Infants with cleft lip and/or palate (CLP) are at increased risk for feeding difficulties, poor weight gain, and failure to thrive. Medical, environmental, and psychosocial barriers can impede oral feeding success and healthy growth. Standard recommendations to change the infant's feeding system or increase caloric concentration may not be sufficient to overcome these challenging obstacles. Additional collaborative interventions are often needed to assure successful feeding and growth outcomes.
The purpose of this session is to describe a model of a multidisciplinary cleft feeding team developed at a large pediatric academic medical center that manages over 75 new infants with CLP per year. This innovative session extends the traditional discussion of cleft-related feeding disorders by focusing on how cleft teams can identify and troubleshoot challenges to providing comprehensive feeding care for infants with CLP.
This panel presentation will include providers from a cleft feeding team including a nurse practitioner, speech-language pathologist, and social worker. Each will discuss their specialized roles as well as offer strategies for improving the delegation of roles/responsibilities, feeding clinic flow, and team communication procedures for the cleft feeding team. Case studies will be included to illustrate the interdisciplinary collaborative roles of nursing, speech-language pathology, social work, nutrition, and lactation in implementing successful family-centered interventions. The panel will present examples of interventions utilized to advance family understanding and motivation to participate in the child's feeding treatment plan, ways to improve care plan adherence, approaches to partnering with community-based programs for home health services, and how to collaborate more effectively with local primary care providers. Strategies used to educate outside medical professionals on cleft feeding techniques, advocate with providers and local agencies, and create effective after-visit summaries and instructional materials tailored to the caregivers' literacy level and learning style will also be discussed.
Attendees must register, attend and evaluate each webinar to receive continuing education credit. Presenter disclosures can be found in the "Topics" tab in the speaker bio. This course will be available on-demand through June 5, 2020.
- ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should only claim credits commensurate with the extent of their participation in the activity. The American Cleft Palate-Craniofacial Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
- ASHA: This program is offered for 0.10 ASHA CEUs (Intermediate Level, Professional Area).
- NCNA/ANCC: This continuing nursing education activity was approved by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.
- The learner will describe the feeding, weight gain, and growth risks for infants with cleft lip and/or palate and the potential consequences of failure to thrive.
- The learner will name five patient, family, and community-based interventions that can be implemented to improve understanding of cleft feeding issues and techniques, improve infant weight gain, and allow for timely cleft repair.
- The learner will identify the structure of a Multidisciplinary Craniofacial Feeding Team and specific roles of each professional.