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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

Cases from Clinic 

April 21, 2018 by Krisi Brackett 7 Comments

Cases from Clinic  I thought I would start a regular post once a month highlighting some of our kids and how we provide intervention. I post this hoping it might give some treatment ideas to clinicians. There are many ways to treat feeding and swallowing difficulty so my intention is not to promote a certain technique or method but only to provide ideas and generate good discussion.  Case  Keep Reading >>

Filed Under: Feeding Treatment Tagged With: feeding cases, feeding problem, feeding team, feeding therapy, food refusal, swallowing

The TR-eat® Model  

March 30, 2018 by Krisi Brackett Leave a Comment

The TR-eat® Model    Written by:  Carol Elliott, OTR/L and Elizabeth Clawson, PhD Elliott, C. & Clawson, E. (2010). The TR-eat Model. Pediatric Feeding and Dysphagia Newsletter.  December, Vol 10, #4, p1-6. (Revised 2018) The TRansdisciplinary Effective Assessment and Treatment (TR-eat®) model melds medical management, skill building and behavioral interventions to create a Keep Reading >>

Filed Under: Assessment, Behavioral Intervention, Feeding Treatment, Oral-motor and Sensory, workshops Tagged With: Carol Elliott, Elizabeth Clawson, feeding problem, feeding treatment model, feeding workshops, food refusal, The TR-eat® Model

Learning in Feeding Therapy  

December 9, 2017 by Krisi Brackett Leave a Comment

by Jenny McGlothlin MS, SLP-CCC, CLC “Tell me and I forget. Teach me and I remember. Involve me and I learn.” -Benjamin Franklin As I finish my 16th year as a feeding therapist, I have come to realize that I have learned a few things about learning. Learning is at the crux of what I do every day. Helping parents understand how learning to eat happens and teaching them how to transition Keep Reading >>

Filed Under: Feeding Treatment Tagged With: feeding aversion, feeding therapy, food refusal, Jenny McGlothlin, oral aversion, picky eating

Manipulating Feeding Schedules to Improve Intake

June 20, 2017 by Krisi Brackett 1 Comment

We (me and a dietician) recently saw a medically complex child with  who was refusing her bottle. Her mother expressed extreme frustration with feeding time stating that she had to sing and dance in order for her child to take her bottle. Bottles took 45 minutes to an hour with frequent refusals and pulling off of the nipple. It was so exhausting she had returned to NG feeds for the last feed of Keep Reading >>

Filed Under: Feeding Treatment, General Feeding Information, Nutrition Tagged With: food refusal, improving intake, oral aversion, poor appetite

‘Five a day’ or ‘good enough’? 

May 18, 2017 by Krisi Brackett 1 Comment

by LUCY COOKE, PhD In the UK, the healthy eating lobby has recently achieved a good deal of traction and few parents remain unaware of the benefits of feeding their child a diet rich in fruits and vegetables. Many schools have put nutrition policies in place and many have banned any kind of unhealthy food from their premises. Mandatory nutrition standards are now in place for meals served in Keep Reading >>

Filed Under: Behavioral Intervention, Nutrition Tagged With: child feeding difficulty, food refusal, limited child diet, nutrition for poor feeding, stress with feeding

Do children stop eating orally after a G-tube is placed?

August 21, 2016 by Krisi Brackett 1 Comment

Feeding tubes are recommended for a variety of reasons. The most common being for a child who has a history of poor weight gain and growth or has a medical condition making the transition to oral feeding slow or difficult. Parents have many concerns and fears about placing a feeding tube that often include, “Will my child stop eating by mouth?”, “Can my child still eat by mouth?”, or  “How long Keep Reading >>

Filed Under: Feeding Treatment, Gastrointestinal Tagged With: feeding problem, food refusal, G tube, tube feeding formula, tube weaning

Book Excerpt: Helping Your Child with Extreme Picky Eating: A Step-by-Step Guide for Overcoming Selective Eating, Food Aversion, and Feeding Disorders

January 3, 2016 by Krisi Brackett Leave a Comment

Thank you Jenny McGlothin for providing this excerpt! Book Excerpt from: Helping Your Child with Extreme Picky Eating: A Step-by-Step Guide for Overcoming Selective Eating, Food Aversion, and Feeding Disorders by Katja Rowell, MD, Jenny McGlothlin, MS CCC-SLP, and Suzanne Evans Morris, PhD. www.extremepickyeating.com   Helping families help their children develop a positive Keep Reading >>

Filed Under: Feeding Treatment, General Feeding Information Tagged With: eating, extreme picky eating, feeding therapy, food acceptance, food refusal, hunger, Jenny McGlothlin, Katja Rowell, MD, mealtime, MS CCC-SLP, Pediatric Dysphagia, PhD., picky eating, selective eating, Suzanne Evans Morris

Cyproheptadine (or periactin) to Boost Appetite

May 16, 2015 by Krisi Brackett 41 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

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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

  • Alana on Feeding Flock – Feeding Assessment Tools
  • Cindy Belliveau on Oral Dysphagia (oral motor delay): Making recommendations for appropriate diet textures for the child with feeding difficulty
  • Denise on Cyproheptadine (or periactin) to Boost Appetite
  • Brenda Everman on ABSSD Summer Webinar – Pediatric
  • Krisi Brackett on Feeding Flock – Feeding Assessment Tools

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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 >>

More This Way

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 >>

More This Way

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

  • 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

  • Alana on Feeding Flock – Feeding Assessment Tools
  • Cindy Belliveau on Oral Dysphagia (oral motor delay): Making recommendations for appropriate diet textures for the child with feeding difficulty
  • Denise on Cyproheptadine (or periactin) to Boost Appetite
  • Brenda Everman on ABSSD Summer Webinar – Pediatric
  • Krisi Brackett on Feeding Flock – Feeding Assessment Tools

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