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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.

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About Me

 Welcome to pediatricfeedingnews.com!

This blog is dedicated to providing the most up to date and current information related to pediatric feeding and swallowing problems. My name is Krisi Brackett PhD, SLP-CCC, C/NDT and I am a speech pathologist who has specialized in pediatric feeding and swallowing issues for over 30 years.

My Experience:

Clinician: I work at UNC Children’s Hospital and I am a founding member of our interdisciplinary feeding team (UNC Feeding Team). Our philosophy is based on a medical, nutritional, and therapeutic approach and I will post about our experiences in using this type of treatment with our feeding kids. I feel so lucky to work on a feeding team with physicians, nurse practitioners, and dietitians. However, I have treated children through early intervention and privately in their homes so I know how beneficial in home therapy can be. I also see children with oral-pharyngeal dysphagia with a pulmonologist in our pediatric swallowing clinic. In addition to working in feeding and swallowing clinics, I provide feeding therapy and instrumental swallowing studies (MBSS, FEES).

Adjunct Professor/Teaching: I am an adjunct professor at UNC-Chapel Hill, UNC-Greensboro, and Yeshiva University where I teach graduate level classes on pediatric feeding and swallowing. I also provide workshops and webinars for professionals. I developed the CAN-EAT Approach workshop and teach about using a medical, nutritional, and therapeutic approach to working with children with feeding disorders. See my teaching schedule here.

Research/Writing: I am involved in feeding research. I have co-written 2 chapters on feeding topics for text books; one on a wholistic approach to feeding and the other on nutritional issues. I also write and manage this free blog which started as a paper newsletter in July 1999. The original paper versions are on their own page on the blog.

   My experience includes:

  • Providing evaluation, treatment, and instrumental swallowing studies (MBSS and FEES) for over 30 years. I have worked in hospitals, early intervention, and private practice.
  • Founding member of the UNC Feeding Team and our Pediatric Swallowing Team
  • Participation on several ASHA committees regarding pediatric feeding issues including SIG 13.
  • Participation with current feeding research.
  • Teaching as an adjunct instructor for a graduate level pediatric feeding and dysphagia class at UNC- Chapel Hill,  Yeshiva University, and UNC-Greensboro.
  • Developed the CAN-EAT Approach© (using a medical/motor/therapeutic approach and SIPS© (swallowing in pediatrics).
  • Supervising master’s level student clinicians and providing specialty training for professionals
  • Pediatric NDT certified.
  • Co-authored first chapter in Pediatric Feeding Disorders: Evaluation and Treatment, 2013, Therapro &
  • Co-authored nutrition chapter in 3rd edition of The Source for Pediatric Dysphagia, Pro-Ed (anticipated publication Fall 2023).
  • Write and manages pediatricfeedingnews.com blog since 1999 (started as paper newsletter).
  • Member of the Feeding Flock Research group (feedingflockteam.org).
  • Provides consultation and coaching to professionals and caregivers.

    Pediatric Feeding Disorders (PFD) are defined as impaired oral intake that is not age appropriate, and is associated with one or more of four domains including medical, nutritional, feeding skill, and psychosocial dysfunction (Goday et al., 2019). Research tells us that PFD’s  are common and increasing. Emerging evidence suggests that the annual prevalence of PFD in US children is between 1 and 37 in children under 5 years of age and 1 in 5 in children under 5 with chronic diseases (Kovacic et al., 2021).

These problems are complicated, often multifactorial, and can be difficult to treat involving many different professionals. We know there isn’t just one way to treat a child with a feeding problem. I hope this blog  provides a hub of information from a variety of disciplines to help us with continued learning about this fascinating specialty area. Fashioned after my newsletter, we will feature general information, interviews, guest posts, research reviews, treatment ideas, case studies, product recommendations, book reviews, and workshop/training information.

Thank you for stopping by! Krisi

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Recent Posts

  • Purees and Baby Led feeding Strategies
  • 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

Recent Comments

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

Purees and Baby Led feeding Strategies

By Marsha Dunn Klein. OTR/L, MEd., FAOTAhttps://blwday.comThere are lots of opinions out there about purees and baby led feeding strategies.  Have you heard you can “never” use a spoon in baby led feeding? Or that purees are a “no, no”?  These are myths.  Let’s break it down.Central to the idea of baby LED feeding is that the baby shares the family meal and is a partner in the 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 >>

More This Way

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 >>

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 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 >>

More This Way

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Recent Posts

  • Purees and Baby Led feeding Strategies
  • 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

Recent Comments

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

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