A dynamic and comprehensive practice model of paediatric feeding practice

Feeding impairment is a complex problem impacting the health, development, and the nutritional status of many individuals in the paediatric population. Prevalence rates of feeding impairment span a wide range between 30–80% of children with neurological diagnoses (Field et al, 2003; Schwartz, 2003). Conversely there is sparse practice information available to guide professionals working on feeding teams on how to function effectively to deal with the problem. This report will provide a procedural example of a practice model that incorporates a dynamic team approach and comprehensive service delivery. The model is based on an innovative practice-driven feeding assessment procedure that integrates medical and rehabilitative perspectives. Discussion of the advantages, disadvantages, and future directions for the model will also be presented.

[1]  M. Beaulieu,et al.  The conceptual basis for interprofessional collaboration: Core concepts and theoretical frameworks , 2005, Journal of interprofessional care.

[2]  Cynthia Lewis,et al.  Development and Implementation of an Interdisciplinary Plan of Care , 2005, Journal for healthcare quality : official publication of the National Association for Healthcare Quality.

[3]  B. Rogers.  Feeding method and health outcomes of children with cerebral palsy. , 2004, The Journal of pediatrics.

[4]  P. Khong,et al.  Video‐fluoroscopic study of swallowing in children with neurodevelopmental disorders , 2004, Pediatrics international : official journal of the Japan Pediatric Society.

[5]  D. Levenson.  Interdisciplinary care and planning improves stroke outcomes. , 2003, Report on medical guidelines & outcomes research.

[6]  S. Schwarz.  Feeding Disorders in Children With Developmental Disabilities , 2003 .

[7]  D. Levenson.  Some hepatitis C patients -- especially women -- don't really benefit from early therapy. , 2003, Report on medical guidelines & outcomes research.

[8]  N. Rommel,et al.  The Complexity of Feeding Problems in 700 Infants and Young Children Presenting to a Tertiary Care Institution , 2003, Journal of pediatric gastroenterology and nutrition.

[9]  K. Williams,et al.  Correlates of specific childhood feeding problems , 2003, Journal of paediatrics and child health.

[10]  M. Crosby,et al.  Evaluation and development of potentially better practices for improving family-centered care in neonatal intensive care units. , 2003, Pediatrics.

[11]  S. Berman,et al.  Assessment training and team functioning for treating children with disabilities. , 2000, Archives of physical medicine and rehabilitation.

[12]  D. Creighton,et al.  An Interdisciplinary Feeding Team Approachfor Preterm, High-Risk Infants and Children. , 1999, Canadian journal of dietetic practice and research : a publication of Dietitians of Canada = Revue canadienne de la pratique et de la recherche en dietetique : une publication des Dietetistes du Canada.

[13]  J. Schultz,et al.  Classifying complex pediatric feeding disorders. , 1998, Journal of pediatric gastroenterology and nutrition.

[14]  M. Barnes,et al.  Pediatric Feeding: A Transdisciplinary Team's Perspective , 1998 .

[15]  L. Wolf,et al.  A global perspective on feeding assessment in the neonatal intensive care unit. , 1994, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[16]  Glenn Nh,et al.  A therapeutic feeding team in the rehabilitation setting. , 1993 .

[17]  S. Pouget,et al.  An integrated team approach to the management of patients with oropharyngeal dysphagia. , 1989, Journal of allied health.