GOLD Learning Speakers

USA

Brigit Carter, PhD, RN, CCRN

  • Speaker Type: GOLD Neonatal 2020
  • Country: USA
Biography:

Dr. Brigit Carter, Associate Professor and Associate Dean for Diversity and Inclusion, joined the Duke University School of Nursing (DUSON) in 2010. From 2015-2018 she served as the Director of the DUSON Accelerated Bachelor of Science in Nursing (ABSN) program. Dr. Carter earned her BSN at North Carolina Central University in 1998, a Master of Science in Nursing Education from University of North Carolina at Greensboro in 2002 and PhD in Nursing from University of North Carolina at Chapel Hill in 2009. She served as project director for two HRSA Nursing Workforce Diversity grants. The current grant, The Academy for Academic and Social Enrichment and Leadership Development for Health Equity II, focus is to increase underrepresented minorities in nursing and understanding of individual social determinants among undergraduate nursing students. Dr. Carter teaches the DNP and ABSN programs.
Dr. Carter's clinical research focuses on nursing care of premature infants (<1500 grams) with feeding intolerance and identification of measurable methods for early detection of feeding intolerance. She continues her clinical practice as a staff nurse in the Duke University Hospital Intensive Care Nursery, where she has 21 years’ experience.
Dr. Carter retired in 1/2018 from the U.S. Navy as a Commander after 28 years of service.


CE Library Presentation(s) Available Online:
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Note: Currently only available through a bundled series of lectures
Evaluation of Assessment Strategies to Reduce Risk Associated With Feeding Intolerance
Current methods used to identify feeding intolerance signs/symptoms in preterm infants rely heavily on nurses’ physical assessment and reporting of symptoms to the health care provider (HCP). Feeding intolerance, for the purposes of this discussion, is defined as “experiencing difficulty with the ingestion or digestion of formula or breast milk that causes a disruption in the current enteral feeding plan due to the manifestation of one or more of defined clinical symptoms including gastric residuals (>50% of feeding volume), abdominal distention, appearance of the abdomen (changes in color or suppleness), emesis and changes in the stool (minimal or lack of)” (Carter, 2012). It is critical to evaluate these assessment strategies to determine how reliable they are in identifying progression to feeding intolerance and more serious conditions such as necrotizing enterocolitis. Because the guidelines often vary by institutions, this can often be disadvantageous. However, the literature does provide some very consistent support and agreement on what is considered more reliable non-radiology measures that indicate a preterm infant is progressing to feeding intolerance. In addition, there are well known triggers for feeding intolerance that should be considered. There are also future methods, such as intra-abdominal pressure monitoring, that may be on the horizon for predicting feeding intolerance in preterm infants that are presently used in pediatric and adult populations.
Hours / CE Credits: 1 (details)  |  Categories: