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Cat. II · Screening, Assessment, Eval & Dx4 min read
Feeding & Swallowing

Pediatric Feeding: Assessment & Clinical Decision-Making

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Separate the Constructs

Pediatric feeding disorder (PFD) and pediatric dysphagia are related but not interchangeable.

  • Feeding includes obtaining, preparing, bringing, and managing food or liquid as well as the caregiver-child interaction around meals.
  • Dysphagia is impaired movement or processing of a bolus through oral, pharyngeal, esophageal, or gastroesophageal phases.
  • A child can have PFD without pharyngeal dysphagia, dysphagia without broad feeding difficulty, or both.

PFD is considered across four interacting domains: medical, nutritional, feeding skill, and psychosocial. Assessment and intervention are therefore interprofessional.

The rest of this outline 6

  1. Red Flags and Immediate Priorities
  2. Clinical Feeding and Swallowing Evaluation
  3. When Instrumental Assessment Is Needed
  4. Management Principles
  5. Common Traps
  6. Sources to Know

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