Speaker Series
[On Demand] Educational Speaker Program
Note: Continuing education (CE) credits are no longer available on recorded programs.
Caring for Patients with Hemorrhoids: From the General Population to SCI
Presented by Robert Cutler, MD | Board-Certified Proctologist
Objectives:
- Participants will gain a practical, clinically relevant understanding of hemorrhoidal disease across patient populations, including spinal cord injury (SCI).
- Understand the prevalence and risk factors of hemorrhoids, including why patients with SCI are at increased risk
- Differentiate the four types of hemorrhoids and recognize key symptoms such as bleeding, pain, soiling, prolapse, and thrombosis
- Evaluate symptom severity vs. clinical grading and recognize patterns of underreporting
- Compare hemorrhoidal disease in the general population vs. SCI patients
- Review evidence-based management approaches, including conservative care and when procedural intervention may be required
- Apply clinical pearls to improve patient comfort, outcomes, and quality of life
ALS – Dysregulation of Gut Microbiota and Bowel Problems
Presented by Jonathan Myers, MD | Medical Director of Rehabilitation Services
Objectives:
- Describe the underlying pathophysiology of amyotrophic lateral sclerosis (ALS) and its associated clinical signs and symptoms.
- Review the epidemiology of ALS, including known environmental exposures and risk factors.
- Explain the role of gut microbiota dysregulation and neuron-toxic molecules in ALS disease progression.
- Identify common gastrointestinal symptoms and bowel dysfunction observed in individuals with ALS.
- Discuss evidence-informed strategies for the assessment and management of constipation in patients with ALS.
Prevention and Care for Incontinence-Associated Dermatitis (IAD)
Presented by Robert Cutler, MD | Board-Certified Proctologist
Objectives:
- Aging and Pathology of IAD – Learn how aging impacts skin integrity and the biological processes behind IAD. Takeaway: Older adults require proactive, evidence-based care to reduce skin breakdown.
- Prevalence and Risk Factors – Understand how common IAD is and the factors that contribute to its development. Takeaway: Early identification and addressing risks holistically improves outcomes.
- Body Positioning and Nutrition – Explore the role of positioning and nutrition in maintaining skin health and supporting recovery. Takeaway: Proper positioning and adequate nutrition are vital for healing and prevention.
- Prevention and Daily Care – Review best practices for IAD prevention, including cleansing, moisturizing, and routine skin care. Takeaway: Consistent, gentle daily care reduces complications and maintains skin integrity.
- Barrier Products and Treatment – Learn about commonly used barrier products and their correct application. Takeaway: Selecting and applying the right barrier enhances protection and patient comfort.
Post-Stroke: Constipation and Incontinence
Presented by Jonathan Myers, MD | Medical Director of Rehabilitation, St. Lukes Magic Valley Medical Center, ID
Objectives:
- Stroke overview: Understand the epidemiology and impact of ischemic and hemorrhagic stroke.
- Bowel health in stroke: Learn how the brain-gut axis contributes to constipation and incontinence.
- Clinical tools: Apply the Bristol Stool Chart and nursing care plans to improve outcomes.
- Targeted care: Explore evidence-based bowel interventions, including ENEMEEZ®.
- Quality of life: Support recovery by reducing complications and enhancing patient comfort.
Neurogenic Bowel in Brain Injury
Presented by Cindy Ivanhoe, MD | Director of Spasticity and Associated Syndromes of Movement, TIRR Memorial Hermann
Objectives:
- Why bowel management is important in the brain injury patient
- Bowel management in the brain injury survivor in the acute rehabilitation setting
- Long-term complications of inadequate bowel management
- Bowel management considerations in the chronic brain injury patient
Oral Mucositis Resulting from Chemotherapy and/or Radiation
Presented by Aryavarta Kumar, MD, PhD| Cleveland VA, University Hospitals Cleveland, and Cleveland Clinic
Objectives:
- Understand the incidence and prevalence of oral mucositis in cancer patients
- Describe the pathophysiological development of mucositis
- Identify key risk factors contributing to the onset of oral mucositis
- Recognize the clinical manifestations and progression of mucositis
- Interpret commonly used oral mucositis assessment scales
- Differentiate mucositis presentation in head and neck cancer (HNC) patients vs. those receiving systemic chemotherapy
- Discuss the short- and long-term consequences of oral mucositis on patient health and treatment adherence
- Evaluate current treatment strategies for managing oral mucositis
- Promote patient education strategies and preventive measures for oral mucositis
- Understand the impact of radiation treatment planning
- Implement evidence-based approaches to managing oral mucositis in clinical practice















