Enteral Feeding “Intolerance”: It's NOT About the Tube Feeding

August 17, 2021,  2:00 PM - 3:30 PM 

Event Type: Webinars

Enteral nutrition (EN) is an effective way to nourish patients; however, many barriers exist that prevent consistent and effective delivery of EN in the hospitalized patient. Many of these barriers are patient specific issues, often referred to as "EN intolerance" or "complications of EN." These terms are extremely vague and require further exploration by the clinician. The real problem may be related to the underlying disease state or may be due to inadequate or inappropriate medication treatment. In some cases, the patient may not be able to articulate what is wrong, and it is easy to attribute the patient's symptoms to the EN. Identifying the root cause of these patient specific barriers allows the clinician to intercede appropriately and to ensure that patients receive the EN intended. In this era of high-tech medicine, clinical skills may be eclipsed by new technologies, diagnostics, and therapeutic advances; however, basic clinical assessment skills are critical for accurate assessment of the enterally-fed patient. Many current practices surrounding the provision and monitoring of EN are not evidenced-based, nor physiologically sound. This webinar will explore common patient specific barriers (gastric residual volumes, diarrhea, nausea, vomiting, pain, constipation, and initiation and progression of EN), arm the clinician with strategies to manage such obstacles to improve nutritional delivery to patients, and change the paradigm from "EN intolerance/complications" to "root cause analysis of GI symptoms."

Learning Objectives

  1. Recognize barriers to successful enteral feeding in the hospitalized patient
  2. Identify common myths surrounding EN “intolerance or complications” including diarrhea, constipation, gastric residual volumes, hyperosmolar formulas, and flow rates
  3. Develop a systematic approach to identify the root cause of the patient specific barrier in order to improve enteral feeding delivery

Faculty and Topics

Feeding Patients Through a Tube: Clinical & Physiological Considerations – Part I
Carol Rees Parrish, MS, RDN, Nutrition Support Specialist, University of Virginia Health System, Charlottesville, VA 

Feeding Patients Through a Tube: Clinical & Physiological Considerations – Part II 
Andrew Copland, MD, Assistant Professor of Medicine, Division of Gastroenterology and Hepatology, University of Virginia Health System, Charlottesville, VA 

To Be Announced

UAN: JA0002345-0000-21-088-L04-P
Level: Intermediate
CE Credits: 1.5 hours