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Angela Mansolillo – Eating with Ease, Managing Complex Feeding & Swallowing Problems in Children
Developing a Menu for Success
The causes of feeding and swallowing difficulties in children are always multifaceted, sometimes misdiagnosed, and often difficult to assess and treat appropriately. Respiratory difficulties, gastro-intestinal function, oral-motor skills, and behavioral issues are just a few of the elements that can influence feeding and swallowing, limit response to treatment, and result in significant health issues. To maximize effectiveness, clinicians must resist the temptation to assess and treat feeding and swallowing disorders in isolation; instead, they must develop management plans that take into account interactions between and among oral-motor, gastrointestinal, and respiratory systems.
This essential course describes complex feeding and swallowing disorders as they manifest themselves in children who have a variety of diagnoses. Attendees gain successful strategies for identification of the underlying etiology of the dysphagia. The evidence base for specific therapies, including oral motor techniques, behavioral interventions, nutritional interventions, and strategies for respiratory control, are evaluated. Participants leave this course armed with practical suggestions and tactics for improving function in these challenging children, as well as strong evidence to support those strategies.
Examine the interplay between oral-motor, gastrointestinal, and respiratory systems and their impact on food refusal in children
Identify the signs and symptoms of pharyngeal dysphagia in children
Pinpoint advantages and challenges associated with dietary modifications and use of thickened liquids
Discuss the rationale for various dietary recommendations currently being implemented with children
Determine the pros and cons of various oral motor and sensory treatment approaches
Develop a behavioral treatment plan to address problem feeding behaviors
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WHAT IS FOOD REFUSAL AND WHEN IS IT A PROBLEM?
SPECIAL POPULATIONS
Autism
Down syndrome
Cerebral Palsy
RESPIRATION
Development of the respiratory system
respiration vs. ventilation
coordination of breathing and swallowing
homeostasis
pulmonary clearance mechanism
Aspiration and aspiration pneumonia
Assessment
respiratory rate
dyspnea
breathing/swallowing coordination
cough
stress behaviors
Interventions
compensations
positioning
respiratory control
exercise
PHARYNGEAL DYSPHAGIA
Clinical assessment
Instrumental assessment
Interventions
diet modification
thick liquids pros/cons
strategies and compensations
oral hygiene
THE GI SYSTEM
Development
Disorders of the GI system
reflux and reflux disease
constipation
eosinophilic esophagitis
GI/Respiration inter-relationships
Assessment
Interventions
dietary modifications
medications
positioning for sleep
INTERACTIVE CASE REVIEW
Potential treatment strategies for real life scenarios
ORAL MOTOR
Development of the oral motor system
Postural stability
Assessment
Interventions
the role of exercise
muscle tone interventions
SENSORY ISSUES
Development of the sensory system
State regulation
Taste and smell
Assessment
Interventions
BEHAVIOR
Assessment
Interventions
the feeding environment
hunger manipulation
reinforcement
shaping
family education/involvement
Transition from tube feeding to oral feeding
INTERACTIVE CASE REVIEW
Potential treatment strategies for real life scenarios
NUTRITIONAL INTERVENTIONS
Special diets
Use of supplements
