Question: I am an NICU therapist in a 57 bed level 4 NICU, we have a very difficult time convincing physicians of the benefit and necessity for speech therapy and OT in the NICU. Chronic babies are ordered as well as babies with a diagnosed syndrome or cleft palate etc. However babies with bleeds, long term intubation and kids with PMA of 24-28 weeks that should have a consult are sometimes Keep Reading >>
The Early Feeding Skills Assessment Tool (EFS)
This is re-posted with permission from Catherine Shaker from her website at http://www.Shaker4SwallowingandFeeding.com . Thank you Catherine! Posted on May 16, 2015 by Shaker Seminars An NICU SLP recently asked about resources for training neonatal nurses on feeding stress cues and stop signs. An SLP I know from Minnesota, Wendy, suggested the SLP take a look at the EFS. I responded Keep Reading >>
Update on post: Know the flow, don’t go with the flow!
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 >>
Bottle or Breast Feeding Dependence and Transitioning to a Cup
Cup Transition For most children, the recommendation to transition from the bottle to cup is typically around 1 year. Prolonged bottle use can cause: tooth decay or bite malformation may encourage your child to drink much more milk than he needs may find it hard to Keep Reading >>
Know the flow, don’t go with the flow! by Britt Pados PhD(c), RN, NNP-BC, bpados@email.unc.edu.
Parents often ask – “what is the best nipple to use for bottle-feeding my baby?” For most healthy, full-term babies, it really might not matter. Most of these babies will be able to manage the flow from any bottle nipple intended for newborns. Healthy, full-term babies are able to reduce sucking pressure or alter their sucking rate to manage milk flow. These babies also tend to have Keep Reading >>
Ask the Dietician: Comments on recommending infant formulas by Sharon Wallace, RD, CSP, LDN
This post comes from my colleague Sharon, one of the dieticians on our feeding team, in reference to Martina's comment and question on how best to recommend a special formula and how to convince parents to try something new that is more expensive.-Krisi From Sharon: What I would add to Krisi's response is that there are now so many different 'hydrolyzed formulas" on the market that it Keep Reading >>