Dedicated to up to date pediatric feeding and dysphagia information
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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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 >>
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 >>
History: 4 year old healthy male with the following presenting symptoms: pocketing and holding solid foods in his mouth for prolonged periods of time coughing during and after meal time wet vocal quality toward the middle to end of the meal reduced intake at meal time and some food refusal need for supplement to maintain weight intermittent vomiting effortful Keep Reading >>
Developmental milestones and feeding skills birth to 36 months http://www.nature.com/gimo/contents/pt1/fig_tab/gimo17_T3.html I came across this feeding milestone table after reading a question on a dysphagia listserve about feeding scales. After multiple emails (to the author, website and 2 different publishers), I have yet to find anyone who can give me permission to post this Keep Reading >>
The Center for Pediatric Feeding & Swallowing St. Joseph’s Children’s Hospital, Paterson, NJ www.feedingcenter.org Video examples: Clip 1 shows the client using his lips to help transport (not using tongue as retracted). clip 1 Clip 2 shows good chin support and getting on tongue with spoon. clip 2 Keep Reading >>
Written by: The Center for Pediatric Feeding & Swallowing St. Joseph’s Children’s Hospital, Paterson, NJ www.feedingcenter.org Failure to advance texture is a very common feeding problem for many children. Successful advancement of texture is dependent on the ability to move the tongue freely and fluidly throughout the oral cavity while the jaw remains stable. Keep Reading >>
QUESTION: I am posting this for a colleague that works in our NICU department; we'd appreciate any insight you might have! "Can there be significance to infants with tongue tip elevation as the preferred position while at rest? We currently have two infants on our NICU caseload that consistently hold this position. It is interfering with feeding as the infants both root but will Keep Reading >>
When it is time to start working on cup drinking, I typically start with an open cup. Every child's situation is unique and must be considered individually when making the decision about which cup to use. These are typical scenarios where an open cup may be beneficial: The child refuses the cup and is solely dependent on bottle or breast feeding. The child will drink water in Keep Reading >>