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Chapter 15.3

CSD-2259 Chapter Notes - Chapter 15.3: Upper Gastrointestinal Series, Stridor, Pediatrics

Communication Sciences and Disorders
Course Code
Sheila Temple

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How are pediatric feeding and swallowing disorders identified and treated?
o Early Identification and referral
The timely identification is critical so that immediate intervention can
sustai the hild’s health ad utritio
Newborns typically stay in the hospital for 48 to 72 hours when there are
no complications
Many children do not immediately demonstrate overt feeding disorders
Durig the first ear of life, hildre’s height ad eight are arefull
monitored to reveal any abnormalities or delays
Common behaviors of concern in infants under 6 months of age who are
bottle or breast fed include arching the back, crying, and turning away
from the nipple
Mean age of onset of pediatric feeding problems was 3 months
Mean age of onset of failure to thrive or poor growth was about 9
Mean age at referral by the pediatrician to the feeding clinic was 19
o Comprehensive Assessment
Upon receiving a referral, an SLP conducts a comprehensive assessment
that includes a case history and a physical feeding and swallowing
evaluation, as well as observation of mealtime behaviors
Case history
A careful and detailed case history is central to assessing children
with feeding and swallowing difficulties
Proides ifo o hild’s ad fail’s eatig ad feedig
Physical feeding and swallowing evaluation
The SLP completes a careful evaluation of the structures and
futios of the hild’s oral-motor mechanism
Observation of the physical nature of the lips, tongue, jaw, teeth,
and hard and soft palates, as well as how they work together
during eating and swallowing
Examination is designed to ascertain both the safety and the
efficiency of feeding and swallowing and the quality of intake
SLP looks for symptoms such as coughing, choking, changes in
facial color, vocal stridor, a wet or gurgly voice quality, vomiting,
or increased or decreased heart rate
Major signs of oral-motor dysfunction
SLP will likely refer the child for a modified barium swallow (MBS)
o Also called a video swallow study (VSS)
o Treatment of Pediatric Feeding and Swallowing Disorders in evidence based
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