Pediatric Dysphagia

Pediatric Dysphagia

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  • Author: Jay Paul Willging
  • Publisher: Plural Publishing
  • ISBN: 1635503159
  • Category : Medical
  • Languages : en
  • Pages : 743

Pediatric Dysphagia: Etiologies, Diagnosis, and Management is a comprehensive professional reference on the topic of pediatric feeding and swallowing disorders. Given that these disorders derive from abnormalities in the function and/or structure of the airway and digestive systems, multiple clinical specialists may be involved in the evaluation and management of affected children at any given point in time. Therefore, this text includes significant contributions from a wide range of experts in pediatric dysphagia, including all members of the Interdisciplinary Feeding Team at Cincinnati Children’s Medical Center. These experts present an in-depth description of their roles in the diagnosis and management of dysphagic children, providing the reader with an understanding of why a multidisciplinary model of care is key to the optimization of outcomes. Pediatric Dysphagia is divided into five parts. In Part I, readers are provided with an overview of the embryologic development of aerodigestive structures that relate to swallowing, an introduction to neural organization related to swallowing function and physiologic aspects of swallowing, a synopsis of oral motor development, a discussion of the various etiologic categories of feeding and swallowing disorders, and an overview of genetic disorders associated with feeding and swallowing issues. Part II covers the clinical and instrumental assessment of patients, including the interdisciplinary feeding team infrastructure and function, the roles of individual members of the feeding team, the specific diagnostic tests commonly used in the assessment of feeding and swallowing issues, the classification of neonatal intensive care units, and the assessment and management of feeding and swallowing issues encountered in the neonatal intensive care unit. Part III focuses on the management of pediatric dysphagia, covering a wide range of treatment strategies and interventions for children with various categories of feeding disorders. Part IV includes an introduction to the concept of evidence-based practice and the application of evidence-based strategies in the management of dysphagia. Part V presents a brief overview of the role of ethics in healthcare and ethical considerations in the treatment of dysphagic children. In summary, the overall aim of this comprehensive text is to provide all pediatric professionals involved in the care of dysphagic patients with a basic understanding of the complexity of this disorder, the anatomic, neurologic, and physiologic components involved in this disorder, an overview of the diverse population of children who suffer with this disorder, and with a wide range of management approaches based on patient needs and capabilities. The authors also address clinical problem solving and decision making, inspiring readers to develop multidisciplinary models of care at their own institutions.


Pediatric Dysphagia

Pediatric Dysphagia

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  • Author: Julina Ongkasuwan
  • Publisher: Springer
  • ISBN: 3319970259
  • Category : Medical
  • Languages : en
  • Pages : 316

Pediatric dysphagia is a clinical problem that crosses disciplines. Children may be seen by numerous medical specialties including pediatric otolaryngology, gastroenterology, pulmonology, speech pathology, occupational therapy, and lactation consultants. The myriad approaches to the diagnosis and management of dysphagia is confusing for both clinicians and families; resulting in recurrent trips to medical professionals. Feeding is integral to socialization and to bonding between infants and parents. Disruptions in feeding development can be extremely taxing emotionally and economically for families. Children with dysphagia are some of the most challenging patients even for clinicians who specialize in their care. This text provides the reader with a comprehensive understanding of swallowing and presents a practical, evidence-based approach to the diagnosis and management of swallowing difficulties in children. It also highlights particular clinical challenges and controversies in the management of pediatric dysphagia. It is unique in that it incorporates the perspectives of multiple types of clinicians that care for these patients including otolaryngologists, gastroenterologists, pulmonologists, speech pathologists, occupational therapists and lactation consultants. In doing so, this text will encourage cross-specialty pollination of ideas and knowledge as well as stimulate further research in the field. Part 1 of the text begins with an overview of the anatomy and physiology of swallowing with a focus on normal development as we currently understand it. It also discusses new information regarding reflexive interactions between the larynx and esophagus that potentially influence swallowing. It then moves on to a discussion of the advantages and limitations of currently available diagnostic modalities and highlights current controversies regarding frame rate, radiation exposure, breastfeeding infants, and grading of studies. Additionally, it reviews the current literature regarding medical and behavioral-based therapy options, including thickening options, oromotor therapy, and controversies concerning strict NPO. Part 2 addresses specific diagnoses which can cause or be associated with dysphagia such as prematurity, velopharyngeal insufficiency, ankyloglossia, laryngeal clefts, laryngomalacia, vocal fold paralysis, and cricopharyngeal dysfunction. The text goes on to explore the pathophysiology and treatment options for each. Anatomic, inflammatory, and neuromuscular esophageal causes of dysphagia are also evaluated. In addition, it delves into the impact of craniofacial anomalies, sialorrhea and psychological factors on swallowing. Finally, it discusses how a multidisciplinary aerodigestive team can help streamline multidisciplinary care for individual patients. It will incorporate information pertinent to the different roles, tools and views of a multidisciplinary dysphagia team, including how pediatric otolaryngologists, gastroenterologists, pulmonologists, speech language pathologists, occupational therapists, and dieticians can collaborate to provide optimal evaluation and care of these often challenging patients, especially for those who are at high-risk of complications related to aspiration.


Case Studies in Pediatric Dysphagia

Case Studies in Pediatric Dysphagia

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  • Author: Jennifer J. Wilson
  • Publisher: Plural Publishing
  • ISBN: 1635503981
  • Category : Medical
  • Languages : en
  • Pages : 233

Through clinical cases and interviews with working professionals, Case Studies in Pediatric Dysphagia takes an original approach to understanding pediatric dysphagia. This text, designed to address the increased need for clinical education, covers topics such as differential diagnosis, medical terminology, and goal setting. Written with group interaction and collaboration in mind, the book provides role-play scenarios, suggestions on how to delve deeper into the case studies, integrating interprofessional practice, and evidence-based treatment approaches. Each chapter includes a case study and a detailed interview with a pediatric dysphagia professional, providing a complete and thorough view of the topic in a reflective and practical way. Key Features: * Provides increased opportunities for students and young professionals to gain experience with complex clients before engaging in intervention * Gives guidance for integrating interprofessional practice as it relates to pediatric dysphagia * Written to prompt the reader to shift toward implementation science, merging research and clinical practice to better serve patients with pediatric dysphagia * Informative interviews with specialists working and conducting research in the field * Offers additional resources at the end of each chapter for the reader to continue their learning on specific case areas of focus * Provides a deeper understanding of cultural considerations and how to incorporate them into practice patterns * Allows students and professionals to integrate both diagnosis and treatment choices and explores current evidence-based approaches to treatment * Both speech-language pathologists and clinical educators will benefit from having this valuable resource on their bookshelves.


Pediatric Swallowing and Feeding

Pediatric Swallowing and Feeding

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  • Author: Joan C. Arvedson
  • Publisher: Plural Publishing
  • ISBN: 1944883525
  • Category : Medical
  • Languages : en
  • Pages : 619

Pediatric Swallowing and Feeding: Assessment and Management, Third Edition provides information to practitioners interested in and involved with children who demonstrate swallowing and feeding disorders. Since the 2002 publication of the second edition, there has been an exponential increase in the number of medically fragile and complex children with swallowing/feeding disorders. A corresponding proliferation in the related basic and clinical research has resulted in the increased appreciation of the complicated inter-relationships between structures and systems that contribute to swallowing/feeding development, function, and disorders. Case studies throughout the book provide examples for decision making and highlight salient points. New to the Third Edition: * Maureen A. Lefton-Greif, PhD, CCC-SLP, BCS-S, is welcomed as co-editor. She brings extensive research expertise and clinical practice in pediatric dysphagia and feeding. * All chapters contain significant updated evidence-based research and clinical information. * New chapters focus on the genetic testing and conditions associated with swallowing and feeding disorders, and the pulmonary manifestations and management of aspiration. * World Health Organization (WHO) description of an International Classification of Functioning, Disability, and Health (ICF) sets the stage for an in-depth discussion of clinical feeding evaluation procedures, interpretation, and management decision making. Pediatric Swallowing and Feeding continues to be the leading text on pediatric dysphagia that provides practical information for clinicians seeing children with swallowing and feeding disorders. The overall importance of an appropriate fund of knowledge and shared experience employing team approaches is emphasized throughout this third edition as in the earlier editions of this book. From the Foreword: "The Editors have recognized the advances and changes in the understanding in the information now available for the care of pediatric swallowing and feeding challenges. They have recruited an outstanding group of contributors for this newest edition. There are numerous critically important updates and additions in the third edition. They have included World Health Organizations International Classification of Functioning, Disability and Health is the functional basis in all areas of the book. This text has its importance as there has been an increased number of children with complex medical and healthcare conditions which are risk for feeding and swallowing disorders. This edition stresses the need for team approaches and also documents the use of “virtual” teams ...Pediatric Swallowing and Feeding: Assessment and Management, Third Edition is the fundamental holistic source for all healthcare providers providing the care for swallowing and feeding in children. This book will be utilized by all caring for children with feeding and swallowing problems throughout the world. The previous editions have been and now this updated third edition continues to be the standard source for the information concerning diagnosis and care of these children." —Robert J. Ruben, MD, FAAP, FACS Distinguished University Professor Departments of Otorhinolaryngology – Head and Neck Surgery and Pediatrics Albert Einstein College of Medicine Montefiore Medical Center Bronx, New York


Multidisciplinary Management of Pediatric Voice and Swallowing Disorders

Multidisciplinary Management of Pediatric Voice and Swallowing Disorders

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  • Author: J. Scott McMurray
  • Publisher: Springer Nature
  • ISBN: 3030261913
  • Category : Medical
  • Languages : en
  • Pages : 511

This text provides a comprehensive review of the assessment and management of pediatric voice and swallow disorders from the perspectives of both the pediatric laryngologist as well as the speech-language pathologist whose collaboration is critical to effective clinical care. All chapters are written by experts in dual fields and formatted to present a straightforward approach to diagnosing and managing each disorder, including descriptions of relevant operative interventions. Multiple intraoperative photographs and illustrations depicting how to perform each surgical procedure are also included. Multidisciplinary Management of Pediatric Voice and Swallowing Disorders will serve as a useful step-by-step guide and resource not only for otolaryngologists and speech-language pathologists, but all members of the pediatric aerodigestive team and other providers caring for children affected by voice and swallowing disorders.


Textbook of Pediatric Gastroenterology and Nutrition

Textbook of Pediatric Gastroenterology and Nutrition

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  • Author: Stefano Guandalini
  • Publisher: CRC Press
  • ISBN: 0203640454
  • Category : Medical
  • Languages : en
  • Pages : 817

Taking a global approach to the subject, this book offers, in a comprehensive, cohesive package, information that is reflective of the different realities of gastroenterological and nutritional problems in different parts of the world. Designed to provide clinical knowledge in a convenient format, the chapters highlight the most common clinical concerns seen on a daily basis by the practicing pediatric gastroenterologist. Covering issues relevant for the diagnosis and treatment of a full range of problematic conditions, including nutritional disorders, the book is an up-to-date, reliable clinical primer on the disorders and diseases that may affect the gastrointestinal tract in neonates and children.


Feeding the Disabled Child

Feeding the Disabled Child

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  • Author: Peter B. Sullivan
  • Publisher: Cambridge University Press
  • ISBN: 9781898683087
  • Category : Medical
  • Languages : en
  • Pages : 178

Disabled children often have feeding difficulty. Choking, food spillage and protracted mealtimes can pose enormous problems for their carers and the accompanying nutritional deficit imposes additional burdens on the affected child. The aetiology of these problems is placed in context by a detailed description of normal feeding development in infants. The often under-recognised nutritional and neurodevelopmental consequences of inadequate nutrient intake together with the respiratory complications and the important problems of constipation and drooling which may accompany oro-motor dysfunction are detailed. The clinical and nutritional assessment and the application of diagnostic imaging techniques in the evaluation of such children are described. The methods of management of these children's problems form the core of this volume and they range from oro-motor therapy to various techniques for enteral feeding. The ethical issues raised by the vigorous intervention needed to improve the nutritional state of severely disabled children is explored, together with the need to provide ongoing psychological support for their carers.


Pediatric Dysphagia Resource Guide

Pediatric Dysphagia Resource Guide

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  • Author: Kelly Dailey Hall
  • Publisher: Singular
  • ISBN:
  • Category : Children
  • Languages : en
  • Pages : 252

This guide presents up-to-date, pertinent information on pediatric dysphagia, condensed into an accessible guide for speech-language pathologists working with children with swallowing disorders. It covers information regarding normal aspects of neurodevelopment, oral-motor feeding skills, and anatomy/physiology of swallowing. Case studies, charts, graph, indexes, and reproducible forms are especially helpful for the new speech-language pathology graduate.


Pediatric Otolaryngology, An Issue of Pediatric Clinics of North America, E-Book

Pediatric Otolaryngology, An Issue of Pediatric Clinics of North America, E-Book

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  • Author: Huma Quraishi
  • Publisher: Elsevier Health Sciences
  • ISBN: 0323848737
  • Category : Medical
  • Languages : en
  • Pages : 225

In this issue of Pediatric Clinics of North America, guest editors Drs. Huma Quraishi and Michael Chee bring their considerable expertise to the topic of Pediatric Otolaryngology. National health statistics indicate that disorders of the ear, nose, and throat are among the primary reasons children visit a physician, with ear infections ranking as the number one reason. This issue provides a comprehensive overview of otolaryngologic issues affecting children, providing the clinical information pediatricians need to make prompt diagnoses and facilitate positive patient outcomes. Contains 14 relevant, practice-oriented topics including otitis media and myringotomy tubes; congenital sensorineural hearing loss; tethered oral tissue/ankyloglossia/tongue and lip tie; adenotonsillectomy; pediatric obstructive sleep apnea syndrome; recurrent croup; and more. Provides in-depth clinical reviews on pediatric otolaryngology, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.


Textbook of Pediatric Gastroenterology, Hepatology and Nutrition

Textbook of Pediatric Gastroenterology, Hepatology and Nutrition

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  • Author: Stefano Guandalini
  • Publisher: Springer
  • ISBN: 3319171690
  • Category : Medical
  • Languages : en
  • Pages : 889

This textbook provides a comprehensive and state-of-the-art overview of the major issues specific to the field of pediatric gastroenterology, hepatology, and nutrition. The first part of the book, Gastroenterology and Nutrition, presents in a systematic way the overall scope of issues encountered by children (newborn to teenagers) suffering from disorders of the gastrointestinal tract, pancreas and/or presenting nutritional issues. These chapters are structured in logical sections to facilitate consultation and include major topics ranging from congenital disorders to gastrointestinal problems of the newborn, infectious diseases of the gastrointestinal tract, and approach to nutritional problems in the various pediatric ages. The second part of the book, Hepatology, is articulated in a series of chapters which present a comprehensive review of congenital and acquired disorders of the biliary tract and liver. This section also includes a critical analysis of available diagnostic and therapeutic procedures and future perspectives. Written by experts in the field, Textbook of Pediatric Gastroenterology, Hepatology and Nutrition: A Comprehensive Guide to Practice constitutes a much needed, innovative resource combining updated, reliable and comprehensive information with agile consultation for a streamlined approach to the care of children with such disorders.