2018 Speakers & Topics
Alice Farrow is an IBCLC, writer, speaker, and infant feeding and health equity advocate. Parent of a child born with a cleft lip and palate, Alice has worked extensively, since 2006, with parents, parent organisations, cleft teams health providers and lactation specialists in order to increase awareness of the specific challenges faced by cleft affected infants and their families and to imprve access to adequate lactation support for this community.
Currently based in Rome, Italy, Alice advocates for, and teaches regularly on, the topic of breastfeeding/chestfeeding with an oral cleft via presentations, courses, articles, booklets and handouts and supports parents and professionals wordwide via their Cleft Lip and Palate Breastfeeding website and associated online support group, and in person and distance consultations.
A common misconception among care providers and families is that babies born with an oral cleft cannot breastfeed/chestfeed. This presentation corrects that misconception by exploring cleft types and their expected breastfeeding/chestfeeding outcomes and sharing tools that lactation specialists can use to more effectively support parents when their baby is born with a cleft lip/palate. In particular, during the neonatal period, the lactation specialist is uniquely positioned to support parents to make informed decisions about their feeding choices and create a going home care plan to help them achieve their breastfeeding/chestfeeding goals in the long term.
Amy Holmes has practiced as a pharmacist for 21 years with the last 9 years being focused in neonatal critical care at Novant Health Forsyth Medical Center in Winston Salem, NC. She holds degrees in pharmacy from University of North Carolina (BS) as well as the University of Maryland at Baltimore (PharmD). Amy serves as the Residency Program Director for the acute care PGY1 program at Novant Health Forsyth Medical Center. She is active in state and national pharmacy organizations including the Pediatric Pharmacy Advocacy Group (PPAG) and the American Society of Health-System Pharmacists (ASHP).
This presentation will provide a general overview of neonatal abstinence syndrome (NAS) followed by a more detailed discussion of some of the more recently published approaches to treatment. This will include review of alternative dosing strategies for morphine as well as the use of buprenorphine for management of NAS symptoms.
Carolyn Lund has been a Clinical Nurse Specialist in the NICU at UCSF Benioff Children's Hospital Oakland for over 30 years, and is also an Associate Clinical Professor at the University of California, San Francisco.
She has contributed to knowledge of neonatal skin care through original research in the areas of skin maturation, skin integrity and adhesive damage, and bathing. Under her leadership, the first evidence-based Neonatal Skin Care Guideline was developed and evaluated in 51 nurseries in the US in 2001. She then served as team leader on revisions of guideline in 2007 and 2013 and is currently working on the 4th revision due in 2018.
In addition to neonatal skin care, Carolyn has lectured extensively on surgical care and vascular access for neonates.
An evidence-based neonatal skin care guideline has been available since 2001, and the 4th edition of this guideline was published in 2018. The unique properties of newborn and premature infant skin places them at risk for potential toxicity and skin injury. Knowledge of these differences can inform providers about improved and safer techniques in the areas of bathing, skin disinfectants, use of medical adhesives, prevention and treatment of diaper dermatitis.
Christine Bishop is a neonatologist, bioethicist, medical educator, and Assistant Professor of Pediatrics at Wake Forest University School of Medicine and Brenner Children’s Hospital in Winston-Salem, NC. She founded and directs the Brenner Children’s Hospital Care Always ™ Neonatal/Perinatal Palliative Care Program that provides holistic care for infants with life-limiting and complex medical conditions. Dr. Bishop received her MD from The Ohio State University School of Medicine and Public Health and completed her pediatric residency and neonatology fellowship at the University of Texas Health Sciences Center San Antonio. She completed a Master of Arts in bioethics at the Wake Forest University Center for Bioethics, served as the lead clinical ethics consultant for Wake Forest Baptist Medical Center, chairs the Clinical Ethics Consultation Committee, and co-directs the undergraduate medical humanities course at Wake Forest University School of Medicine.
Palliative care is a dynamic, multidisciplinary field of medicine that focuses on holistic care for patients with complex, serious, and life-limiting conditions. Neonatal/perinatal palliative care involves care for women pregnant with fetuses who have potentially life-limiting conditions, a holistic approach to family care and decision making, and care for infants with life-limiting or complex medical conditions. This session will discuss key aspects of neonatal/perinatal palliative care. We learn so much from our patients and families, and their stories will provide the framework as we work through important concepts in neonatal/ perinatal palliative care. Topics to be discussed include communication, shared decision making, managing uncertainty, pharmacologic and non-pharmacologic approaches to care, the role of hospice, and ethical issues involved in care of neonates at the end of life.
Franco A. Carnevale is a nurse, psychologist and clinical ethicist. He completed: an undergraduate nursing degree, three master's degrees (nursing, education, bioethics), and doctorate in counseling psychology at McGill University; a master’s degree in philosophy at Université de Sherbrooke and a second doctorate in moral philosophy at Université Laval. Dr. Carnevale is the founder and principal investigator for VOICE (Views On Interdisciplinary Childhood Ethics); a McGill University-based international initiative to advance knowledge and practices relating to ethical concerns in childhood. Current academic appointments include (McGill University): Full Professor, Ingram School of Nursing; Associate Member, Faculty of Medicine (Pediatrics); Adjunct Professor, Counselling Psychology; Affiliate Member, Biomedical Ethics Unit. Clinical appointments include: Associate Member, Pediatric Critical Care, Montreal Children's Hospital; Clinical Ethics Consultant, The Lighthouse, Children and Families (pediatric hospice and respite care); Clinical Ethicist, Child, Adolescent, and Family Services, Douglas Mental Health University Institute; Chair, Clinical Ethics Committee, Shriner's Hospitals for Children (Canada). Dr. Carnevale is a founding member of the Board of Directors of the World Federation of Pediatric Intensive and Critical Care Societies (WFPICCS) and founding member of the Editorial Board of Pediatric Critical Care Medicine.
Advances in pediatric ethics have helped identify ethical concerns that arise in the care of children as well as strategies for addressing these concerns. Despite these important innovations, some significant ethical problems persist in neonatology, which seem rooted in particular challenges involved in the care of newborns and their families. These include concerns regarding: excessive care for infants with limited prognoses; dismissive care toward projected disability; providing palliative care; parental roles and responsibilities; inadequate pain management; cross-cultural disagreements; and moral distress among staff and parents. These tensions commonly relate to: (a) difficulties in defining infants’ best interests; (b) tensions regarding the respective decisional authority of parents and health professionals; and (c) tragic situations where all treatment options seem wrong. Strategies for analyzing and reconciling these ethical concerns will be discussed.
Jodi is registered nurse with a strong passion for preemies, developmental care in the NICU, parent teaching, and education. When not at the bedside, Jodi is hard at work offering support and lending a virtual hand to parents of NICU babies through her organization Peekaboo ICU. Jodi is the president/CEO as well as a Family Support Specialist that heads up the organization’s Journey Bead Program- offering a tangible way to track, document, and celebrate milestones in the NICU. Jodi attended college in Ontario Canada where she completed her nursing degree. After college, Jodi earned a number of certification in neonatal nursing including her RNC-NIC, Developmental Care Specialist certification, and an Advanced Certification in Neonatal nursing while attending BCIT’s Bachelor of Science in Neonatal Nursing degree program. Jodi is currently working towards her Masters of Science in Nursing-Care Coordination degree through Capella University.
Storytelling is the foundation of the human experience and can be an extraordinarily powerful tool used to connect families and healthcare providers in the neonatal intensive care. The NICU is a fast-paced, high stress environment so it’s easy to lose site of the story, but it is the story that can make a difference, not only to the families you serve, but to you as well. It is through storytelling that a compassionate, real approach to care and medicine will bring change to the NICU experience, increase patient satisfaction, and decrease burnout and compassion fatigue. In this presentation you will learn how to develop more empathetic relationships with families on the basis of a deeper understanding of their human experience. Follow Jodi as she explores the principles of storytelling, evaluates the use of narrative medicine in NICU education, and teaches ground breaking strategies to recreate a positive and profound NICU experience through the power of human connections.
A leader in neonatal nursing, Mary Coughlin MS, NNP, RNC-E has pioneered the concept of trauma-informed care as a biologically relevant paradigm for hospitalized newborns, infants, and their families. An internationally recognized expert in the field of age-appropriate care, Ms. Coughlin has over 35 years of nursing experience beginning in the US Air Force Nurse Corp and culminating in her current role as President and Founder of Caring Essentials Collaborative. A published author of a myriad of manuscripts, chapters and textbooks, Ms. Coughlin has mentored close to 10,000 interdisciplinary NICU clinicians from over 14 countries to transform the experience of care for the hospitalized infant and family in crisis.
Early life adversity and the associated toxic stress literally gets under our skin and is embedded in our biology. Authentic nurturing experiences during early life, or the lack of them, are directly linked to mental health outcomes. The sense of touch plays a salient role in social relationships with important neurodevelopmental and psycho-socio-emotional outcomes. Healing presence and authenticity underlie caring actions, attitudes and behaviors. This talk will introduce the biological underpinnings of our unique therapeutic value in the clinical setting.
Dr. Narvey began his training in Pediatrics at the University of Manitoba in
Winnipeg where he completed a year of further training in Neonatology. This was followed by two years of Neonatal fellowship at the University of Alberta in Edmonton. Afterwards he
began his career as a Neonatologist in the same city and over the 6 years he spent
there, his career included both clinical and administrative duties including 4 years as the
Fellowship Program Director and two years as the Medical Director for a level II unit.
In
late 2010 he accepted a position in Winnipeg to become the Section Head of
Neonatology and continues to hold this post. In 2016 he took on the additional role of
Medical Director of the Child Health Transport Team.
In 2015 he became a member of the Canadian Pediatric Society's Fetus and Newborn Committee and in 2019 took over as Chair of the same and remained in this role until May 2024.
Hypoglycemia is one of the most common problems encountered by the practitioner in newborn care. How low is too low and how does the age of the patient influence these thresholds? Moreover, when a patient’s blood glucose is found to be low, what are the best steps to take in order to normalize it? This is not your usual talk on hypoglycemia but rather one that looks at the journey one center took in its quest to answer these questions. On this path we encountered some results that were definitely “sweet” and others that left a “sour” taste in our mouths. In this talk you will be follow the story of our center which produced a cautionary tale that demonstrates that you shouldn’t always believe everything you read!
Renée Flacking is Associate Professor and the leader for Reproductive, Infant and Child Health (RICH) at the School of Education, Health and Social Studies, Dalarna University, Sweden. Renée has a background as a Paediatric Nurse, having worked in a Neonatal Care Unit for more than 10 years. In 2007, she received her PhD in Medical Science, Uppsala University: Breastfeeding and Becoming a Mother – Influences and Experiences of Mothers of Preterm Infants. In 2009-2010 she undertook her PostDoc, conducting an ethnographic study in neonatal units in Sweden and England focusing on infant feeding and relationality. Renée has published more than 40 articles on neonatal care and is the Editor, together with Professor Fiona Dykes, for the book Ethnographic Research in Maternal and Child Health, Routledge. Renée’s main research interest is in the area of parenting and feeding in families with preterm infants focusing on emotional, relational and socio-cultural influences.
This presentation highlights the impact of separation and closeness on the parent and infant but also the impact of the design in neonatal units on breastfeeding/feeding and relationships. Most neonatal units across the world are designed as Open-bay units with little privacy and few means for mothers to stay in close proximity with their infants. Such units are challenging for parents and even more so in terms of breastfeeding support. With single room units, new challenges appear and hence new strategies need to be sought. Through consideration of the literature and by examples from different studies I will try to illuminate the impact of neonatal units’ design on feeding and parenting.
Robin Glass, MS, OTR, IBCLC practices occupational therapy at Seattle Children's Hospital in Seattle, WA. Her clinical specialty is the treatment of infants, both as hospital inpatients and outpatients with a strong focus on feeding issues. She is NDT trained and a Board Certified Lactation Consultant, with extensive national and international experience speaking about the infant feeding. Robin holds a clinical faculty appointment at the University of Washington in the Department of Rehabilitation Medicine. She has authored numerous journal articles as well as the book with her co-author Lynn Wolf, Feeding and Swallowing Disorders in Infancy: Assessment and Management. She was a recipient of the National Association of Neonatal Therapists (NANT) Pioneer Award in 2015.
Learning to breastfeed is the optimal and ideal method of feeding for any baby. For the baby born prematurely, however, there are factors related to the infant, to the environment and to the mother that can make this process more challenging. Many mother-baby dyads often leave the NICU not fully breastfeeding and continue to struggle once at home. This presentation will describe systematic, evidence based approaches to developing breastfeeding in the premature infant. It will review developmental and co-morbid factors affecting the infant’s feeding acquisition. A model pathway to develop breastfeeding will be outlined and this can serve as a template for varying NICU’s.
Dr. Souvik Mitra is an Assistant Professor and neonatologist at the Division of Neonatal Perinatal Medicine, Department of Pediatrics, Dalhousie University, Halifax, Canada. He completed his medical school and pediatric residency from Calcutta Medical College, India. Dr Mitra went on to complete his neonatal fellowship at McMaster University, Hamilton, Canada and is currently pursuing his Masters in Clinical Epidemiology from the same institution. Cerebral oxygenation and cardiovascular physiology in premature infants are his primary clinical research interests. He also has extensive epidemiological research experience having published a number of systematic reviews and meta-analyses. He has shared his research through webinars across Canada and the United States as well as through platform presentations at various international conferences. He has special expertise in targeted neonatal echocardiography and is a member of the Pan-American Hemodynamics (TnECHO) Collaborative.
There is increasing evidence that optimizing time spent within targeted oxygen saturation limits improves clinical outcomes in premature infants. Recent randomized clinical trials show that preterm infants who spend more time above the target saturation range tend to have increased retinopathy of prematurity and bronchopulmonary dysplasia, while those infants who spend a considerable time below the target range tend to have more necrotizing enterocolitis and death. Hence it is imperative that we find out the best way to optimize oxygen saturation targeting in preterm infants. Education programs followed by implementation of oxygen titration guidelines for the bedside nursing staff have been shown to have some benefit. However, the ever-increasing NICU workload often makes it impossible for nurses to adhere to strict oxygen titration guidelines. Automated control of inspired oxygen may provide some respite to the nurses as this recent technology has not only been shown to reduce nursing workload but also to improve oxygen saturation targeting in preterm infants. This is an exciting new innovation which, with more refinement in technology and practice, has the potential of becoming the standard of NICU care in future.
Annet Mulder first became interested in breastfeeding in the year 2000, when she became a mother for the first time. During and because of her own breastfeeding experiences, in 2002 she became a volunteer with the Dutch breastfeeding Organization and in 2008 sat for and passed the exam administered by the International Board of Lactation Consultant Examiners. As an International Board Certified Lactation Consultant, she now
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