Feeding and Nutrition
Infants exhibiting a suck problem - or a child who is a picky eater and who only eats one or two different foods - can develop a "failure to thrive", meaning they cannot eat enough to grow. The Washington State Community Feeding Teams provide an interdisciplinary approach to address feeding/nutrition concerns for children with special healthcare needs in a comprehensive, cost-effective manner. In concert with this state agency, VMC's Children's Therapy works directly with families to help parents/caregivers resolve important issues related to feeding and nutrition. The team approach can benefit a family by avoiding the duplication of services and allow all issues of food and feeding to be addressed by one team with identification of subsequent services and therapies needed.
PEDIATRIC MODIFIED BARIUM SWALLOW STUDIES
Valley Medical Center's Pediatric Modified Barium Swallow (PMBS) team consists of specially trained speech-language pathologists and radiologists. If the child is not currently seeing a feeding specialist, an outpatient Oral Feeding Evaluation should be performed before the PMBS. This gathers information regarding significant medical history, oral motor skill assessment, and observation of current feeding skills. Results will ensure efficiency of the PMBS in determining problems and appropriate suggestion to make feeding easier and safer.
A physician's referral is needed for a PMBS. If the referring physician also orders an Upper GI, it will typically be scheduled on a day following the PMBS. Swallow studies take place in the VMC Radiology department on the main hospital's second floor.
What you need to know about the study -
- Before the study: Using the history of the child's feeding skills, the caregiver is informed what feeding utensils (e.g. bottle/spoon) and liquids/foods (e.g. formal/baby food) to bring to the study.
- During the study: A seat similar to a car seat is typically used. The caregiver usually feeds the child. Assessment is made using x-rays of the child swallowing and a recorded video. any necessasry feeding modifications are made.
- After the study: Results are reviewed with the caregiver. Any necessary education and referrals, including therapy, are discussed. A PMBS Report and Evaluation Summary are sent to the child's physician and referral agency upon consent.
Your Food Allergy Field Guide Now Available from FARE (Food allergy Research & Education)!
Learning that you or your child has a food allergy – a life-altering and potentially life-threatening disease – can be overwhelming. FARE’s new resource, “Your Food Allergy Field Guide,” can help. This comprehensive guide is designed to help individuals and families who are new to food allergies have the information they need to stay safe, avoid reactions, shop smartly and live well with food allergies. Download a free online version of the Food Allergy Field Guide here!