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Updated: Jul 13, 2026

A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
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.
Abstract:
Over the past decade, speech-language pathologists (SLPs) have increased their involvement in the assessment and management of infants and children with complex feeding and swallowing problems. Given the complex problems demonstrated by these infants and children that vary across a range of conditions and degrees of severity, SLPs need to increase their knowledge in all the topics covered in this issue. This article will discuss the current state of evidence-based decision making, levels of evidence for studies of treatment efficacy, ethical principles in evidence-based decision making, and ethical decision-making considerations with feeding and swallowing issues using examples of three types of populations of infants and children with complex feeding and swallowing problems.
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