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Pediatric Feeding News

Dedicated to up to date pediatric feeding and dysphagia information

Welcome!

Hi, I'm Krisi Brackett, PhD, CCC-SLP,C/NDT. This blog is dedicated to current information on pediatric feeding and swallowing issues. Email me at feedingnewsletter@gmail.com with questions.

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Feeding Therapy: The Benefits of Working Closely with Parents and Establishing a Home Program

September 21, 2014 by Krisi Brackett 1 Comment

Most therapists would agree that one of the markers of success in feeding therapy is when a parent or caregiver can successfully feed their child. I would add that it is our job as feeding therapists to not only work with the child but to also work closely with the caregivers. Specifically, to empower caregivers and parents with the skills needed to successfully feed their children and to support Keep Reading >>

Filed Under: Feeding Treatment

Article Highlight: children’s eating patterns

September 17, 2014 by Krisi Brackett Leave a Comment

Children's eating patterns seem set in infancy Healthful eating early in life pays dividends later CBC News Posted: Sep 02, 2014 3:02 PM ETLast Updated: Sep 02, 2014 10:16 PM ET Interesting article about a recent supplement of the Journal Pediatrics which included 11 U.S. government funded studies that tracked the eating patterns of about 1,500 individuals. Highlights Keep Reading >>

Filed Under: General Feeding Information

Update on post: Know the flow, don’t go with the flow!

September 2, 2014 by Krisi Brackett 1 Comment

Know the flow, don’t go with the flow! by Britt Pados PhD(c), RN, NNP-BC, bpados@email.unc.edu. I have had multiple requests for the charts on nipple flow rates which are hard to see in the original post. I have added a pdf link under each chart. If you click on the pdf link it will open up the chart in a new page.I will also add the links here. Pados Graph 1 for Blog Post PDF-2 Keep Reading >>

Filed Under: Uncategorized Tagged With: bottle, feeding problem, feeding therapy, NICU, nipples

Childhood Food Allergies: Exploring the Facts and Myths

September 2, 2014 by Krisi Brackett 1 Comment

Internationally renowned pediatric food allergy expert, Dr. Wesley Burks, chief physician of N.C. Children’s Hospital and chair of the UNC Department of Pediatrics, sat down for an insightful interview exploring the facts and myths of childhood food allergies.   Q: Is the “explosion” in childhood food allergies a real phenomenon or is there simply a perception that food allergies are on the Keep Reading >>

Filed Under: allergy

Ideas for Transitioning off of a G-tube

August 23, 2014 by Krisi Brackett 14 Comments

When a child is referred for feeding therapy to transition off of a feeding tube, what is the best intervention strategy?   The best answer is the one that works in the most efficient way possible! In all honesty, there is no standard approach to transitioning off of a feeding tube. There are many different approaches that range from:   reducing tube feeding volumes to encourage Keep Reading >>

Filed Under: Feeding Treatment Tagged With: appetite, feeding therapy, Pediatric Dysphagia, speech therapy, tube feeding, tube feeding formula, tube weaning

Lessons from the Best: Supporting Your Fellow Therapists by Melanie Potock, MA, CCC-SLP

August 9, 2014 by Krisi Brackett Leave a Comment

When Krisi asked me to write something for her blog about feeding therapy, I thought about all the various aspects of helping kids to eat: the physiological and/or medical concerns, the sensory piece, the motor skills and the learned behaviors. But what keeps popping into my head are the lessons I learned from many expert clinicians, like Krisi. (She’s turning red right now, but let me Keep Reading >>

Filed Under: Feeding Treatment, General Feeding Information

Question about Tongue Tip Elevation in the Preterm Infant by Catherine Shaker, MS/CCC-SLP, BCS-S

August 3, 2014 by Krisi Brackett Leave a Comment

QUESTION: I am posting this for a colleague that works in our NICU department; we'd appreciate any insight you might have!    "Can there be significance to infants with tongue tip elevation as the preferred position while at rest?  We currently have two infants on our NICU caseload that consistently hold this position.  It is interfering with feeding as the infants both root but will Keep Reading >>

Filed Under: Oral-motor and Sensory

Solutions for Retching by Susan Agrawal, the editor of Complex Child

July 20, 2014 by Krisi Brackett Leave a Comment

Solutions for Retching by Susan Agrawal, the editor of Complex Child, http://www.complexchild.com/ Complex Child is a monthly online magazine written by parents of children with special healthcare needs and disabilities.  It is intended to provide medical information, along with personal experiences, in simple language that other parents can understand.  Articles are on a wide variety of topics Keep Reading >>

Filed Under: Gastrointestinal

Working on Cup Drinking: The Benefits of Using an Open Cup

July 15, 2014 by Krisi Brackett 12 Comments

When it is time to start working on cup drinking, I typically start with an open cup. Every child's situation is unique and must be considered individually when making the decision about which cup to use. These are typical scenarios where an open cup may be beneficial: The child refuses the cup and is solely dependent on bottle or breast feeding. The child will drink water in Keep Reading >>

Filed Under: Feeding Treatment, Oral-motor and Sensory Tagged With: cup, feeding problem, feeding therapy, medicine cup, nosey cup, open cup, sassy infatrainer, speech therapy, therapeutic cup

WHAT BABY FOOD JARS DON’T TELL YOU ABOUT INTRODUCING FOODS Diane Bahr, MS, CCC-SLP, Feeding Specialist

July 6, 2014 by Krisi Brackett Leave a Comment

The Problem   Parents often receive little instruction about “when and how to introduce foods and liquids” to their babies. They mostly rely on their pediatricians who give them the best information they have during “well baby” visits. Then parents turn to family and friends who themselves have limited knowledge and experience. Baby food manufacturers also place minimal guidelines on their Keep Reading >>

Filed Under: General Feeding Information, Oral-motor and Sensory Tagged With: baby feeding, feeding development, spoon feeding

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Recent Posts

  • On the research front
  • Gagging and the Salt Technique
  • Sharing UNC Children’s – North Carolina Children’s Hospital’s post
  • On the research front….
  • Purees and Baby Led feeding Strategies

Recent Comments

  • Jessica Roberts-Grant on Special Considerations in the Treatment of Pediatric Feeding Disorders in Autistic Patients (2.5 Hours)- Free webinar
  • Sally Asquith on Sharing UNC Children’s – North Carolina Children’s Hospital’s post
  • Krisi Brackett on Sharing UNC Children’s – North Carolina Children’s Hospital’s post
  • Donna Richmond on Sharing UNC Children’s – North Carolina Children’s Hospital’s post
  • Kaye Baumgardner on On the research front….

On the research front

West, K. M. (2024). Treating Pediatric Feeding Disorders and Dysphagia: Evidence-Based Interventions for School-Based Clinicians. Language Speech and Hearing Services in Schools, 1–14. https://doi.org/10.1044/2023_lshss-23-00016 This article addresses the growing prevalence of children with pediatric feeding disorder (PFD) and dysphagia within school-based speech-language pathology caseloads. Keep Reading >>

Feeding Treatment

Gagging and the Salt Technique

During my dissertation research on children with PFD and gagging, I came across an interesting technique to treat gagging that was briefly mentioned in a few dental journals and one dental dissertation. It was referred to as the salting Keep Reading >>

Sharing UNC Children’s – North Carolina Children’s Hospital’s post

https://www.facebook.com/share/p/1LWL3PKJ6r UNC Children's posted about one of wonderful kids from feeding clinic and I am sharing here! Last year, we obtained an Innovative UNC grant to bring TEACCH, the UNC autism center (https://teacch.com/) Keep Reading >>

Universal Aspects in Feeding Intervention

Let's talk about universal aspects in feeding intervention This is any idea I have been playing around with for awhile now. We all know that there are different strategies and philosophies in feeding treatment. This is a good thing- we need many Keep Reading >>

Understanding Parenting Styles in Feeding Therapy

As feeding therapists, we work closely with caregivers and parents. Perhaps our biggest success in feeding intervention is helping a parent be able to feed their child. One way we do this is to help caregivers understand their child's cues and how to Keep Reading >>

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Swallowing

Implementing FEES for Infants in CVICU & NICU

BackTable / ENT / Podcast / Episode #165 Implementing FEES for Infants in CVICU & NICU with Olivia Brooks, SLP In this episode, pediatric speech language pathologist (SLP) Olivia Brooks (University of Florida Shands Hospital) shares her Keep Reading >>

What is a MBSS- video for kids

I wanted to share a video we made to help children coming to UNC for a modified barium swallow study. Please share with your clients if you think it is helpful. It's also on our feeding team page Keep Reading >>

Swallowing Difficulties May Be Caused by Misfiring Neurons

in Genetic Engineering & Biotechnology News (GEN) Pediatric dysphagia (swallowing difficulties) is a frequent and serious clinical complication in a large number of clinically defined neurodevelopmental disorders including the genetic Keep Reading >>

Swallow: A Documentary- Dysphagia

Nice Documentary on Dysphagia from the National Foundation of Swallowing Disorders. Keep Up the Good Work Everyone! Keep Reading >>

Oral-Motor and Sensory

Impact of Oral Motor Impairment in Infants with Poor Feeding Webinar

Impact of Oral Motor Impairment in Infants with Poor Feeding  Presented by Debra Beckman, MS, CCC-SLP, https://www.beckmanoralmotor.com/ A few weeks ago I had the pleasure of attending a wonderful free webinar presented by Debra Beckman, Keep Reading >>

Musculus masseter pars coronidea

Scientists Just Identified a Brand New Muscle Layer in The Human Jaw  DAVID NIELD23 DECEMBER 2021  It turns out there are still exciting new discoveries to be made in a field as well-studied as human anatomy: researchers have confirmed the Keep Reading >>

Poster: Child Cain’t Chew

This poster from 2018 was shared with me by Sally Asquith who gave permission to post here. The objective of this study: REVIEW CURRENT LITERATURE PERTINENT TO THE ROLE OF ORAL-MOTOR DEVELOPMENT IN DX AND TX OF PFD. COMPLETE A RETROSPECTIVE Keep Reading >>

The Sensory-Motor Approach to Modified Baby-Led Weaning for Babies with Feeding Challenges

by Jill Rabin & Lori Overland Baby-Led Weaning has become “all the rage” with many parents choosing this method of transitioning their little ones to solid foods. Everyone is jumping in, with speech pathologists, dietitians, Keep Reading >>

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Case Studies

Challenging case with advice from Suzanne Evans Morris, PhD

In this post, I have described a challenging case  and solicited advice from Suzanne Evans Morris, PhD, one of the experts in our field. Suzanne graciously provided commentary and advice and challenged me to look differently at the feeding Keep Reading >>

Complex Case – Changing Therapy Strategies When Needed

Complex Case - Changing Therapy Strategies When Needed *I shared this case with Suzanne Evans Morris and she provided some   guidance and analysis at the end. Hope you enjoy  John is a 6 year old male with a complex medical Keep Reading >>

Feeding Harley

I am excited to share Harley’s story, written by his Mother about her journey to help her son wean from his g-tube and become an oral feeder. Thank you Liz for sharing and inspiring us all to continue looking for answers! I feel I do need post a Keep Reading >>

Cases From Clinic

Cases From Clinic This is my second post highlighting some of our kids and how we provide multidisciplinary intervention using a medical/nutritional/behavioral approach. I post this hoping it might give some treatment ideas to clinicians. There Keep Reading >>

More This Way

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Categories

Recent Posts

  • On the research front
  • Gagging and the Salt Technique
  • Sharing UNC Children’s – North Carolina Children’s Hospital’s post
  • On the research front….
  • Purees and Baby Led feeding Strategies

Recent Comments

  • Jessica Roberts-Grant on Special Considerations in the Treatment of Pediatric Feeding Disorders in Autistic Patients (2.5 Hours)- Free webinar
  • Sally Asquith on Sharing UNC Children’s – North Carolina Children’s Hospital’s post
  • Krisi Brackett on Sharing UNC Children’s – North Carolina Children’s Hospital’s post
  • Donna Richmond on Sharing UNC Children’s – North Carolina Children’s Hospital’s post
  • Kaye Baumgardner on On the research front….

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