Interdisciplinary Strategies for Treating Oral Aversions in Children

被引:35
作者
Edwards, Sarah [1 ]
Davis, Ann McGrath [2 ,3 ]
Ernst, Linda [1 ]
Sitzmann, Brenda [1 ]
Bruce, Amanda [2 ,3 ]
Keeler, David [1 ]
Almadhoun, Osama [2 ]
Mousa, Hayat [4 ]
Hyman, Paul [5 ]
机构
[1] Childrens Mercy Kansas City, Kansas City, MO 64108 USA
[2] Univ Kansas, Med Ctr, Dept Pediat, Kansas City, KS 66103 USA
[3] Ctr Childrens Hlth Lifestyles & Nutr, Kansas City, MO USA
[4] Univ Calif San Diego, Rady Childrens Hosp, San Diego, CA 92103 USA
[5] New Orleans Childrens Hosp, New Orleans, LA USA
关键词
oral aversion; treatment; interdisciplinary; review; tube feeding; children; PEDIATRIC FEEDING DISORDERS; FUNCTIONAL GASTROINTESTINAL DISORDERS; EMPIRICALLY SUPPORTED TREATMENTS; TUBE-DEPENDENT CHILDREN; CHRONIC ABDOMINAL-PAIN; FOOD REFUSAL; YOUNG-CHILDREN; BEHAVIORAL TREATMENT; GASTROSTOMY-TUBE; POSITIVE REINFORCEMENT;
D O I
10.1177/0148607115609311
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Oral aversion is a frequent diagnosis in the pediatric population. For a minority of children, feeding challenges rise to the level of requiring clinical evaluation and intervention. Determining the best evaluation and treatment plan can be challenging, but there is a consensus that treatment for children with a severe oral aversion involves an interdisciplinary approach. Within the team model, multiple strategies have demonstrated effectiveness, including sensorimotor skill building, behavioral modification, hunger provocation, and sensory integration therapy. This tutorial reviews the diagnostic and treatment process for a child with oral aversion, including identification of an underlying etiology, the medical and behavioral evaluation, and formulation of a treatment plan.
引用
收藏
页码:899 / 909
页数:11
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