This guide presents up-to-date, pertinent information on pediatric dysphagia, condensed into an accessible guide for speech-language pathologists working with children with swallowing disorders. It covers information regarding normal aspects of neurodevelopment, oral-motor feeding skills, and anatomy/physiology of swallowing. Case studies, charts, graph, indexes, and reproducible forms are especially helpful for the new speech-language pathology graduate.
Pediatric Swallowing and Feeding: Assessment and Management, Third Edition provides information to practitioners interested in and involved with children who demonstrate swallowing and feeding disorders. Since the 2002 publication of the second edition, there has been an exponential increase in the number of medically fragile and complex children with swallowing/feeding disorders. A corresponding proliferation in the related basic and clinical research has resulted in the increased appreciation of the complicated inter-relationships between structures and systems that contribute to swallowing/feeding development, function, and disorders. Case studies throughout the book provide examples for decision making and highlight salient points. New to the Third Edition: * Maureen A. Lefton-Greif, PhD, CCC-SLP, BCS-S, is welcomed as co-editor. She brings extensive research expertise and clinical practice in pediatric dysphagia and feeding. * All chapters contain significant updated evidence-based research and clinical information. * New chapters focus on the genetic testing and conditions associated with swallowing and feeding disorders, and the pulmonary manifestations and management of aspiration. * World Health Organization (WHO) description of an International Classification of Functioning, Disability, and Health (ICF) sets the stage for an in-depth discussion of clinical feeding evaluation procedures, interpretation, and management decision making. Pediatric Swallowing and Feeding continues to be the leading text on pediatric dysphagia that provides practical information for clinicians seeing children with swallowing and feeding disorders. The overall importance of an appropriate fund of knowledge and shared experience employing team approaches is emphasized throughout this third edition as in the earlier editions of this book. From the Foreword: "The Editors have recognized the advances and changes in the understanding in the information now available for the care of pediatric swallowing and feeding challenges. They have recruited an outstanding group of contributors for this newest edition. There are numerous critically important updates and additions in the third edition. They have included World Health Organizations International Classification of Functioning, Disability and Health is the functional basis in all areas of the book. This text has its importance as there has been an increased number of children with complex medical and healthcare conditions which are risk for feeding and swallowing disorders. This edition stresses the need for team approaches and also documents the use of “virtual” teams ...Pediatric Swallowing and Feeding: Assessment and Management, Third Edition is the fundamental holistic source for all healthcare providers providing the care for swallowing and feeding in children. This book will be utilized by all caring for children with feeding and swallowing problems throughout the world. The previous editions have been and now this updated third edition continues to be the standard source for the information concerning diagnosis and care of these children." —Robert J. Ruben, MD, FAAP, FACS Distinguished University Professor Departments of Otorhinolaryngology – Head and Neck Surgery and Pediatrics Albert Einstein College of Medicine Montefiore Medical Center Bronx, New York
Pediatric Dysphagia: Etiologies, Diagnosis, and Management is a comprehensive professional reference on the topic of pediatric feeding and swallowing disorders. Given that these disorders derive from abnormalities in the function and/or structure of the airway and digestive systems, multiple clinical specialists may be involved in the evaluation and management of affected children at any given point in time. Therefore, this text includes significant contributions from a wide range of experts in pediatric dysphagia, including all members of the Interdisciplinary Feeding Team at Cincinnati Children’s Medical Center. These experts present an in-depth description of their roles in the diagnosis and management of dysphagic children, providing the reader with an understanding of why a multidisciplinary model of care is key to the optimization of outcomes. Pediatric Dysphagia is divided into five parts. In Part I, readers are provided with an overview of the embryologic development of aerodigestive structures that relate to swallowing, an introduction to neural organization related to swallowing function and physiologic aspects of swallowing, a synopsis of oral motor development, a discussion of the various etiologic categories of feeding and swallowing disorders, and an overview of genetic disorders associated with feeding and swallowing issues. Part II covers the clinical and instrumental assessment of patients, including the interdisciplinary feeding team infrastructure and function, the roles of individual members of the feeding team, the specific diagnostic tests commonly used in the assessment of feeding and swallowing issues, the classification of neonatal intensive care units, and the assessment and management of feeding and swallowing issues encountered in the neonatal intensive care unit. Part III focuses on the management of pediatric dysphagia, covering a wide range of treatment strategies and interventions for children with various categories of feeding disorders. Part IV includes an introduction to the concept of evidence-based practice and the application of evidence-based strategies in the management of dysphagia. Part V presents a brief overview of the role of ethics in healthcare and ethical considerations in the treatment of dysphagic children. In summary, the overall aim of this comprehensive text is to provide all pediatric professionals involved in the care of dysphagic patients with a basic understanding of the complexity of this disorder, the anatomic, neurologic, and physiologic components involved in this disorder, an overview of the diverse population of children who suffer with this disorder, and with a wide range of management approaches based on patient needs and capabilities. The authors also address clinical problem solving and decision making, inspiring readers to develop multidisciplinary models of care at their own institutions.
Significantly revised and updated, the second edition of this popular quick reference guide provides information and advice on 190 areas of current pediatric care and delivers practical, action-oriented clinical solutions for healthcare professionals to use during or between patient encounters.
The complete guide for parents of picky eaters -- how to end mealtime meltdowns and get your children the nutrition they need Does your child regularly refuse foods or throw a fit at mealtimes? Are you concerned she isn't getting enough nutrition, or that that your child's pickiness might be caused by a hidden medical issue? For every frustrated parent, the food chaining method offers a medically-proven, kid-tested solution. Developed by a team of internationally known medical experts, Food Chaining helps you identify the reasons behind your child's picky eating habits -- be it medical, sensory, or because of allergies. Then, with a simple, 6-step method centered around taste, temperature, and texture, target foods are selected that are similar to the ones your child likes, gradually expanding to all food groups. Does your kid like French fries but won't touch veggies? Try hash browns, and slowly expand to sweet potato fries and zucchini sticks -- and then work your way to steamed vegetables. With helpful information about common food allergies, lists of sample food chains, advice for special needs children, as well as a pre-chaining program to prevent food aversions before they develop, Food Chaining is your guide to raising lifelong health eaters.
In Helping Your Child with Extreme Picky Eating, a family doctor specializing in childhood feeding joins forces with a speech pathologist to help you support your child’s nutrition, healthy growth, and end meal-time anxiety (for your child and you) once and for all. Are you parenting a child with ‘extreme’ picky eating? Do you worry your child isn’t getting the nutrition he or she needs? Are you tired of fighting over food, suspect that what you’ve tried may be making things worse, but don’t know how to help? Having a child with ‘extreme’ picky eating is frustrating and sometimes scary. Children with feeding disorders, food aversions, or selective eating often experience anxiety around food, and the power struggles can negatively impact your relationship with your child. Children with extreme picky eating can also miss out on parties or camp because they can’t find “safe” foods. But you don’t have to choose between fighting over every bite and only serving a handful of safe foods for years on end. Helping Your Child with Extreme Picky Eating offers hope, even if your child has “failed” feeding therapies before. After gaining a foundation of understanding of your child’s challenges and the dynamics at play, you’ll be ready for the 5 steps (built around the clinically proven STEPS+ approach—Supportive Treatment of Eating in PartnershipS) that transform feeding and meals so your child can learn to enjoy a variety of foods in the right amounts for healthy growth. You’ll discover specific strategies for dealing with anxiety, low appetite, sensory challenges, autism spectrum-related feeding issues, oral motor delay, and medically-based feeding problems. Tips and exercises reinforce what you’ve learned, and dozens of “scripts” help you respond to your child in the heat of the moment, as well as to others in your child’s life (grandparents or your child’s teacher) as you help them support your family on this journey. This book will prove an invaluable guide to restore peace to your dinner table and help you raise a healthy eater.
Pediatric Dysphagia is designed to be a primary practical resource for professionals involved in making decisions to optimize overall status of infants and children with swallowing and feeding disorders. It is practice-friendly in concise and practical ways, but is not "how-to" in a mechanistic sense. The latest data based evidence provides a rationale for practice profiles, clinical pathways, decision trees, tables, and pros/cons of specific intervention processes. The values of team focused evaluation and intervention will be stressed in ways that are functional, regardless of the nature of the team. Focuses will be on decision making for management of diverse swallowing/feeding problems in pediatrics-evidence based via literature with outcomes, neurodevelopment and neurophysiology, airway/pulmonary system, gastrointestinal issues, and parent/child interactions.. This book will be useful for professionals as they strive to meet the needs of increased number of infants who survive prematurity and demonstrate swallowing and feeding problems. Professionals follow both pre-term and term infants who have cardiac and GI tract surgeries, pulmonary problems, craniofacial and a whole host of genetic syndromes, metabolic conditions, and allergy related feeding/swallowing issues..
Management of Swallowing and Feeding Disorders in Schools examines the most significant issues in swallowing and feeding facing school-based speech-language pathologists (SLPs). Topics addressed are unique to the school setting, ranging from organizing a team procedure in a district to serving children with complex medical issues, behavioral feeding disorders, and neurological feeding disorders. Ethical, legal, and cultural issues are also addressed. Many students in school districts across the country exhibit the signs and symptoms of dysphagia, and children who were originally treated for dysphagia in hospitals and other settings often begin attending public schools at three years old. The difficulty they had with swallowing and feeding frequently follows them to the school setting. Further, there are many students who develop swallowing and feeding disorders as a result of traumatic brain injury, neurological disorders and syndromes, behavioral disorders, and so forth. The range of students needing services for swallowing and feeding disorders in the school setting can be from three to twenty-two years of age and from mild dysphagia to tube feeding. The identification and treatment of swallowing and feeding disorders in schools is relatively new. There are still many districts in the country and internationally that do not address the needs of children with dysphagia. As school-based SLPs take on the challenge of this population there is a need for information that is current, accurate, and thorough. University programs include very little training, if any, at this time in the area of swallowing and feeding in the school setting. This text is appropriate for both a dysphagia course as well as courses that train SLP students to work with school-aged students.
Pre-Feeding Skills, Second Edition, by Suzanne Evans Morris and Marsha Dunn Klein is the revised and expanded edition of this comprehensive resource. This book focuses feeding relationships for all people from birth to adolescence. This work includes information about limiting factors that influence feeding. Assessment and treatment principles are thoroughly explored throughout this book. Each sections has been updated to include new art, current research, references, and trends -- especially the chapters on treatment, tube feeding, nutrition, blindness, prematurity, and anatomy. This second edition includes 12 new chapters, including a chapter on mealtime resources and also provides mealtime participation exercises and Spanish translations of parent questionnaires.
Develop the understanding and clinical reasoning skills you'll need to confidently manage dysphagia in professional practice! This logically organized, evidence-based resource reflects the latest advancements in dysphagia in an approachable, student-friendly manner to help you master the clinical evaluation and diagnostic decision-making processes. Realistic case scenarios, detailed review questions, and up-to-date coverage of current testing procedures and issues in pediatric development prepare you for the conditions you'll face in the clinical setting and provide an unparalleled foundation for professional success. - Comprehensive coverage addresses the full spectrum of dysphagia to strengthen your clinical evaluation and diagnostic decision-making skills. - Logical, user-friendly organization incorporates chapter outlines, learning objectives, case histories, and chapter summaries to reinforce understanding and create a more efficient learning experience. - Clinically relevant case examples and critical thinking questions throughout the text help you prepare for the clinical setting and strengthen your decision-making skills. - Companion Evolve Resources website clarifies key diagnostic procedures with detailed video clips. - NEW! Expanded content on infant and child swallowing will help readers learn the insights needed for this growing area of practice. - NEW! Updated content and references throughout reflect the most up to date research in existence.
