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Published on: July 18, 2014
Feeding the infant with congenital heart disease: an occupational performance challenge
1La Trobe University, Bundoora, Victoria 3083, Australia. c.imms@latrobe.edu.au
Insights
Infants with congenital heart disease (CHD) often face feeding challenges impacting development. The Canadian Model of Occupational Performance (CMOP) provides a framework for understanding and addressing these complex feeding issues.
Area of Science:
- Occupational therapy
- Pediatric health
- Developmental science
Background:
- Infant feeding is crucial for physical, cognitive, and affective development.
- Congenital heart disease (CHD) survival rates are increasing.
- Infants with CHD frequently experience feeding difficulties impacting growth and caregiver well-being.
Purpose of the Study:
- To explore infant feeding complexities in congenital heart disease (CHD) using the Canadian Model of Occupational Performance (CMOP).
- To highlight the clinical relevance of the CMOP in addressing feeding challenges in infants with CHD.
- To identify research needs for developing evidence-based interventions.
Main Methods:
- Literature review across multiple disciplines.
- Application of the Canadian Model of Occupational Performance (CMOP) as a theoretical framework.
- Analysis of feeding experiences in infants with CHD.
Main Results:
- Feeding difficulties are common and significant for infants with CHD.
- The CMOP effectively organizes the complexities of infant feeding in the context of CHD.
- Existing literature supports the CMOP's applicability but indicates a need for further research.
Conclusions:
- The CMOP framework is valuable for understanding and addressing feeding challenges in infants with CHD.
- Further research is needed to develop and implement evidence-based interventions from both infant and caregiver perspectives.
- Occupational therapy interventions guided by the CMOP can support the critical occupation of feeding for infants with CHD and their families.
Abstract:
This review article uses the Canadian Model of Occupational Performance (CMOP) as a theoretical framework to organize a discussion of the complexities of infant feeding when the infant has congenital heart disease (CHD). Literature from many fields indicates that feeding supports the physical, cognitive, and affective development of infants within their various environmental contexts. Many infants with CHD, who are now surviving in increasing numbers, experience feeding difficulties that affect their growth and development and that challenge their caregivers. The feeding experiences of infants with CHD illustrate the clinical applicability of the CMOP and the need for further research. Research using the framework of the CMOP will enable the development and implementation of evidence-based interventions that support the occupation of feeding from both the infant and the caregiver perspective.
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