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Seminar Detail

Adult Failure to Thrive
Adult Failure to Thrive


When:  Monday, November 4, 2013 at 8:00 AM - 4:00 PM

This event is not currently available for purchase.

For more information: Call (800) 844-8260
Course Description:
As our population continues to age, healthcare professionals are confronted with a complex set of questions when caring for those who fail to thrive. What has caused my patient to stop eating? When do I recommend alternative versus oral feeding? What factors cause aspiration pnuemonia, and how can I get my patient to develop a sense of smell, taste, or an appetite? How can I help develop their interest in food, when they are on a low salt, low fat, low sugar, low acid, and fluid restricted diet? How can I keep them from the lonliness associated with eating alone, day after day, after day? When do I finally let go?

These are questions that plague all healthcare professionals who struggle with how, when, and why we feed our patients who are coming to the end stages of their lives. This workshop is designed to help you define and create a solid care plan when working with this fragile patient population, to determine when restorative therapy is indicated, when compensatory, alternative strategies are helpful, and when to embrace hospice.
Please refer to the course brochure for continuing education information.
Learner Objectives:

  1. Define the four major conditions which impact failure to thrive in adults.
  2. Analyze the implications of lab work when developing program plans.
  3. Discriminate between oral vs. alternative feeding.
  4. Recite the factors which result in hospice designation.
  5. Define the role of each member of the multi-disciplinary care team.
  6. Analyze the triad relationship between digestion, sinusitis, and breathing.
  7. Determine the likely cause of aspiration risk for three possible sources of aspiration.


Ellen N. Friedman is an SLP with a private practice in Ohio, where she works clinically in hospital, school, out-patient, and home health settings. Former president of the Northeast Ohio Regional Association of Medical Speech/Language Pathologists, Ellen began her subspecialty voice practice in 1993, which has expanded to include pediatric, adult, and geriatric patients who have voice, swallowing, digestive, feeding, cognitive and speech/language deficits. She has taught and clinically supervised in the graduate school of Speech Pathology and Audiology at Kent State University, and in both the graduate and undergraduate programs in the School of Speech Pathology and Audiology at Cleveland State University. Currently, Ellen teaches a full curriculum of continuing education in voice and swallowing/feeding disorders for CMI Education and PESI HealthCare on a national basis. Ellen is published in the fields of voice and gastroesophageal disease and was featured in the ASHA Leader.

In addition to being a speech/language pathologist, Ellen is a professional actor, vocalist, acting/voice/dialect coach, and director. She performs in the venues of film, voice-over, and stage. When not working in the performing arts venue specifically, Ellen incorporates her theatrical knowledge and abilities into her therapy as well as her teaching strategies. She works comfortably in singing, acting, voice-over, role play, comedy and scripted work modalities to interact with her patients to improve breath, voice, swallow, cognitive, and language function. When Ellen presents, she uses all of her clinical knowledge to impart practical information to audience participants via experiential learning opportunities. Expect to be educated, engaged and entertained.

Speaker Disclosures:

Financial: Ellen Friedman maintains a private practice. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Ellen Friedman has no relevant non-financial relationships to disclose.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.

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