Pediatric Pediatric DysphagiaDysphagia

Goals of Goals of TherapyTherapy

By : Whitney Hicks Fall 2006

Primary Goals of Pediatric Primary Goals of Pediatric Dysphagia TherapyDysphagia Therapy

• Promoting suffice Promoting suffice nutrition and hydrationnutrition and hydration

• Developing feeding skills Developing feeding skills that are age-appropriatethat are age-appropriate

• Creating a therapy Creating a therapy program customized to program customized to the own individualthe own individual

• Educate and Train the Educate and Train the Caregivers to Facilitate Caregivers to Facilitate the Development of the the Development of the Child Child

(Hall, 2001)(Hall, 2001)

Pediatric Dysphagia Pediatric Dysphagia TherapyTherapy

““The Primary Goal of Pediatric The Primary Goal of Pediatric Dysphagia Swallowing Dysphagia Swallowing Therapy Techniques are Therapy Techniques are Developed to meet children’s Developed to meet children’s needs not only by addressing needs not only by addressing the Oral-Motor, Sensory, and the Oral-Motor, Sensory, and Dietary Needs, but also by Dietary Needs, but also by Helping Caregivers Develop Helping Caregivers Develop and Implement an Effective and Implement an Effective Home-Based Feeding Home-Based Feeding Program. The Frequency of Program. The Frequency of Treatment and Disciplines Treatment and Disciplines Involved are Based on the Involved are Based on the Child’s Specific Needs.” Child’s Specific Needs.”

(dukehealth.org)(dukehealth.org)

Therapy is Divided into Therapy is Divided into Two GroupsTwo Groups

Compensatory Strategies – Assist in ensuring Compensatory Strategies – Assist in ensuring successful feeding in the incidence of an essential successful feeding in the incidence of an essential disorder.disorder.

Facilitative Strategies – Encourage and/or develop Facilitative Strategies – Encourage and/or develop typical feeding skills. typical feeding skills. (Hall, 2001). (Hall, 2001).

Goals for Compensatory Goals for Compensatory StrategiesStrategies

Establishing best possible Infant Establishing best possible Infant State/Feeding WillingnessState/Feeding Willingness

Readying the Infant for Oral Readying the Infant for Oral Feeding/Preparing the EnvironmentFeeding/Preparing the Environment

Establishing Optimal Position for FeedingEstablishing Optimal Position for FeedingFocusing on the Consistency, Focusing on the Consistency,

Temperature, Volume, and Taste of FoodTemperature, Volume, and Taste of FoodShifting Feeding Utensils to the Infants Shifting Feeding Utensils to the Infants

DesireDesire (Hall, 2001)(Hall, 2001)

Goals of Facilitative Goals of Facilitative StrategiesStrategies

Oral Stimulation Planning Oral Stimulation Planning Reducing Oral AversionsReducing Oral AversionsDeveloping Chewing SkillsDeveloping Chewing Skills Interference of Behavioral Feeding Interference of Behavioral Feeding

Disorder ProblemsDisorder ProblemsOral-Motor Rehabilitation TherapyOral-Motor Rehabilitation TherapyDevelopment of a “Nonnutritive Development of a “Nonnutritive

Suck”Suck” (Hall, 2001)(Hall, 2001)

ReferencesReferences

Hall, K. D. (2001). Pediatric Dysphagia Resource Guide. Hall, K. D. (2001). Pediatric Dysphagia Resource Guide. Canada: Singular Thompon Canada: Singular Thompon Learning.Learning.

Pediatric Feeding Disorders ProgramPediatric Feeding Disorders Program (2005). Retrieved (2005). Retrieved November 11, 2006, from November 11, 2006, from http://dukehealth1.org/ptot/speech_pedfeed.asphttp://dukehealth1.org/ptot/speech_pedfeed.asp