactive process with the faculty results in the participant applying the information during the four and a half day Institute. Learner Objectives: As a result of participation in this activity, participants should be able to: Describe neurodevelopmental issues that impact appropriate nutrition and feeding for infants with special needs; Utilize assessment and intervention techniques to support optimal growth of infants with special needs; Identify nutritional requirements for at-risk infants in the NICU and after hospital discharge; Demonstrate both individual and collaborative expertise with other professionals and families in support of better growth for infants; Develop an individual and/or team action plan; List three new professional and / or parent contacts that have the potential to collaborate on current or future projects, or to assist with problem-solving. Who should attend? NICU / PICU Nurses Speech / Language Pathologists Community / Public Health Nurses Physicians Parents / Family Members Policy Makers / Administrators Nutritionists / Dieticians Early Interventionists Therapists (OT) 2

3 Accreditation: Certificates of Attendance or Certificates of Continuing Education Credit are obtained online after the event. PHYSICIANS: USF Health is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. USF Health designates this live activity for a maximum of AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. NURSES FBN (Florida Board of Nursing): USF Health is an approved provider of continuing education for nurses through FBN This program has been approved for contact hours..florida LICENSED OCCUPATIONAL THERAPISTS: USF Health is an approved provider (#107, exp. 02/28/17) of continuing education for Occupational Therapy Licensees. This program has been reviewed and approved for up to 39.50, 50-minute contact hours. Licensee numbers are required prior to the issuance of certificates. SPEECH LANGUAGE PATHOLOGISTS: This accreditation is not confirmed. In 2014, the credits were: This course is offered for up to 3.45 ASHA CEUs (Advanced level, Professional area). REGISTERED DIETICIANS: USF Health, CO001, is a Continuing Professional Education Accredited Provider with the Commission on Dietetic Registration (CDR) from 2/22/13 to 2/21/2016. Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive Level 1 continuing professional education units (CPEUs) for completion of this program. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program or materials. Licensee numbers are required prior to the issuance of certificates. 3

4 Conference Faculty: Joy Browne, PhD, MSN, MS, BSN, PCNS-BC, IMH-E Course Director Clinical Professor of Pediatrics and Psychology University of Colorado Denver Anschutz Medical Campus JFK Partners in Aurora, CO Director, Colorado NIDCAP Center and WONDERBabies, LLC Honorary Professor School of Nursing and Medicine Queen s University Belfast, Northern Ireland Erin Ross, PhD, CCC-SLP Education Coordinator Clinical Instructor Center for Family and Infant Interaction University of Colorado, Denver Speech and Language Pathologist SOS Feeding Solutions, Denver, CO Developmental Specialist HealthONE Hospital Systems, Denver, CO Feeding FUNDAMENTALS, LLC Thornton, CO Faculty Rocky Mountain University of Health Professions in Provo, UT Kay Toomey, PhD President Toomey & Associates, Inc. Clinical Director SOS Feeding STAR Denver, CO Lisbeth Gabrielski, MS, BSN, IBCLC NICU and Lactation Clinical Manager NICU and Lactation Support Services Children s Hospital Colorado Aurora, CO Debra Paul, BS, OTR Occupational Therapy Program Manager Rehabilitation Department Children s Hospital Colorado Aurora, CO Center for Family and Infant Interaction Consultant University of Colorado, Denver, CO Joan C. Zerzan, MS, RD Nutrition Consultant Washington State Dept. of Health Healthy Starts and Transitions/CSHCN Registered Dietician Instructor University of Washington Seattle, WA 4

5 Program Development Committee: Joy Browne, PhD, MSN, MS, BSN, PCNS-BC, IMH-E Course Director Clinical Professor of Pediatrics and Psychology University of Colorado Denver Anschutz Medical Campus JFK Partners in Aurora, CO Director, Colorado NIDCAP Center and WONDERBabies, LLC Honorary Professor School of Nursing and Medicine Queen s University Belfast, Northern Ireland Joan C. Zerzan, MS, RD Nutrition Consultant Washington State Dept. of Health Healthy Starts and Transitions/CSHCN Registered Dietician Instructor University of Washington Seattle, WA Lisbeth Gabrielski, MS, BSN, IBCLC NICU and Lactation Clinical Manager NICU and Lactation Support Services Children s Hospital Colorado Aurora, CO Vincent Smith, MD Associate Director of NICU Beth Israel Deaconess Medical Center Instructor in Pediatrics Harvard Medical School Boston, MA Erin Ross, PhD, CCC-SLP Education Coordinator Clinical Instructor Center for Family and Infant Interaction University of Colorado, Denver Speech and Language Pathologist SOS Feeding Solutions, Denver, CO Developmental Specialist HealthONE Hospital Systems, Denver, CO Feeding FUNDAMENTALS, LLC Thornton, CO Faculty Rocky Mountain University of Health Professions Provo, Utah Debra Paul, BS, OTR Occupational Therapy Program Manager Rehabilitation Department Children s Hospital Colorado Aurora, CO Center for Family and Infant Interaction Consultant University of Colorado, Denver, CO Kay Toomey, PhD President Toomey & Associates, Inc. Clinical Director SOS Feeding STAR Denver, CO Bobbi Rose, MA, MPH Conference Coordinator College of Public Health University of South Florida Tampa, FL 5

6 Program Disclosures: USF Health endorses the standards of the ACCME, ANCC, and ASHA that require everyone in a position to control the content of a CME/CNE activity to disclose all financial relationships with commercial interests that are related to the content of the CME/CNE activity. CME/CNE activities must be balanced, independent of commercial bias and promote improvements or quality in healthcare. All recommendations involving clinical medicine must be based on evidence accepted within the medical profession. A conflict of interest is created when individuals in a position to control the content of CME/CNE have a relevant financial relationship with a commercial interest which therefore may bias his/her opinion and teaching. This may include receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, stocks or other financial benefits. USF Health will identify, review and resolve all conflicts of interest that speakers, authors or planners disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Relevant financial and non-financial relationships exist between the following individuals and commercial interests : Person Joy Browne, PhD, MSN, MS, BSN, PCNS-BC, IMH-E Lisbeth Gabrielski, MS, RN, IBCLC Vincent Smith, MD Debra Paul, BS, OTR Erin Ross, PhD, CCC-SLP Bobbi Rose, MA, MPH Kay Toomey, PhD Joan Zerzan, MS, RD Disclosures & Relationships Joy Browne is employed by several organizations. She has no relevant financial or non-financial relationships to disclose. Lisbeth Gabrielski is employed by Children s Hospital Colorado. She has no relevant financial or non-financial relationships to disclose. Dr. Smith works at Beth Israel Deaconess Medical Center and Harvard Medical School. He has no relevant financial or non-financial relationships to disclose. Debra Paul is employed by Children s Hospital Colorado. She has no Erin Ross is employed by several organizations. She has a financial relationship with Nestle, from which she receives consultant fees. She has a non-financial relationship with Feeding Matters, where she is a board member. Bobbi Rose is employed by the University of South Florida. She has no relevant financial or non-financial relationships to disclose. Kay Toomey is employed by several organizations. She has a financial relationship with Gerber, from which she receives consultant fees. In addition, she is on the speaker bureau for Education Resources, Inc, which is a sensory processing disorder foundation. She has a nonfinancial relationship with Feeding Matters, where she is a board member. Joan Zerzan is a registered dietician, professor at the University of Washington, and nutrition consultant with WA s Dept. of Health. She has 6

7 Conference Agenda: MONDAY, AUGUST 24, 2015 TIME 7:30 8:30 AM Registration Desk Opens SESSION / EVENT 8:30 8:45 AM Welcome: Introduction to the Institute and Institute Faculty (Joy Browne & Erin Ross) 8:45-9:00 AM Assumptions in Providing Support for the Development of Feeding Skills in Infants (Debra Paul) 9:00-9:30 AM Making a Lasting Impression: NICU Experiences and the Long-Term Impact on Feeding and Growth (Erin Ross) 9:30--10:00 AM What and How Do Infants in the NICU Learn About Eating (Kay Toomey) 10:00 10:20 AM BREAK 10:20 11:00 AM Neurobehavioral and Neurosensory Development Essential Foundations for Successful Feeding (Joy Browne) 11:00 12:00 PM Observational Approaches and Guidelines for Feeding Interventions (Joy Browne) 12:00 1:30 PM LUNCH ON OWN 1:00 1:45 PM Relationships, Regulation and Reflection (R 3 ) (Joy Browne) 1:45 3:00 PM Liquid Gold: Why Breast is Best, Alternatives and Supplementation (Beth Gabrielski & Joan Zerzan) 3:00 3:30 PM BREAK 3:30 4:45 PM Breastfeeding Issues: Mother (Beth Gabrielski) 4:45 5:30 PM Developmental Neurophysiology of Eating (Erin Ross) 5:30 6:00 PM Baby Regulated Organization of Systems and Sucking (BROSS) (Joy Browne) TUESDAY, AUGUST 25, 2015 TIME SESSION / EVENT 7:15 6:15 PM Registration Desk Open 7:55 8:00 AM Welcome (Erin Ross) 8:00 9:00 AM Breastfeeding Issues: Infant (Beth Gabrielski) 9:00 9:30 AM Write it up: Basics of a Feeding / Eating Assessment (Erin Ross) 9:30 10:00 AM Introduction to Reflective Process (Joy Browne) 10:00--10:30 AM BREAK 10:30--11:30 AM Growth and Nutritional Needs of Infants with Special Health Care Needs: Assessment and Intervention (Joan Zerzan) 11:30 12:30 PM In the Trenches : Supportive Interventions for the Caregiver and Infant (Erin Ross) 12:30 1:45 PM LUNCH ON OWN 1:45 3:00 PM Partnering with Parents (Kay Toomey) 3:00 3:30 PM Case study: Normal Development of Eating (Erin Ross & Faculty) 3:30 4:00 PM BREAK 4:00 6:00 PM It s Not Rocket Science: Nipples / Bottles (Debbie Paul & Erin Ross) 7

8 Agenda Cont d: WEDNESDAY, AUGUST 26, 2015 TIME SESSION / EVENT 8:00 8:05 AM Welcome (Beth Gabrielski) 8:05 8:45 AM Physiologic Issues and the Impact on Feeding Skills (Joy Browne) 8:45 9:45 AM Oral Feeding Supports for Infants with Severe Impairments (Debra Paul & Erin Ross) 9:45 10:15 AM BREAK 10:15 11:30 AM Supplemental Tube Feedings in the NICU and Beyond: Supporting Oral-Feeding Development (Joy Browne & Kay Toomey) 11:30 12:30 PM Nutrition Support in the NICU: System s Approach (Joan Zerzan) 12:30 1:30 PM LUNCH ON OWN 1:30 3:00 PM Supportive Interventions for Breastfeeding (Beth Gabrielski) 3:00 3:45 PM Supporting the Infant with Craniofacial Anomalies (Debra Paul) 3:45 4:00 PM BREAK 4:00 4:45 PM Case Study: Breastfeeding the Preterm Infant (Beth Gabrielski, Joan Zerzan & Faculty) 4:45 5:30 PM Early Connections: Supporting Feeding through Discharge to the Community (Debra Paul & 5:30 6:30 PM Listen to Their Stories: Supporting the Transition from NICU to Home (Joy Browne & Parents) THURSDAY, AUGUST 27, 2015 TIME SESSION / EVENT 8:00 8:05 AM Welcome (Debbie Paul) 8:05 9:30 AM Supporting the Breastfed Infant after Discharge from the NICU (Beth Gabrielski) 9:30 10:00 AM BREAK 10:00 11:00 AM Gastro-Esophageal Reflux (Erin Ross; Joan Zerzan) 11:00 12:00 PM Growing after Going Home: Supporting Nutrition in the Preterm Infant after Discharge from the 12:00 1:15 PM LUNCH ON OWN 1:15 2:15 PM That Amazing First Year: Transitions in Oral Feeding (Erin Ross) 2:15 3:15 PM ABCs of Attachment and Influence on Feeding: (Kay Toomey) 3:15 3:45 PM BREAK 3:45 4:45 PM Case Study: Medically Fragile Infant (Joy Browne & Faculty) 8

9 Agenda Cont d: FRIDAY, AUGUST 28, 2015 TIME SESSION / EVENT 7:55 8:00 AM Welcome (Kay Toomey) 8:00 10:00 AM Rocking the Boat: Using Reflective Practice in Your Own Unit (Joy Browne) 10:00 10:15 AM BREAK 10:15 11:00 AM From Start to Finish: Video Practice 11:00 11:45 AM Wrap-Up and Evaluation 9

10 Meeting Accommodations: The Sheraton Denver West Hotel & Conference Center 360 Union Boulevard Lakewood, CO T: (303) F: (303) Conference Hotel Lodging A limited number of rooms have been reserved for this meeting at the special group rate of $129 single/double plus applicable tax, 10.5% at time of print. For reservations, please call (303) and identify yourself as an attendee of the USF Fragile Infant Feeding Institute conference. The group rate cannot be guaranteed after July 23 rd, 2015, so be sure to make your reservation early! (The block sold out last year.) URL for reservations: (copy & paste into browser) Dress The Planning Committee encourages comfortable dress throughout the conference; however, participants are encouraged to bring a sweater to sessions as the meeting rooms can be cold. Airport & Ground Transportation The hotel does not have a hotel shuttle, but you can access Super Shuttle at (303) One way is approximately $32.00, far less expensive than a taxi! The hotel has complimentary self-parking if you have a car. Accommodations for Disabilities: Please notify the USF Health CPD Office, Bruce B. Downs Blvd., MDC 60, Tampa, Florida, 33612, (813) , brose@health.usf.edu a minimum of ten working days in advance of the event if a reasonable accommodation for a disability is needed. Equal Opportunity: USF is an Equal Opportunity / Affirmative Action / Equal Access Institution. 10

11 Evaluations & Post-Event Survey: The evaluation process is a critical component in our strategy to offer excellence in our future conferences, and to ensure we are addressing the education needs of our audience. Your comments and feedback make a difference! Please complete the evaluation forms, which will be distributed on-site, (or possibly as an electronic survey), and return them to either the Session Facilitator or the registration desk. In accordance with the guidelines for medical continuing education credits, we will measure outcomes of this educational event. You will receive an electronic post-event survey via approximately 6-8 weeks after the conference ends. The results of this survey are equally important as the aforementioned evaluations in assisting us with building future programs. We ask that you take the time to complete the post -event survey when you receive it. Cancelation & Refund Policy: Cancellation notification must be made in writing ( is preferred, and fax is also acceptable) and received by August 1 st. A cancellation fee of $100 will be assessed. Cancellations made later will not be refunded. Substitutions are welcome without penalty. Please allow up to 3 weeks after the conference for any refunds. The Office of Continuing Professional Development at the University of South Florida reserves the right to cancel this activity due to unforeseen circumstances. In the event of such cancellation, only the registration fee will be returned to the registrant. Cancellation notification should be sent to: Bobbi Rose, brose@health.usf.edu fax: (813) Registration Information: Fees: Early Bird Registration is $795. Regular registration, beginning is $830. On-site registration is $850 and allowed only if seats remain. There is a $25 discount per person if the attendee is part of a group of three or more from the same organization. There are no partial day registrations allowed. Registration Fee includes (per participant): Attendance at the Institute, continuing education credit, exhibits (as applicable), breakfast, daily refreshment breaks, and the conference syllabus, which will be electronic. You will receive the electronic files in advance so that you have time to print the slides if you prefer to have paper copies with you during the sessions. 11

12 Payment Policy: Payment is collected in USD. Confirmation will be sent after receipt of check, and after online registration is paid with a credit card (Visa, MasterCard, American Express or Discover). 3 Ways to Register Online (PREFERRED METHOD!) Fax US Mail Online registration (PREFERRED METHOD!): Or use the long link, copy and paste into browser If by , fax, or US postal service: Print the registration form, which can be found at the back of this brochure.. to Bobbi Rose at brose@health.usf.edu, OR Fax the completed registration form to USF HPCC at (fax) Mail the registration form, with credit card information or check in USD to: USF Health Professions Conferencing Corp. Attn: DL /1183 PO Box Orlando, FL If paying by check: Checks must be made payable to USF HPCC (USF Health Professions Conferencing Corporation). Federal ID# Only US Dollars are accepted. If paying by credit card: Registration may be paid by credit card via online or faxed to If faxed, it must be accompanied by a registration form. Only VISA, MasterCard, Discover or American Express are accepted. A $25 fee will be charged on any returned checks. All credit card transactions are processed in US dollars and are subject to the current exchange rates. 12

13 REGISTRATION FORM The Fragile Infant Feeding Institute Sheraton Denver West Lakewood, CO August 24-28, 2015 First Name: Last Name Gender: Birthday (MM/DD): Academic Degree (s): address: Phone: Organization: License #: Home Address: State: Professional Profile: Physician Nurse SLP Therapist Dietician Other Burning Question I would like the faculty to address during the program: send questions via to Bobbi Rose at brose@health.usf.edu If you need a reasonable accommodation of a disability, please your request to brose@health.usf.edu at least 10 working days before the event. City: Zip: Option Registration Fees in USD Cost Early Bird Fee (received on or before July 31, 2015) $795 Regular Fee (August 1-August 21, 2015 ) $830 On-site registration (August 24, 2015) $850 Discount if 3 or more attendees from same organization. Discount is per person. Total Due Enclosed is my check payable to USF HPCC in the amount of $. In the note field, write FIFI Mail registration form with check to: USF Health Professions Conferencing Corp. Attn: DL PO Box Orlando, FL Payment Method Minus $25 IF paying by credit card (and not registering online): VISA Am Ex MasterCard Discover Card number: Security Code: Expires: / Name on card: Signature: FAX TO: or brose@health.usf.edu 13