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Clinical Feeding and Swallowing Evaluation for the School-Based Speech-Language Pathologist
1Department of Communication Sciences & Disorders, California State University, Sacramento.
Language, Speech, and Hearing Services in Schools
|November 29, 2023
Summary
School speech-language pathologists (SLPs) play a key role in evaluating pediatric feeding disorders (PFDs) and ensuring students receive adequate nutrition and hydration for academic success. This article outlines a holistic approach for SLPs to assess feeding and swallowing in the school setting.
Area of Science:
- Pediatric feeding and swallowing disorders in the educational setting.
- The role of speech-language pathologists (SLPs) in school-based healthcare.
- Interdisciplinary collaboration for student nutrition and hydration.
Background:
- Children with feeding and swallowing issues require adequate nutrition and hydration to participate in school and access the curriculum.
- The school environment must address the whole child, including medical, behavioral, social, and educational needs.
- Pediatric feeding disorders (PFDs) can involve dysphagia and impact a child's overall well-being.
Purpose of the Study:
- To describe a holistic process for evaluating swallowing and feeding in the school setting.
- To guide school-based speech-language pathologists (SLPs) in identifying pediatric feeding disorders (PFDs).
- To highlight the SLP's lead role in a multidisciplinary team approach to student feeding and swallowing.
Main Methods:
- Exploration of the evaluation process for pediatric feeding disorders (PFDs) in educational settings.
- Detailed descriptions of relevant U.S. educational law and PFD assessment.
- Consideration of the four overlapping domains of PFD: medical, psychosocial, feeding skill-based, and nutritional aspects.
Main Results:
- A comprehensive, holistic school-based clinical evaluation process for SLPs is described.
- The evaluation integrates medical history, instrumental results, and complex interactions of developmental, physical, cognitive, social, behavioral, family, and cultural aspects.
- Emphasis on the SLP's lead role in evaluating and planning for students with feeding and swallowing needs.
Conclusions:
- School-aged children need safe and adequate nutrition and hydration for learning and social participation.
- The SLP is central to the school team in evaluating swallowing and feeding.
- A holistic, school-based evaluation process supports the nutritional and educational needs of students with PFDs.
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