Feeding the disabled child
Identifieur interne : 000E77 ( Istex/Checkpoint ); précédent : 000E76; suivant : 000E78Feeding the disabled child
Auteurs : Eileen Trier [Royaume-Uni] ; Adrian G. Thomas [Royaume-Uni]Source :
- Nutrition [ 0899-9007 ] ; 1998.
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Abstract
Feeding difficulty and malnutrition are common in disabled children. Intake may be reduced because of anorexia, chewing and swallowing difficulties, or vomiting. Feeding is often time consuming, unpleasant, and may result in aspiration. Malnutrition may result in impaired growth and neurodevelopment, and impaired cardiorespiratory, gastrointestinal, and immune functions. Multidisciplinary assessment is recommended and should include a feeding history, oral-motor examination, and nutritional assessment. The energy requirements of most disabled children are less than those for a normal child of the same age but may be increased by spasticity, athetosis, convulsions, and recurrent infections. Micronutrient deficiencies may occur even in children receiving nutritionally complete feeds if the volume is reduced because of low energy requirements. Oral intake may be improved by a change of posture, special seating, feeding equipment, oral desensitization, mashing or pureeing of lumpy food, thickening of liquids, use of calorie supplements, and treatment of reflux/esophagitis. Non-oral feeding should be considered when oral feeding is unsafe, not enjoyable, inadequate, or very time consuming. Long-term support requires a gastrostomy. This is less obtrusive than a nasogastric tube, less likely to become displaced, less traumatic, and is associated with improved quality of life, but is also associated with significant morbidity. If there is symptomatic reflux a fundoplication may be required, but this is associated with significant mortality and substantial morbidity.
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DOI: 10.1016/S0899-9007(98)00088-4
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Feeding the disabled child</title><author><name sortKey="Trier, Eileen" sort="Trier, Eileen" uniqKey="Trier E" first="Eileen" last="Trier">Eileen Trier</name></author><author><name sortKey="Thomas, Adrian G" sort="Thomas, Adrian G" uniqKey="Thomas A" first="Adrian G." last="Thomas">Adrian G. Thomas</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:D8091902BD61EB8DFAD88B614E1929A8B5CA4307</idno><date when="1998" year="1998">1998</date><idno type="doi">10.1016/S0899-9007(98)00088-4</idno><idno type="url">https://api.istex.fr/document/D8091902BD61EB8DFAD88B614E1929A8B5CA4307/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001336</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001336</idno><idno type="wicri:Area/Istex/Curation">001224</idno><idno type="wicri:Area/Istex/Checkpoint">000E77</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000E77</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Feeding the disabled child</title><author><name sortKey="Trier, Eileen" sort="Trier, Eileen" uniqKey="Trier E" first="Eileen" last="Trier">Eileen Trier</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Booth Hall Children’s Hospital, Manchester</wicri:regionArea><placeName><settlement type="city">Manchester</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Manchester</region></placeName></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Correspondence to: E. Trier and A. G. Thomas, MD, Booth Hall Children’s Hospital, Charlestown Road, Blackley, Manchester M9 7AA</wicri:regionArea><wicri:noRegion>Manchester M9 7AA</wicri:noRegion></affiliation></author><author><name sortKey="Thomas, Adrian G" sort="Thomas, Adrian G" uniqKey="Thomas A" first="Adrian G." last="Thomas">Adrian G. Thomas</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Booth Hall Children’s Hospital, Manchester</wicri:regionArea><placeName><settlement type="city">Manchester</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Manchester</region></placeName></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Correspondence to: E. Trier and A. G. Thomas, MD, Booth Hall Children’s Hospital, Charlestown Road, Blackley, Manchester M9 7AA</wicri:regionArea><wicri:noRegion>Manchester M9 7AA</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Nutrition</title><title level="j" type="abbrev">NUT</title><idno type="ISSN">0899-9007</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1998">1998</date><biblScope unit="volume">14</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="801">801</biblScope><biblScope unit="page" to="805">805</biblScope></imprint><idno type="ISSN">0899-9007</idno></series><idno type="istex">D8091902BD61EB8DFAD88B614E1929A8B5CA4307</idno><idno type="DOI">10.1016/S0899-9007(98)00088-4</idno><idno type="PII">S0899-9007(98)00088-4</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0899-9007</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>cerebral palsy</term><term>gastrostomy</term><term>malnutrition</term><term>micronutrient</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Feeding difficulty and malnutrition are common in disabled children. Intake may be reduced because of anorexia, chewing and swallowing difficulties, or vomiting. Feeding is often time consuming, unpleasant, and may result in aspiration. Malnutrition may result in impaired growth and neurodevelopment, and impaired cardiorespiratory, gastrointestinal, and immune functions. Multidisciplinary assessment is recommended and should include a feeding history, oral-motor examination, and nutritional assessment. The energy requirements of most disabled children are less than those for a normal child of the same age but may be increased by spasticity, athetosis, convulsions, and recurrent infections. Micronutrient deficiencies may occur even in children receiving nutritionally complete feeds if the volume is reduced because of low energy requirements. Oral intake may be improved by a change of posture, special seating, feeding equipment, oral desensitization, mashing or pureeing of lumpy food, thickening of liquids, use of calorie supplements, and treatment of reflux/esophagitis. Non-oral feeding should be considered when oral feeding is unsafe, not enjoyable, inadequate, or very time consuming. Long-term support requires a gastrostomy. This is less obtrusive than a nasogastric tube, less likely to become displaced, less traumatic, and is associated with improved quality of life, but is also associated with significant morbidity. If there is symptomatic reflux a fundoplication may be required, but this is associated with significant mortality and substantial morbidity.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Manchester</li></region><settlement><li>Manchester</li></settlement></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Trier, Eileen" sort="Trier, Eileen" uniqKey="Trier E" first="Eileen" last="Trier">Eileen Trier</name></region><name sortKey="Thomas, Adrian G" sort="Thomas, Adrian G" uniqKey="Thomas A" first="Adrian G." last="Thomas">Adrian G. Thomas</name><name sortKey="Thomas, Adrian G" sort="Thomas, Adrian G" uniqKey="Thomas A" first="Adrian G." last="Thomas">Adrian G. Thomas</name><name sortKey="Trier, Eileen" sort="Trier, Eileen" uniqKey="Trier E" first="Eileen" last="Trier">Eileen Trier</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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