A Multidisciplinary Approach to Pediatric Feeding Disorders: Roles of the Speech-Language Pathologist and Behavioral Psychologist

被引:21
|
作者
Gosa, Memorie M. [1 ]
Dodrill, Pamela [2 ]
Lefton-Greif, Maureen A. [3 ,4 ]
Silverman, Alan [5 ]
机构
[1] Univ Alabama, Dept Commun Disorders, Tuscaloosa, AL 35487 USA
[2] Brigham & Womens Hosp, Neonatal Intens Care Unit, 75 Francis St, Boston, MA 02115 USA
[3] Johns Hopkins Sch Med, Dept Pediat Otolaryngol Head & Neck Surg, Baltimore, MD USA
[4] Johns Hopkins Sch Med, Dept Phys Med & Rehabil, Baltimore, MD USA
[5] Med Coll Wisconsin, Pediat Gastroenterol Hepatol & Nutr, Wauwatosa, WI USA
关键词
NONNUTRITIVE SUCKING; AFFLUENT SOCIETY; DEVELOPMENTAL ORIGINS; PRETERM INFANTS; ORAL SUPPORT; CHILDREN; HEALTH; CHILDHOOD; COORDINATION; DISEASE;
D O I
10.1044/2020_AJSLP-19-00069
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
Purpose: Pediatric feeding disorders (PFDs) present as a complex clinical challenge because of the heterogeneous underlying etiologies and their impact on health, safety, growth, and psychosocial development. A multidisciplinary team approach is essential for accurate diagnosis and prompt interventions to lessen the burdens associated with PFDs. The role of the speech-language pathologist (SLP) as a member of the multidisciplinary team will be highlighted. Method: This clinical focus article reviews the definition of PFDs and pertinent literature on factors that contribute to the development of PFDs, the accurate diagnosis, and current interventions for infants and children. As part of the multidisciplinary team, the SLP has an integral role in determining whether a child cannot or will not eat and working with the team to identify and carryout appropriate interventions. Collaboration between SLPs and psychologists/behavioral specialists in conjunction with the parents/caregivers as part of the multidisciplinary team is essential to the advancement of therapeutic goals. Conclusions: Due to their complex nature, the successful management of PFDs is only possible with the care and expertise of a multidisciplinary team, which includes parents/caregivers. SLPs are important members of these multidisciplinary teams and provide valuable input for the accurate identification and effective remediation of PFDs.
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页码:956 / 966
页数:11
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