Description
Book SynopsisPediatric Dysphagia: A Multidisciplinary Approach is a comprehensive professional reference on the topic of pediatric feeding and swallowing disorders. Given that these disorders derive from abnormalities in the function and/or structure of the airway and digestive systems, multiple clinical specialists may be involved in the evaluation and management of affected children at any given point in time. This text therefore includes significant contributions from a wide range of experts in pediatric dysphagia, including all members of the Interdisciplinary Feeding Team at Cincinnati Children’s Medical Center. These experts present an in-depth description of their roles in the diagnosis and management of dysphagic children, providing the reader with an understanding of why a multidisciplinary model of care is key to the optimization of outcomes. Pediatric Dysphagia is divided into five parts. In Part I, readers are provided with an overview of the embryologic development of aerodigestive structures that relate to swallowing, an introduction to neural organization related to swallowing function and physiologic aspects of swallowing, a synopsis of oral motor development, a discussion of the various etiologic categories of feeding and swallowing disorders, and an overview of genetic disorders associated with feeding and swallowing issues. Part II covers the clinical and instrumental assessment of patients, including the interdisciplinary feeding team infrastructure and function, the roles of individual members of the feeding team, the specific diagnostic tests commonly used in the assessment of feeding and swallowing issues, the classification of neonatal intensive care units, and the assessment and management of feeding and swallowing issues encountered in the neonatal intensive care unit. Part III focuses on the management of pediatric dysphagia, covering a wide range of treatment strategies and interventions for children with various categories of feeding disorders. Part IV includes an introduction to the concept of evidence-based practice and the application of evidence-based strategies in the management of dysphagia. Part V presents a brief overview of the role of ethics in healthcare and ethical considerations in the treatment of dysphagic children. In summary, the overall aim of this comprehensive text is to provide all pediatric professionals involved in the care of dysphagic patients with a basic understanding of the complexity of this disorder, the anatomic, neurologic, and physiologic components involved in this disorder, an overview of the diverse population of children who suffer with this disorder, and with a wide range of management approaches based on patient needs and capabilities. The authors also address clinical problem solving and decision making, inspiring readers to develop multidisciplinary models of care at their own institutions.
Table of ContentsForeword by Robin T. Cotton Preface Acknowledgments Contributors Part I. Foundations Section 1. Embryology Chapter 1. Embryologic Development of Aerodigestive Structures that Relate to Swallowing Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Section 2. Neural Control of Swallowing Chapter 2. Neural Organization Related to Swallowing Claire Kane Miller, Lisa N. Kelchner, and Jay Paul Willging Chapter 3. Cranial Nerves Associated with Swallowing Claire Kane Miller, Lisa N. Kelchner, and Jay Paul Willging Chapter 4. Three Phases of Swallowing Claire Kane Miller, Lisa N. Kelchner, and Jay Paul Willging Chapter 5. Respiration, Swallowing, and Protective Reflexes Claire Kane Miller, Lisa N. Kelchner, and Jay Paul Willging Section 3. Oral Motor Development Chapter 6. Oral Motor Development Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Section 4. Etiologies Chapter 7. Syndromes, Sequences, and Associations Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Chapter 8. Neurologic Etiologies Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Chapter 9. Structural Etiologies Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Chapter 10. Respiratory Conditions Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Chapter 11. Cardiac Conditions Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Chapter 12. Functional Disorders of the Esophagus Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Chapter 13. Functional Disorders of the Gastrointestinal Tract Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Chapter 14. Sensory Processing Disorders Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Chapter 15. Metabolic Disorders Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Chapter 16. Psychosocial and Behavioral Disorders Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Section 5. Genetics Chapter 17. Genetic Syndromes and Disorders and Their Associated Feeding Issues Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Part II. Clinical and Instrumental Assessment Section 6. Interdisciplinary Feeding Team Chapter 18. Team Infrastructure and Function Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Chapter 19. Role of the Pediatric Otolaryngologist Jay Paul Willging Chapter 20. Role of the Pulmonologist Dan T. Benscoter Chapter 21. Role of the Pediatric Gastroenterologist Vincent Mukkada, Aliza P. Cohen, and Jay Paul Willging Chapter 22. Role of the Registered Nurse Candace J. Hochstrasser Chapter 23. Role of the Nurse Practitioner Candace J. Hochstrasser Chapter 24. Role of the Registered Dietician Amy E. Reed Chapter 25. Role of the Pediatric Speech-Language Pathologist Claire Kane Miller Chapter 26. Role of the Occupational Therapist Elizabeth J. Kirby Chapter 27. Role of the Social Worker Sarah M. Weller Chapter 28. Case Study Reflecting Interdisciplinary Feeding Team Approach Claire Kane Miller Section 7. Oral Motor Feeding Assessment Chapter 29. Clinical Oral Motor Feeding Assessment Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Section 8. Instrumental Assessment Chapter 30. The Videofluoroscopic Swallowing Study Claire Kane Miller, Steven J. Kraus, Aliza P. Cohen, and Jay Paul Willging Chapter 31. Fiberoptic Evaluation of Swallowing Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Chapter 32. Adjunctive Diagnostic Testing in the Evaluation of Pediatric Dysphagia Charles M. Myer IV, Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Section 9. Assessment and Management of Feeding and Swallowing Issues in the Neonatal Intensive Care Unit Chapter 33. Classification of Neonatal Intensive Care Units Claire Kane Miller, Alison S. Riley, Brenda K. Thompson, and Ann Clonan Chapter 34. Selective Conditions Frequently Seen in the Neonatal Intensive Care Unit Claire Kane Miller, Alison S. Riley, Brenda K. Thompson, and Ann Clonan Chapter 35. The Neonate in the Neonatal Intensive Care Unit Environment Claire Kane Miller, Alison S. Riley, Brenda K. Thompson, and Ann Clonan Chapter 36. Feeding Assessment of Neonates in the Neonatal Intensive Care Unit Claire Kane Miller, Alison S. Riley, Brenda K. Thompson, and Ann Clonan Chapter 37. Therapeutic Interventions in the Neonatal Intensive Care Unit Claire Kane Miller, Alison S. Riley, Brenda K. Thompson, and Ann Clonan Part III. Management of Pediatric Dysphagia Section 10. Overview of Treatment Strategies Chapter 38. Overview of Treatment Strategies Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Chapter 39. Management of Feeding Issues in Infants and Children with Craniofacial Anomalies Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Chapter 40. Management of Dysphagia in Children with Underlying Neurogenic Conditions Claire Kane Miller, Aliza P. Cohen, and Jay Paul Willging Section 11. Sensory Processing Disorders Chapter 41. Sensory Processing Disorders and Regulatory Issues that Affect Feeding Claire Kane Miller and Jennifer Maybee Chapter 42. Interventions for Sensory Processing Disorders Claire Kane Miller and Jennifer Maybee Section 12. Behavioral Feeding Disorders and Intervention Strategies Chapter 43. Behavioral Feeding Disorders Claire Kane Miller and Lori B. Vincent Chapter 44. Behavioral Assessment Claire Kane Miller and Lori B. Vincent Chapter 45. Behavioral Feeding Interventions Claire Kane Miller and Lori B. Vincent Section 13. Management of Gagging, Retching, and Tube Feeding Issues Chapter 46. Management of Gagging, Retching, and Tube Feeding Issues Therese O’Flaherty, Aliza P. Cohen, and Jay Paul Willging Part IV. Evidence-Based Medicine Section 14. Evidence-Based Practice and Assessing Outcomes in Pediatric Dysphasia Chapter 47. Levels of Evidence Claire Kane Miller Chapter 48. Components of Evidence-Based Practice Claire Kane Miller Chapter 49. Establishing Care Recommendations, Clinical Pathways, and Treatment Protocols Claire Kane Miller Chapter 50. Integrating Functional Outcomes in the Dysphagia Treatment Plan Claire Kane Miller Part V. Ethics in Pediatric Dysphagia Section 15. Ethics in Pediatric Dysphagia Chapter 51. Ethics in Pediatric Dysphagia Candace Ganz and Claire Kane Miller Index
