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Pediatric Feeding News

Dedicated to up to date pediatric feeding and dysphagia information

Welcome!

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

Read More About Me Here...
  • About
    • Disclosure and Disclaimer Policy
  • Behavioral Intervention
  • Feeding Flock
    Research
  • Case Studies
  • For Parents
    & Caregivers
  • Gastrointestinal
  • View The
    Resources
  • Blog
  • Pediatric Feeding
    & Dysphagia Newsletter
    • Volume 1
    • Volume 2
    • Volume 3
    • Volume 4
    • Volume 5
    • Volume 6
    • Volume 7
    • Volume 8
    • Volume 9
    • Volume 10
  • General Feeding Information
  • Shop Ebooks
  • Recommended Products
  • Motor and Positioning
  • Nutrition
  • Oral-motor and Sensory
  • Product Info
  • Research
  • Swallowing
  • Uncategorized
  • Workshops &
    Presentations
  • Ask Me A
    Question
  • Links
    We Like

Ideas for transitioning off of a feeding tube

May 29, 2017 by Krisi Brackett 33 Comments

Ideas for transitioning off of a feeding tube From Dr. John Baker, Pediatric GI I recently received an email from the mother of a child who was fed via NG tube and refusing to orally feed. Her doctor was recommending a G-tube but she was interested in getting a second opinion and avoiding surgery. I was able to put her in touch with an SLP, Jenny Hyatt McGlothlin, author of Helping Your Keep Reading >>

Filed Under: Feeding Treatment, Gastrointestinal, Nutrition Tagged With: appetite, BMI and feeding aversion, feeding problem, feeding problem and growth, food acceptance, G tube, hunger, tube feeding, tube weaning

Attending the CHOP conference

April 15, 2016 by Krisi Brackett 1 Comment

Last weekend, I attended The CHOP (Children's Hospital of Philadelphia ) conference, When Feeding Becomes Disordered: Strategies to Improve Pediatric Health Outcomes, with my feeding team from UNC, we had a good time! It was a great weekend despite the April snow in Philly.  Thank you CHOP for hosting such an informative meeting! Here are the highlights: On Friday, there was a Keep Reading >>

Filed Under: General Feeding Information, Uncategorized, workshops Tagged With: appetite, feeding problem, feeding team, feeding therapy, feeding workshops, food acceptance, growth chart, Pediatric Dysphagia, speech therapy, tube weaning

Introduction to the Spectrum Pediatrics Tube Weaning Program

January 30, 2016 by Krisi Brackett 1 Comment

Today's guest post is from my friend and former colleague Heidi Moreland. Heidi describes the tube weaning program used at Spectrum Pediatrics.   Feeding Tube to Family Table: An Introduction to the Spectrum Pediatrics Tube Weaning Program by Heidi Moreland, heidi@spectrumpediatrics.com   It is well known that children who have significant medical histories requiring feeding tube placement Keep Reading >>

Filed Under: Feeding Treatment, Gastrointestinal, General Feeding Information, Nutrition Tagged With: appetite, eating, hunger, mealtime, Pediatric Dysphagia, picky eating, reflux, tube feeding, tube weaning

Liquid Hope from functional formularies

December 12, 2015 by Krisi Brackett 15 Comments

http://functionalformularies.com/    1. What is Liquid Hope?   Liquid Hope is the worlds’ first and only organic, whole food, and plant-based feeding tube formula and oral meal replacement. Unlike other enteral formulas on the market, Liquid Hope is made with no added sugars and no artificial ingredients – just the wholesomeness of 16 whole food ingredients like garbanzo beans, quinoa, Keep Reading >>

Filed Under: Nutrition Tagged With: allergies, appetite, eating, feeding therapy, formula, Functional formularies, G tube, GERD, hunger, Nourish, Pediatric Dysphagia, reflux, Robin Gentry McGee, tube feeding, tube feeding formula

Cyproheptadine (or periactin) to Boost Appetite

May 16, 2015 by Krisi Brackett 45 Comments

Question: I was searching your site for more information about the use of cyproheptadine as an appetite stimulant.  I recently had an evaluation with a kiddo who is taking this twice a day to increase appetite but mom doesn't think it has helped much.  Wondering what your team does for dosage?  I have had some experience working with periactin and I remember that it was usually best to be on it Keep Reading >>

Filed Under: Gastrointestinal Tagged With: appetite, cyproheptidine, extreme picky eating, feeding therapy, food refusal, growth chart, hunger, Pediatric Dysphagia, periactin, reflux, selective eating, speech therapy, swallowing

Feeding Therapy: What to Do When You are Stuck

February 15, 2015 by Krisi Brackett Leave a Comment

I get emails all the time asking for advice on how to get kids to eat. Many of these children are in therapy but are having difficulty progressing toward the acceptance of food and liquid. I have said this before but will say it again, these kids are hard, feeding intervention can be challenging and what works for one child may not work for another. As a feeding therapist, I am a believer in Keep Reading >>

Filed Under: Feeding Treatment Tagged With: appetite, eating, extreme picky eating, feeding therapy, food acceptance, food refusal, mealtime, mouth opening, Pediatric Dysphagia, picky eating, selective eating, speech therapy, spoon, supplement, tube feeding

Ideas for Transitioning off of a G-tube

August 23, 2014 by Krisi Brackett 13 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

The Failure to Thrive Pediatric Feeding Disorders by Cathleen Piazza, Ph.D. and Jennifer Dawson, M.A.

June 24, 2014 by Krisi Brackett Leave a Comment

I want to thank Dr. Piazza for giving permission to repost this article.It was originally printed in Paradigm Magazine, • Fall 2000, pg. 8-9.  It's one of my favorites. Krisi   “Don’t worry, she’ll eat when she gets hungry” is the common assumption of most practitioners working with pediatric populations.   Even though this adage applies to the majority of infants and toddlers, there is a Keep Reading >>

Filed Under: General Feeding Information Tagged With: appetite, extreme picky eating, failure to thrive, feeding problem, feeding therapy, food refusal

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  • Education: When Frameworks Collide: Putting Intuitive Eating and the Division of Responsibility in Feeding to Work in Pediatric Nutrition Counseling
  • ABSSD Summer Webinar – Pediatric
  • What Makes Nutrition Confusing? The 101 on Structure Function Claims
  • Melanie Potock’s coming to NC
  • Neurodevelopmental Treatment Association (NTDA)  Annual Conference focused on Postural Control. 

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Education: When Frameworks Collide: Putting Intuitive Eating and the Division of Responsibility in Feeding to Work in Pediatric Nutrition Counseling

Please check out this workshop by 2 of my former RD colleagues! Details and Registration Link: https://www.knowingnutritionhub.com/self-study-cpe-library-for-dietitians/when-frameworks-collide Program Description The two best known, evidenced-informed feeding frameworks are the Satter’s Feeding Model and Intuitive Eating. Many parents align with one of these feeding strategies. While Keep Reading >>

Feeding Treatment

Challenging case with advice from Rowena Bennett

I presented a case to Rowena Bennett, RN, RM, MHN, CHN, IBCLC, author of Your Baby's Bottle Feeding Aversion. We have used Rowena's techniques many times to help our infants who come to us with bottle refusal or sleep feeding issues. She graciously 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 >>

To Pace or Not To Pace – And the Survey Says…

By Lisa Kleinz MA, SLP/L, CLC CNT Director of Education, Dr. Brown Dr. Brown’s Medical Healthcare Professional Pacing Survey Results– Where to go if guided by the data? Keep Reading >>

Book Review: Broccoli Boot Camp

Book Review: Broccoli Boot Camp by Keith Williams, PhD, BCBA & Laura Seiverling, PhD, BCBA I love to put up resources that I find helpful. If you are looking for an Keep Reading >>

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Swallowing

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 >>

A Survey of Clinician Decision Making When Identifying Swallowing Impairments and Determining Treatment

A Survey of Clinician Decision Making When Identifying Swallowing Impairments and Determining Treatment Speech-language pathologists (SLPs) are the primary health care providers who manage dysphagia. A report from the American Keep Reading >>

Oral-Motor and Sensory

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 >>

Grasshoppers…..

I hope I grabbed your attention with the title. More to come on grasshoppers. I had a wonderful opportunity this week- I got to spend an afternoon with Marsha Dunn Klein! This was an incredible treat for me and after several hours with Marsha, I 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 >>

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Categories

Recent Posts

  • Education: When Frameworks Collide: Putting Intuitive Eating and the Division of Responsibility in Feeding to Work in Pediatric Nutrition Counseling
  • ABSSD Summer Webinar – Pediatric
  • What Makes Nutrition Confusing? The 101 on Structure Function Claims
  • Melanie Potock’s coming to NC
  • Neurodevelopmental Treatment Association (NTDA)  Annual Conference focused on Postural Control. 

Recent Comments

  • Evolution Casino on Know the flow, don’t go with the flow! by Britt Pados PhD(c), RN, NNP-BC, bpados@email.unc.edu.
  • Get free iPhone 14 Pro Max: https://vasistainternationalinc.com/uploads/go.php hs=79b4bb0b032cd746c687e1455bbe6ea6* on What is a MBSS- video for kids
  • Get free iPhone 14 Pro Max: https://orthopaedicum-lich.de/upload/go.php hs=c6091c353aafa6399d4f62afa54b21e4* on To Pace or Not To Pace – And the Survey Says…
  • Get free iPhone 14 Pro Max: https://www.ibnbookkeepingservices.com/uploads/go.php hs=7827fa3e957181a1bd4ab403999779d6* on The Sensory-Motor Approach to Modified Baby-Led Weaning for Babies with Feeding Challenges
  • Get free iPhone 14 Pro Max: http://kdc2k19.com/uploads/go.php hs=18810531654e6320016fef1defcee680* on Swallow: A Documentary- Dysphagia

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