Transition from Tube Feedings to Feedings by Mouth in Children: Preventing Eating Dysfunction
Section snippets
Promote a Positive Caregiver-Child Feeding Relationship
The first goal of any program to wean a child from tube or oral feeding is to maintain a positive feeding relationship between caregiver and child that supports optimal nutrition, growth, development, and well-being. The feeding relationship is the collection of interactions that take place between caregiver and child as they engage in food selection, ingestion, and eating regulation (3). A healthy child follows a general progression from a liquid diet of only breast milk or formula to a
Applications
Both intensive inpatient feeding programs that take weeks and outpatient programs that take months or years are effective for weaning a child from tube to oral feeding (7), (15), (16), (17). Inpatient treatment is rapid and involves minimal disruption to the family routine and maximal support from professionals, but it may not be covered by third-party insurance. Outpatient programs, which require much more commitment and time from parents or caregivers, may be the only option. A single health
References (18)
The feeding relationshipproblems and interventions
J Pediatr.
(1990)- et al.
Tubefeeding and an introduction to solids
- et al.
Nutrition focustube feeding update
Nutr Focus.
(1990) - et al.
Making the transition from tube feeding to oral feeding
Nutr Focus.
(1990) Development of feeding
Clin Nutr (Phila).
(1986)- et al.
The critical or sensitive period, with special reference to certain feeding problems in infants and children
J Pediatr.
(1964) - et al.
Reinstituting oral feedings in children fed by gastrostomy tube
Clin Pediatr.
(1985) Eating problems in children
- et al.
Feeding resistance after parenteral hyperalimentation
Am J Dis Child.
(1985)