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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.

Read More About Me Here...
  • Behavioral Intervention
  • About Me
    • Disclosure and Disclaimer Policy
  • 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
  • Shop Ebooks
  • General Feeding Information
  • Recommended Products
  • Motor and Positioning
  • Nutrition
  • Oral-motor and Sensory
  • Product Info
  • Research
  • Swallowing
  • Uncategorized
  • Workshops &
    Presentations
  • Work
    With Me
  • Links
    We Like

Laryngeal Tracheoesophageal Cleft Type 1 (LTC 1) and Aspiration

November 29, 2015 by Krisi Brackett 1 Comment

I have wanted to post something about Type1 laryngeal clefts for while and am just getting around to it. A Laryngeal Tracheoesophageal Cleft Type 1 (LTC 1) should always be part of a differential diagnosis when it comes to aspiration or symptoms of aspiration. A laryngeal tracheoesophageal cleft is a space between the larynx and the esophagus.   There are 4 basic types: Type I: is a cleft Keep Reading >>

Filed Under: Research, Swallowing Tagged With: aspiration, cough, laryngeal cleft, modified barium swallow study, noisy breathing, Pediatric Dysphagia, signs of aspiration, swallowing

How to Teach Your Nine Month Old to Drink from a Straw by Melanie Potock MA CCC-SLP

September 5, 2015 by Krisi Brackett Leave a Comment

This post come from Melanie Potock MA CCC-SLP. Check out her website, new book and course listings at http://www.mymunchbug.com/. How to Teach Your Nine Month Old to Drink from a Straw   Keep Reading >>

Filed Under: Feeding Treatment, Oral-motor and Sensory Tagged With: drinking, feeding therapy, lip rounding, mouth opening, Pediatric Dysphagia, speech therapy, straw, straw drinking, swallowing

Problem-Solving Your NICU Role with Catherine Shaker MS/CCC-SLP, BCS-S

August 1, 2015 by Krisi Brackett Leave a Comment

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 >>

Filed Under: Feeding Treatment, Oral-motor and Sensory Tagged With: bottle, catherine shaker, feeding therapy, NICU, speech therapy, swallowing

The Early Feeding Skills Assessment Tool (EFS)

July 7, 2015 by Krisi Brackett 2 Comments

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 >>

Filed Under: General Feeding Information, Oral-motor and Sensory Tagged With: bottle, catherine shaker, cue based feeding, early feeding skill, feeding therapy, NICU, Pediatric Dysphagia, speech therapy, Suzanne Thoyre, swallowing

Developing the skills for pediatric feeding therapy locally

June 29, 2015 by Krisi Brackett 5 Comments

Question: I recently received a comment with a question about how best to develop the skills to provide pediatric feeding and swallowing intervention (as a working professional, with limited ability to travel). Many therapists (myself included) graduated before classes were introduced into the grad school curriculum.    The reader asked for suggestions for online courses or programs or books Keep Reading >>

Filed Under: Feeding Treatment, General Feeding Information Tagged With: ASHA, feeding therapy, feeding workshops, Pediatric Dysphagia, resources, speech therapy, swallowing

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

Fees in Pediatrics, Considerations for adapting the exam to infants and children By Krisi Brackett, MS, CCC-SLP, and Brian Kanapkey, MA, CCC-SLP

May 25, 2014 by Krisi Brackett Leave a Comment

This article was published in Advance for Speech-Language Pathologists, November, 2004 , Vol. 14 •Issue 45 • Page 10. Advance gave permission to re-post. Original article can be accessed at:http://speech-language-pathology-audiology.advanceweb.com/Article/Fees-in-Pediatrics.aspx Since Susan Langmore developed fiberoptic endoscopic evaluation of swallowing (FEES) in 1988, the use of endoscopy for Keep Reading >>

Filed Under: Swallowing Tagged With: aspiration, FEES, MBSS, signs of aspiration, swallowing

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  • Special Considerations in the Treatment of Pediatric Feeding Disorders in Autistic Patients (2.5 Hours)- Free webinar
  • A Gold Standard for Meals with Children Using NG Tubes
  • Feeding Matters – Get Curious!
  • Universal Aspects in Feeding Intervention
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  • Taralee Morgan on Special Considerations in the Treatment of Pediatric Feeding Disorders in Autistic Patients (2.5 Hours)- Free webinar
  • Debbie Frierson on Special Considerations in the Treatment of Pediatric Feeding Disorders in Autistic Patients (2.5 Hours)- Free webinar
  • NEYTZA RODRIGUEZ on Special Considerations in the Treatment of Pediatric Feeding Disorders in Autistic Patients (2.5 Hours)- Free webinar
  • Tara Wiley on Special Considerations in the Treatment of Pediatric Feeding Disorders in Autistic Patients (2.5 Hours)- Free webinar
  • Gloria Macias-DeFrance on Feeding Flock – Feeding Assessment Tools

Special Considerations in the Treatment of Pediatric Feeding Disorders in Autistic Patients (2.5 Hours)- Free webinar

Hello! I wanted to let you know about a free talk I am giving tomorrow with my colleagues Dr. Carmen Caruthers and Janet Martin. We are going to talk about our collaboration between the UNC TEACCH program and the feeding team and how we are working with some of our kiddos. Sorry for the late notice. It's 9-11:30 (not recorded)- please come if you are free! - Krisi Keep Reading >>

Feeding Treatment

Universal Aspects in Feeding Intervention

Let's talk about universal aspects in feeding interventionThis 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 >>

Involving Caregivers in Feeding Therapy

Feeding children is a dyad between the child and their caregiver who is responsible to buying, preparing, and presenting food. In all of my classes whether it be for professionals or graduate students, I talk about the importance and benefits of Keep Reading >>

Adapted Baby Led Weaning

Information from Jill Rabin CCC-SLP/L, IBCLCI wanted to share some resources for adapted baby led weaning from Jill Rabin. I was lucky enough to catch a free seminar last month from Jill which inspired me to add in some of these techniques to my Keep Reading >>

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Swallowing

Implementing FEES for Infants in CVICU & NICU

BackTable / ENT / Podcast / Episode #165Implementing FEES for Infants in CVICU & NICU with Olivia Brooks, SLPIn this episode, pediatric speech language pathologist (SLP) Olivia Brooks (University of Florida Shands Hospital) shares her experience 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 childhood 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, MS, 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 existence of 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 CHART 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, occupational 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 history:Downs 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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Recent Posts

  • Special Considerations in the Treatment of Pediatric Feeding Disorders in Autistic Patients (2.5 Hours)- Free webinar
  • A Gold Standard for Meals with Children Using NG Tubes
  • Feeding Matters – Get Curious!
  • Universal Aspects in Feeding Intervention
  • Handout Info- Feeding and Syndrome Info

Recent Comments

  • Taralee Morgan on Special Considerations in the Treatment of Pediatric Feeding Disorders in Autistic Patients (2.5 Hours)- Free webinar
  • Debbie Frierson on Special Considerations in the Treatment of Pediatric Feeding Disorders in Autistic Patients (2.5 Hours)- Free webinar
  • NEYTZA RODRIGUEZ on Special Considerations in the Treatment of Pediatric Feeding Disorders in Autistic Patients (2.5 Hours)- Free webinar
  • Tara Wiley on Special Considerations in the Treatment of Pediatric Feeding Disorders in Autistic Patients (2.5 Hours)- Free webinar
  • Gloria Macias-DeFrance on Feeding Flock – Feeding Assessment Tools

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