Complex pediatric feeding disorders: using teleconferencing technology to improve access to a treatment program
Betsy Clawson1, Martha Selden, Mandy Lacks
1Children's Hospital, Richmond, VA, USA.
Pediatric Nursing
|July 25, 2008
Summary
Teleconferencing successfully connected children with complex feeding disorders to specialized care, improving outcomes and satisfaction for families and providers, even across long distances.
Area of Science:
- Pediatric Healthcare
- Telemedicine
- Clinical Nutrition
Background:
- Feeding difficulties impact a significant portion of children, particularly those with special needs.
- Community health providers face challenges managing complex pediatric feeding disorders.
- Severe cases often involve feeding tubes and persistent growth issues.
Purpose of the Study:
- To evaluate the effectiveness of video teleconferencing for children with complex feeding disorders.
- To assess the impact of remote specialized care on patient and family outcomes.
- To report findings from a pilot project involving geographically dispersed patients.
Main Methods:
- A 26-month pilot project (September 2002 - October 2004) involving 15 pediatric patients.
- Utilized video teleconferencing to connect patients with specialized providers.
- Collected data on family satisfaction, costs, provider satisfaction, and clinical outcomes.
Main Results:
- Video teleconferencing facilitated comprehensive treatment for children with complex feeding disorders.
- The intervention demonstrated positive impacts on family and provider satisfaction.
- Clinical outcomes and cost-effectiveness were assessed for remote care delivery.
Conclusions:
- Teleconferencing offers a viable solution for delivering specialized care to children with feeding difficulties.
- Remote consultations enhance communication and treatment for complex pediatric feeding issues.
- This approach improves access to care for patients in remote locations.
Related Concept Videos
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
01:26Enteral Nutrition I: Orogastric and Nasogastric Feeding
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
01:28Chronic Kidney Disease III: Interprofessional Care
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
01:29Chronic Pancreatitis II: Collaborative Care
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment: