{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-L64GL69T/7e787d2e-0b5e-41d2-82b7-c081a97c0529/PDF","dcterms:extent":"389 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-L64GL69T/24ebebf7-2d23-48b4-b12a-337056148208/TEXT","dcterms:extent":"59 KB"}],"edm:TimeSpan":{"@rdf:about":"2008-2025","edm:begin":{"@xml:lang":"en","#text":"2008"},"edm:end":{"@xml:lang":"en","#text":"2025"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-L64GL69T","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/URN:NBN:SI:spr-FQ9JBKO1"},{"@xml:lang":"sl","#text":"Rehabilitacija (Ljubljana)"}],"dcterms:issued":"2021","dc:creator":["Groleger Sršen, Katja","Homan, Matjaž","Korelc Primc, Simona","Korošec, Barbara","Kovačec Hermann, Teja","Logar, Svetlana","Poljanšek, Jožica","Vošner, Monika"],"dc:format":[{"@xml:lang":"sl","#text":"številka:2"},{"@xml:lang":"sl","#text":"letnik:20"},{"@xml:lang":"sl","#text":"str. 61-70"}],"dc:identifier":["ISSN:1580-9315","COBISSID_HOST:93990403","URN:URN:NBN:SI:doc-L64GL69T"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Univerzitetni rehabilitacijski inštitut Slovenije - Soča"},"dc:subject":[{"@xml:lang":"sl","#text":"Child"},{"@xml:lang":"en","#text":"feeding tube"},{"@xml:lang":"sl","#text":"hranilna cevka"},{"@xml:lang":"sl","#text":"multidisciplinarni pristop"},{"@xml:lang":"en","#text":"multidisciplinary approach"},{"@xml:lang":"sl","#text":"odvajanje"},{"@xml:lang":"sl","#text":"otrok"},{"@xml:lang":"sl","#text":"rehabilitation"},{"@xml:lang":"en","#text":"weaning"}],"dcterms:temporal":{"@rdf:resource":"2008-2025"},"dc:title":{"@xml:lang":"sl","#text":"Celostni program za odvajanje otrok od hranjenja po hranilni cevki| a case report| A comprehensive feeding tube weaning program| prikaz primera|"},"dc:description":[{"@xml:lang":"sl","#text":"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"},{"@xml:lang":"sl","#text":"Motnje hranjenja in požiranja pri otroku so lahko posledica nezrelosti, različnih bolezni in okvar živčevja, dihal, srca in prebavil ter dejavnikov okolja. V primeru, da je zaradi teh motenj ogroženo zdravje otroka, je otroku, vsaj za prehodno obdobje, potrebno vstaviti cevko za hranjenje. Ob izboljšanju zdravstvenega stanja in funkcijskih zmožnosti lahko cevko odstranimo, pri čemer otrok lahko zavrne hranjenje skozi usta. Za obravnavo takega otroka je potreben multidisciplinarni pristop in sodelovanje staršev. V svetu poznamo več modelov. Predstavljamo primer deklice, ki je ob prebolevanju črevesnega vnetja v starosti devet mesecev potrebovala hranjenje po hranilni cevki. Vse ostale bolezni so izključili. Ko so težave izzvenele, je zavrnila prehod s hranjenja po cevki na hranjenje skozi usta. Deklica je bila rojena prezgodaj, senzorno občutljiva, z manj zrelo pozornostjo in specifičnimi težavami na področju govorno-jezikovne komunikacije. V program stopenjske senzorne stimulacije za izboljšanje veščine hranjenja se je prvič vključila v starosti 16 mesecev. V naslednjih osmih mesecih je tako napredovala pri sprejemanju različnih okusov in tekstur hrane, da smo se odločili za program odvajanja od hranjenja po hranilni cevki. Ključne elemente multidisciplinarnega pristopa smo prenesli v naše klinično okolje in v tritedenskem programu pri deklici uspešno izpeljali prehod na polno hranjenje skozi usta"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-L64GL69T","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-L64GL69T"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-L64GL69T/7e787d2e-0b5e-41d2-82b7-c081a97c0529/PDF"},"edm:rights":{"@rdf:resource":"http://rightsstatements.org/vocab/InC/1.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Univerzitetni rehabilitacijski inštitut RS – Soča"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-L64GL69T/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-L64GL69T"}}}}