Case Studies

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Complex Case – Changing Therapy Strategies When Needed

January 3, 2020 by Krisi Brackett 2 Comments

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 history: Downs syndromeEsophageal Atresia and TEF fistula with several dilations and repairsLaryngeal Tracheal Cleft s/p repair with Keep Reading >>

Feeding Harley

January 5, 2019 by Krisi Brackett 1 Comment

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 medical disclaimer. All children are different and respond differently to intervention. Any post on my blog should be taken as general advice and any Keep Reading >>

Cases From Clinic

July 4, 2018 by Krisi Brackett Leave a Comment

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 are many ways to treat feeding and swallowing difficulties, so my intention is not to promote a certain technique or method but only to provide ideas Keep Reading >>

On the research front…

May 20, 2016 by Krisi Brackett 1 Comment

Summaries of new research! Simons JP, Greenberg LL, Mehta DK, Fabio A, Maguire RC1, Mandell DL. Laryngomalacia and swallowing function in children. Laryngoscope. 2016 Feb;126(2):478-84. doi: 10.1002/lary.25440. Epub 2015 Jul 7. Swallowing dysfunction is common in children with laryngomalacia regardless of disease severity or other medical comorbidities. Swallowing Keep Reading >>

NASPGHAN Meeting

October 9, 2015 by Krisi Brackett Leave a Comment

North American Society for Pediatric Gastroenterology, Hepatology and Nutrition Annual Meeting, Washington DC October 7 - 11, 2015 Check out the UNC Feeding Team Poster at NASPGHAN today. Way to go Team! Keep Reading >>

Clinical Thoughts for the week and case

July 19, 2015 by Krisi Brackett 2 Comments

Clinical Thoughts for the week G-tubes can be a bridge to becoming a healthy oral eater. (not a failure) It takes a village to help children and parents with these complicated feeding issues. When you help a child learn to be a successful eater- you change a family's life. If progress is to be made, it is essential for caregivers and parents Keep Reading >>

Interesting Case: when signs and symptoms of aspiration are not what they seem

March 7, 2015 by Krisi Brackett Leave a Comment

History: 4 year old healthy male with the following presenting symptoms: pocketing and holding solid foods in his mouth for prolonged periods of time coughing during and after meal time wet vocal quality toward the middle to end of the meal reduced intake at meal time and some food refusal need for supplement to maintain weight intermittent vomiting effortful Keep Reading >>

Case Study: Long Meal Times and Poor Chewing: A Feeding Team Approach

June 1, 2014 by Krisi Brackett Leave a Comment

Case Study: Long Meal Times and Poor Chewing: A feeding Team Approach Referral:B.T. - a 6 year old female with prolonged meal time (meals can take 45-60 minutes). B.T. also pockets and holds solids in her cheeks and needs verbal cues to chew. Feeding Team Evaluation and Management: Medical history taken during assessment included: 30 week preterm infant Attention Keep Reading >>

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