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Related Experiment Videos

Feeding the disabled child

E Trier1, A G Thomas

  • 1Booth Hall Children's Hospital, Manchester, UK.

Nutrition (Burbank, Los Angeles County, Calif.)
|October 24, 1998
PubMed
Summary
This summary is machine-generated.

Feeding difficulties in disabled children can lead to malnutrition and impaired development. Nutritional support, including oral adaptations or non-oral feeding methods like gastrostomy, is crucial for improving health outcomes.

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Area of Science:

  • Pediatrics
  • Clinical Nutrition
  • Rehabilitation Medicine

Background:

  • Feeding difficulties and malnutrition are prevalent issues in disabled children, impacting growth and overall health.
  • Reduced oral intake can stem from anorexia, dysphagia, or vomiting, leading to malnutrition and functional impairments.
  • Malnutrition in disabled children affects neurodevelopment, cardiorespiratory, gastrointestinal, and immune functions.

Purpose of the Study:

  • To review the challenges associated with feeding difficulties and malnutrition in disabled children.
  • To outline recommended multidisciplinary assessment strategies for these children.
  • To discuss various interventions for improving oral intake and nutritional status, including non-oral feeding options.

Main Methods:

  • Multidisciplinary assessment including feeding history, oral-motor examination, and nutritional assessment.

Related Experiment Videos

  • Evaluation of energy requirements, considering factors like spasticity and infections.
  • Review of interventions for oral intake improvement and consideration of non-oral feeding methods.

    • Main Results:

    • Energy needs vary, potentially increased by spasticity, athetosis, convulsions, and infections.
    • Micronutrient deficiencies can occur even with complete feeds if volumes are reduced.
    • Oral intake can be enhanced through postural changes, specialized equipment, and food modifications.
    • Non-oral feeding, particularly gastrostomy, is considered when oral feeding is inadequate or unsafe.
    • Gastrostomy offers benefits over nasogastric tubes but carries risks; fundoplication for reflux has significant risks.

    Conclusions:

    • Comprehensive, multidisciplinary assessment is essential for managing feeding difficulties in disabled children.
    • A range of strategies, from oral adaptations to gastrostomy, can address nutritional deficits and improve quality of life.
    • Careful consideration of risks and benefits is necessary when choosing feeding interventions, especially surgical options.