Classifying Complex Pediatric Feeding Disorders

Classifying Complex Pediatric Feeding Disorders
Burklow, Kathleen A.; Phelps, Anne N.; Schultz, Janet R.; McConnell, Keith; Rudolph, Colin

Journal of Pediatric Gastroenterology & Nutrition:
August 1998 – Volume 27 – Issue 2 – pp 143-147
Original Articles
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Abstract
Background: This study defines the multiple characteristics associated with complex pediatric feeding problems and determines the relative frequency of each classification in [...]

Pediatric Assessment Scale for Severe Feeding Problems: Validity and Reliability of a New Scale for Tube-Fed Children

Clinical Research
Pediatric Assessment Scale for Severe Feeding Problems: Validity and Reliability of a New Scale for Tube-Fed Children
Full Text (PDF)
Nutrition in Clinical Practice, Vol. 19, No. 4, 403-408 (2004)
William Crist, PhD*, Cindy Dobbelsteyn, MSc, S-LP(C), Anne Marie Brousseau, BScOT* and Anne Napier-Phillips, BA*
* Feeding and Nutrition Clinic, IWK Health Centre, Halifax, Nova Scotia, [...]

ASSESSMENT ANOREXIA AND PICKY EATERS

History
Patients with anorexia or picky eaters may present to the ED with extreme weight loss, food refusal, dehydration, weakness, or shock. Many present at the urging of family members or friends and are in deep denial of their malnutrition and illness.

Patients should be questioned about their current weight, highest weight, lowest weight, exercise habits, and menstrual cycles. [...]

Assessment of Eating Ability in Children

The following questions should guide assessment of a child’s eating ability.

What are the child’s eating and drinking mechanics? If an infant, can he or she suckle? If older, can he or she eat with a spoon? Can the child close his or her lips properly? When drinking from a cup, can he or she form [...]

Body And Weight Checking May Signify An Eating Disorder

Everyone checks their body to some extent, but many people with eating disorders repeatedly check their body and often in a way that’s unusual.
Sometimes body and weight checking becomes second nature and many individuals with eating disorders don’t even realize they’re doing it,” said Dena Cabrera, PsyD, psychologist at Remuda Programs for Eating and Anxiety [...]

Assessment of Swallowing: Clinical and Instrumental Evaluations

 

Signs and Symptoms of Dysphagia

Prolonged feeding and/or fatigue
 b. Oral expectoration, nasal regurgitation
 c. Drooling/increased secretions
 d. Coughing/choking/throat clearing
 e. Weight loss or changes in diet
 f. Dehydration, temperature spike, pneumonia
 g. Pocketing of food, mouth odor
 h. Gurgly/wet voice or cry
 i. Rejection of food, food selectivity, gagging

 

Screening

Screening should be a quick, noninvasive, low-risk procedure
 b. Based on chart review and [...]

Management : Feeding Problems in Infants and Children

Feeding problems are often frustrating, especially if the baby wakes often or cries during the night. Follow this chart for information and care suggestions.

SYMPTOMS
 
DIAGNOSIS
 
SELF-CARE

 
 
 
 

1. Does your baby always seem hungry?

Go to Question 7.*
 
 

 
 
 
 

2. Is your baby breast-fed?

If your baby still seems hungry despite frequent feedings, he or she may not be attaching to the breast [...]

Assessment of Swallowing: Clinical and Instrumental Evaluations

 

Signs and Symptoms of Dysphagia

Prolonged feeding and/or fatigue
 b. Oral expectoration, nasal regurgitation
 c. Drooling/increased secretions
 d. Coughing/choking/throat clearing
 e. Weight loss or changes in diet
 f. Dehydration, temperature spike, pneumonia
 g. Pocketing of food, mouth odor
 h. Gurgly/wet voice or cry
 i. Rejection of food, food selectivity, gagging

 

Screening

Screening should be a quick, noninvasive, low-risk procedure
 b. Based on chart review and [...]

Assessment of Feeding Interactions

 
Preterm infants and their families are at risk of problems in feeding interactions due to long periods of hospitalization and other factors. The feeding observation should include an assessment of how the caregiver and infant work together as a team during feeding. One systematic method for observing infant/caregiver interactions during feeding has been developed by [...]

Assessment of Feeding Performance

 
State Control
A continuum of states of consciousness, ranging from deep sleep though awake states to crying has been described. The optimal state for feeding is an awake, alert, or active state, although some infants can feed adequately in a drowsy state. State control difficulties may be components of a variety of medical conditions. Assessment of [...]