Celostni program za odvajanje otrok od hranjenja po hranilni cevki : prikaz primera
A comprehensive feeding tube weaning program : a case report

slovenian

2021

volume 20, issue 2

feeding tube   multidisciplinary approach   weaning

Univerzitetni rehabilitacijski inštitut RS – Soča
(Obvezni izvod spletne publikacije)

Eating disorders in children can be caused by immaturity, various diseases and disorders of the nervous system, respiratory system, heart and gastrointestinal tract, and environmental factors. In case of serious consequences for the child's health, the child, at least for a transitional period, needs to be inserted a feeding tube. With the improvement of health and functional capabilities, the tube can be removed, but the child may refuse to feed through the mouth. A multidisciplinary approach and parental involvement is needed to treat such a child. Several models are known. We present the case of a girl who needed to be fed through a tube when she was recovering from intestinal inflammation at the age of nine months. All other diseases were excluded. When the problems subsided, she refused to switch from tube feeding to mouth feeding. She was born prematurely, sensory sensitive, with less mature attention and specific problems in the field of speech-language communication. She joined the sensory oral stimulation program for the first time at the age of 16 months. In the following months, she made so much progress in accepting different flavours and food structures that we decided to include her into a feeding tube weaning program. We transferred the key elements of the multidisciplinary approach to our clinical praxis and successfully completed the transition of the girl to full feeding through the mouth in a three-week program.

21.02.2022