SIG 13 Perspectives Vol. 22, No. 4, December 2013
This issue of Perspectives was pediatric based. Mark Fishbein, Sarah Flock, and Kathryn Benton brought a reflection of pediatric feeding therapist practices in early intervention, outpatient, school, and hospital settings in Illinois. They explored skill sets, volume of training specific to pediatric feeding disorders and caseload size. The authors proposed a process of certification in conjunction with a clinical pathway for standardization of services. Marni Simon and Melanie Collins then discussed the effects of aspiration on the pediatric lung and the impact of “alternative nutrition only” status on feeding and swallowing development. They encouraged consideration to balancing advocacy for exposure to trials of oral intake with support for minimal risk of aspiration. Next, Memorie Gosa reviewed the theories of epiglottic retroflexion in the adult to support understanding of the contrast with infant physiology. The focus was then turned to the upper aerodigestive tract of infants that lends itself to a highly complex dynamic system that supports the physiological swallowing process. Diane Bahr and Nina Johanson’s article reminded the clinician to incorporate the family into treatment and educational practices with our children patients. Birth to two years is found to be a critical window of opportunity for children to develop appropriate feeding skills. The support of a caregiver network of parents, therapists, medical personnel, and nutrition professionals enables children to optimize the development of feeding skills.
You will be able to:
- discuss the symptoms and pathophysiology of lung damage
- identify the value of tracking and facilitating early feeding development
- outline the course of basic lung development in humans
- describe the anatomical features, swallow physiology and laryngeal reflexes of infants that leads to safe swallowing during nipple feeding
- identify the importance of continuing education, work experience and work setting in determining self-assessed competencies for pediatric feeding therapists in Illinois
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