Leslie Parker has a dual position at the College of Nursing and the College of Medicine at the University of Florida where she is a professor. She has been a neonatal nurse practitioner since 1990 and continues to practice as a neonatal nurse practitioner in the NICU at UF Health. She was the tract coordinator of the neonatal nurse practitioner program from 1992-2011. She has been involved in human milk research for nearly two decades and focuses on improving milk production in mothers of critically ill and premature infants. She is funded by the National Institutes of Health for her team’s work regarding neonatal nutrition including the risk of feeding tube contamination, risks and benefits of gastric residual evaluation and optimizing consumption of breast milk for preterm infants.
Until recently, routine monitoring of gastric residuals has been standard care in most neonatal intensive care units (NICUs). Rationale for this practice includes early recognition of feeding intolerance and necrotizing enterocolitis. However, gastric residuals are often used to direct feeding decisions and thus their use can result in delays and interruptions in feeding resulting in an increased risk of complications. Recent evidence suggests that the routine monitoring of gastric residuals prior to every feeding may not be clinically necessary and other clinical indicators may be sufficient to monitor for feeding intolerance and necrotizing enterocolitis. This presentation will describe practices clinicians are currently using to monitor gastric residuals In addition, an overview of current evidence including the risks and benefits of monitoring gastric residuals, alternatives to monitoring gastric residuals, and how to best change unit practice in order to decrease the routine use of aspirating and evaluating gastric residuals prior to every feeding will be presented.
To Continue, Please Select Your Country of Residence
Whoops! Please select your Country before clicking "Submit"
The GOLD Learning Lecture Library is a unique & convenient resource for Healthcare Professionals, Researchers, Students and other Educators looking to stay up to date on the latest evidence-based skills and practices. Country Category pricing has been determined by World Bank Economic Indicators. Proof of residency may be requested. Learn more about our Category Pricing Here.
GOLD Learning Speakers
