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5 Hours 56 Minutes

Respiratory difficulties, gastrointestinal function, oral-motor skills, and behavioral issues are just a few of the elements that can influence feeding and swallowing, limit response to treatment, and result in significant health issues.

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Developing a Menu for Success

The causes of feeding and swallowing difficulties in children are always multifaceted, sometimes misdiagnosed, and often difficult to assess and treat appropriately.

To maximize effectiveness, clinicians must resist the temptation to assess and treat feeding and swallowing disorders in isolation; instead, they must develop management plans that take into account interactions between and among oral-motor, gastrointestinal, and respiratory systems.

This essential course recording describes complex feeding and swallowing disorders as they manifest themselves in children who have a variety of diagnoses.

Attendees gain successful strategies for identification of the underlying etiology of the dysphagia. The evidence base for specific therapies, including oral-motor techniques, behavioral interventions, nutritional interventions, and strategies for respiratory control, are evaluated.

Arm yourself with practical suggestions and tactics for improving function in these challenging children, as well as strong evidence to support those strategies!

Examine the interplay between oral-motor, gastrointestinal, and respiratory systems and their impact on food refusal in children in order to expand volume and variety of intake.
Identify the signs and symptoms of pharyngeal dysphagia in children to prevent aspiration associated illnesses.
Pinpoint advantages and challenges associated with dietary modifications and use of thickened liquids with a goal of increasing safe oral intake.
Discuss the rationale for various dietary recommendations currently being implemented with children in order to separate fact from fiction about special diets.
Determine the pros and cons of various oral-motor & sensory treatment approaches to maximize safe, pleasurable eating and drinking in children.
Develop a behavioral treatment plan to address problem feeding behaviors including food refusal, limited food repertoire, low volume of intake, and rigidity around foods and utensils.

RESPIRATORY SYSTEM DEVELOPMENT AND FUNCTIONS

You Can’t Eat If You Can’t Breathe
Breathing/Swallowing Coordination and Discoordination
Role of pulmonary clearance
Aspiration and aspiration pneumonia
Incorporate respiratory indicators in evaluation
Exercise Interventions for breathing/ swallow discoordination and respiratory insufficiencies

PHARYNGEAL DYSPHAGIA

Clinical assessment matters!
Instrumental assessment options
Improving pharyngeal swallow function
Interventions to decrease aspiration risk
Dietary modifications – texture modifications and thick liquids pros and cons
Oral hygiene
Interactive case review – What your client’s gut is telling you

GI SYSTEM DEVELOPMENT

GI system and respiration connection
Reflux and Reflux Disease
Constipation
Allergies
Dietary and lifestyle interventions
Food allergies and the gut
Positioning and sleep

ORAL MOTOR FUNCTION

Postural stability matters
Oral muscles are not skeletal muscles
Exercise Interventions – are they right for your client

SENSORY PROCESSING AND EATING – CAN’T HAVE ONE WITHOUT THE OTHER

Food as therapy
The role of taste and smell
Strategies – how to expand food repertoire

WHEN IT REALLY IS BEHAVIOR

What’s the behavior’s form AND function
Examining the feeding environment
Finding the right reinforcement strategy
Behavioral intervention in 5 steps:
Environment, hunger, reinforcement, shaping and parent training
Interactive case review – when it’s behavior…but not just behavior

WEANING FROM TUBE FEEDING

Priming the Gut
Rapid vs. Gradual weans
Blended diets
Strategies for Tube Feed Weaning
Blended diets – when and who

MORE NUTRITIONAL INTERVENTIONS for Pharyngeal Dysphagia, GI Development, Oral Motor Function, Sensory Processing, Behavior and Tube Feeding

Nutrition and immune system function
Supplements
Which special diets are really special
Techniques to improve nutrition

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