Ethical and legal challenges in feeding and swallowing intervention for infants and children

Joan C Arvedson1, Maureen A Lefton-Greif

  • 1Feeding and Swallowing Services, Children's Hospital of Wisconsin, Medical College of Wisconsin-Milwaukee, Milwaukee, WI 53201, USA. jarvedson@chw.org

Insights

Speech-language pathologists (SLPs) are increasingly managing complex pediatric feeding and swallowing issues. This article enhances SLP knowledge on evidence-based decision-making and ethical considerations for these challenging cases.

Area of Science:

  • Pediatric feeding and swallowing disorders
  • Evidence-based practice in speech-language pathology

Background:

  • Speech-language pathologists (SLPs) play a crucial role in assessing and managing pediatric feeding and swallowing problems.
  • The complexity and severity of these issues necessitate advanced knowledge for SLPs.

Purpose of the Study:

  • To enhance SLPs' understanding of evidence-based decision-making in pediatric feeding and swallowing.
  • To explore ethical principles and considerations relevant to complex feeding and swallowing cases.
  • To provide examples across diverse pediatric populations.

Main Methods:

  • Discussion of the current state of evidence-based decision-making.
  • Review of evidence levels for treatment efficacy studies.
  • Examination of ethical principles in clinical decision-making.
  • Case examples illustrating ethical considerations for specific pediatric populations.

Main Results:

  • Highlights the need for increased SLP knowledge in evidence-based practices.
  • Outlines ethical frameworks for managing complex feeding and swallowing issues.
  • Demonstrates the application of these principles across varied pediatric cases.

Conclusions:

  • SLPs require comprehensive knowledge to effectively manage complex pediatric feeding and swallowing disorders.
  • Integrating evidence-based practices and ethical considerations is vital for optimal patient care.
  • Further development in these areas will improve outcomes for infants and children with feeding and swallowing challenges.

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