Caring for Tube-Fed Children: A Review of Management, Tube Weaning, and Emotional Considerations

Identification: JPEN160701
Credits (Post Test and/or Evaluation Required)
Available until 07/31/2017
  • 1.00 - Dietitian
  • 1.00 - Nurse
  • 1.00 - Pharmacist
  • 1.00 - Physician
  • 1.00 - Other


Release Date: July 1, 2016
Expiration Date (all CE credit must be claimed by the expiration date): July 31, 2017
Issue: 5
Volume: 40
Journal: Journal of Parenteral and Enteral Nutrition (JPEN)
Author (s):
Sarah Edwards, DO, Assistant Professor of Pediatrics, University of Missouri-Kansas City School of Medicine, Kansas City, MO

Ann M. Davis, PhD, MPH, ABPP, Professor, Pediatrics, University of Kansas School of Medicine, Kansas City, KS

Amanda Bruce, PhD, Assistant Professor, Pediatrics, University of Kansas Medical Center, Kansas City, KS

Hayat Mousa, MD, AGAF, Professor in Pediatrics, UCSD, Director Neurogastroenterology and Motility Center, Director, Clinical Operation Pediatric Gastroenterology, Hepatology and Nutrition, Division of Pediatric Gastroenterology, Rady Children’s Hospital/UC San Diego, San Diego, CA

Beth Lyman, MSN, RN, CNSC, Sr. Program Coordinator for the Nutrition Support Team, Children’s Mercy Hospital, Kansas City, MO

Jose Cocjin, MD, Section Chief and Pediatric Gastroenterologist, Neurogastroenterology and Motility, Children’s Mercy, Kansas City, MO

Kelsey Dean, MS, RD, LD, CCRP, Clinical Trials Coordinator, Weight Management, Children’s Mercy Hospital, Kansas City, MO and Pediatrics, University of Kansas Medical Center, Kansas City, KS

Linda Ernst, MS, CCC-SLP, Speech Language Pathologist, Hearing and Speech Department, Children’s Mercy Hospital, Kansas City, MO

Osama Almadhoun, MBBS, Associate Professor of Pediatrics, University of Kansas School of Medicine, Kansas City, KS

Paul Hyman, MD, Clinical Professor of Pediatrics, Louisiana State University; Chief Pediatric Gastroenterology, New Orleans Children’s Hospital, New Orleans, LA

Format: Online as PDF or hard copy of journal
Link to article: Link

Journal-based CE Activity Overall Goal:
The JPEN Editor, in concurrence with A.S.P.E.N.’s Education and Professional Development Committee, selected this article to be offered for CE credit to fill an observed learning need in the arena of clinical nutrition and metabolism. This CE activity serves to promote the process of life-long learning for physicians, dietitians, pharmacists, and nurses by providing peer-reviewed journal articles that fully qualify for continuing education credits.

Goal and Target Audience:
This educational activity is directed toward clinical nutrition and metabolism professionals and others who wish to update their knowledge of clinical nutrition and metabolism. By participating in this educational activity, the reader may expect to:

  • Acquire knowledge in the area of clinical nutrition and metabolism research
  • Update or confirm your understanding of appropriate clinical nutrition and metabolism practices.
  • Identify further learning needs as they relate to the subject matter.

Learning Objectives:

  1. Utilize a multidisciplinary approach as an important component in the treatment of children with feeding problems.
  2. Describe how a blended diet is a possible alternative to standard formula and know that there are multiple possible feeding schedules in children with feeding tubes.
  3. Identify key components of the tube weaning process.
  4. Describe how pain and sensory input may have an effect on the tube weaning process.
  5. Summarize how the caregiver is affected by having a tube-fed child.

Requirements for Successful Completion:
To obtain CE credit for this activity, attendees must read the journal article in its entirety, complete an online knowledge assessment for each article and achieve a score of 100%, and complete an online activity evaluation. All CE credit must be claimed prior to the expiration date.

Accreditation Statements/Continuing Education Credit:

Nurses, Pharmacists and Physicians
In support of improving patient care, The American Society for Parenteral and Enteral Nutrition (ASPEN) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

This activity is for a maximum of 1 contact hour (0.1 CEU) per journal article and is a knowledge activity.

A.S.P.E.N. designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credits TM per article. Physicians should only claim credit commensurate with the extent of their participation in the activity.

A.S.P.E.N. is approved by the California Board of Registered Nursing, Provider CEP 3970.

ACPE UAN: 0216-0000-16-066-H04-P. Knowledge activity.

A.S.P.E.N., Provider Number AM005, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). CDR level 2. Dietitians may post comments on this program on

Non-Commercialism: A.S.P.E.N. subscribes to the ACCME Standards for Commercial Support. A.S.P.E.N. does not provide programs that constitute advertisement or include promotional materials. A.S.P.E.N. does not endorse any products.

Computer Requirements and Technical Support: Participants will need a computer with internet connection to access the online assessment and evaluation for each journal article. If the journal article is read electronically, then the ability to read a PDF document is also necessary. Users should enable pop-ups if attempting to read article electronically. For technical difficulties please contact Digitell Inc. Customer Support at: 1-800-679-3646Office hours are between 9AM to 5PM ET, Monday through Friday

Privacy and Confidentiality: A.S.P.E.N. respects the privacy of its members and website visitors. Companies that receive personal information from A.S.P.E.N. in order to execute the business of A.S.P.E.N. may use personal information only for that purpose.

Refund Policy: Refunds are not available.

Grievances: Grievances must be submitted in writing to Director of Education at A.S.P.E.N. 8630 Fenton Street. Suite 412. Silver Spring, MD 20910.

Commercial Support and Sponsorship:
No commercial support or sponsorship has been received for this continuing education activity.

Commercial Relationships Disclosures and Conflicts of Interest (COI) of Authors and Editor-in-Chief and Associate EditorsThe following authors have nothing to disclose: The following authors have nothing to disclose: Sarah Edwards, Ann M. Davis, Amanda Bruce, Hayat Mousa, Beth Lyman, Jose Cocjin, Kelsey Dean, Linda Ernst, Osama Almadhoun, and Paul Hyman

JPEN Editor-in-Chief Kelly Tappenden has served in a speaking role for NPS Pharmaceuticals, Inc, Nutricia, and Abbott Nutrition. Has received honoraria for those roles.

No conflicts related to disclosure information present and subsequently no need for resolution. Standard journal peer review process also in place as another layer of review to ensure no conflicts to resolve.

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Credits: None available.

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