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This book is the result of thousands of encounters with tube-fed infants and their families over the past four decades. The ailing and fragile children, suffering from a myriad of medical conditions acted as muses and mentors teaching more than could be expected. This book is addressed to medical professionals, early interventionists, pediatricians, child surgeons, nurses, dieticians, occupational therapists, speech and language pathologists (SLPs), feeding specialists, psychologists, physiotherapists, infant psychiatrists as well as parents. The medically fragile child (MFC) is the subject of the authors’ work when it is concerned with enteral nutrition support (ENS) by means of a feeding tube (ENT). As pediatricians and psychotherapists, they have been treating eating and feeding disorders of children since 1986 and with this book they pass on knowledge they have garnered over three decades. Over 5,000 children have been weaned off their feeding tubes. Tube weaning requires the evaluation of medical, nutritional, sensory, developmental, metabolic and growth-related findings. The review of the literature around this subject has provided a source of inspiration as well as critical self-reflection; the authors wish to offer their insight and ideas on how to approach child-led tube-management and tube-weaning to all healthcare professional involved in the management of these children.
The definitive reference in the field--now significantly revised with 75% new material--this volume examines typical and atypical development from birth to the preschool years and identifies what works in helping children and families at risk. Foremost experts explore neurobiological, family, and sociocultural factors in infant mental health, with a major focus on primary caregiving relationships. Risk factors for developmental problems are analyzed, and current information on disorders and disabilities of early childhood is presented. The volume showcases evidence-based approaches to assessment and intervention and describes applications in mental health, primary care, child care, and child welfare settings. New to This Edition: *Chapters on genetic and epigenetic processes, executive functions, historical trauma, and neglect. *Chapters on additional clinical problems: hyperactivity and inattention, sensory overresponsivity, and relationship-specific disorder. *Chapters on additional interventions: attachment and biobehavioral catch-up, video-feedback intervention to promote positive parenting and sensitive discipline, parent–child interaction therapy, and home visiting programs. *Existing chapters all rewritten or revised to reflect a decade's worth of empirical and clinical advances.
The comparison of established methods in surgery is necessary in order to evaluate the advantages or disadvantages of each. We have therefore tried to include discussions of all the problems which arise in the treat ment of long-gap esophageal atresia. The long-term results of different types of colonic interposition, of different "stretching" procedures, and of simple staged surgery seemed especially worthy of discussion. It was also important to describe the role of complications caused by special pathology of the trachea in esophageal atresia and their management. Second, new problems continue to arise with regard to the prenatal diagnosis of malformations. These new aspects will continue to exert an influence on our surgical field. Malformations pose severe problems for parents, the growing fetus, and the doctors and are lasting burdens on our task. PETER WURNIG, Vienna Contents I. Long-gap Esophageal Atresia Current Surgical Strategies in Long-gap Esophageal Atresia with Regard to Endoscopy Anastomosis. D. BooB and J. Kotlarski. With 7 Figures ... 1 Long-gap Esophageal Atresia: Experience with Kato's Instru mental Anastomosis, with Cervicothoracic Procedure and P- mary Anastomosis, and with Retrosternal Colonic Interposition. W. Ch. Hecker. With 6 Figures ... 9 Esophagus Replacement by Free, Autologous Jejunal Mucosa Transplantation in Long-gap Esophageal Atresia. H. Halsband. With 10 Figures ... 22 The Outcome of Colonic Replacement of the Esophagus in Ch- dren. A. Ahmed and L. Spitz. With 3 Figures ... 37 Gastric Tube Esophagoplasty. K.D. Anderson. With 1 Figure 55 The Significance of Tracheal Stenosis in Esophageal Atresia.
Pediatric Swallowing and Feeding: Assessment and Management, Third Edition provides information to practitioners interested in and involved with children who demonstrate swallowing and feeding disorders. Since the 2002 publication of the second edition, there has been an exponential increase in the number of medically fragile and complex children with swallowing/feeding disorders. A corresponding proliferation in the related basic and clinical research has resulted in the increased appreciation of the complicated inter-relationships between structures and systems that contribute to swallowing/feeding development, function, and disorders. Case studies throughout the book provide examples for decision making and highlight salient points. New to the Third Edition: * Maureen A. Lefton-Greif, PhD, CCC-SLP, BCS-S, is welcomed as co-editor. She brings extensive research expertise and clinical practice in pediatric dysphagia and feeding. * All chapters contain significant updated evidence-based research and clinical information. * New chapters focus on the genetic testing and conditions associated with swallowing and feeding disorders, and the pulmonary manifestations and management of aspiration. * World Health Organization (WHO) description of an International Classification of Functioning, Disability, and Health (ICF) sets the stage for an in-depth discussion of clinical feeding evaluation procedures, interpretation, and management decision making. Pediatric Swallowing and Feeding continues to be the leading text on pediatric dysphagia that provides practical information for clinicians seeing children with swallowing and feeding disorders. The overall importance of an appropriate fund of knowledge and shared experience employing team approaches is emphasized throughout this third edition as in the earlier editions of this book. From the Foreword: "The Editors have recognized the advances and changes in the understanding in the information now available for the care of pediatric swallowing and feeding challenges. They have recruited an outstanding group of contributors for this newest edition. There are numerous critically important updates and additions in the third edition. They have included World Health Organizations International Classification of Functioning, Disability and Health is the functional basis in all areas of the book. This text has its importance as there has been an increased number of children with complex medical and healthcare conditions which are risk for feeding and swallowing disorders. This edition stresses the need for team approaches and also documents the use of “virtual” teams ...Pediatric Swallowing and Feeding: Assessment and Management, Third Edition is the fundamental holistic source for all healthcare providers providing the care for swallowing and feeding in children. This book will be utilized by all caring for children with feeding and swallowing problems throughout the world. The previous editions have been and now this updated third edition continues to be the standard source for the information concerning diagnosis and care of these children." —Robert J. Ruben, MD, FAAP, FACS Distinguished University Professor Departments of Otorhinolaryngology – Head and Neck Surgery and Pediatrics Albert Einstein College of Medicine Montefiore Medical Center Bronx, New York
Wean your baby with help from record-breaking cookbook author and proud dad Joe Wicks, the nation's favourite PE teacher. · All the reliable information you need to wean your baby from first foods to enjoying family mealtimes. · Packed with simple and trustworthy ideas Joe has drawn from his experience of weaning his daughter, Indie, combined with expert guidance from leading registered nutritionist, Charlotte Stirling-Reed. · Features one hundred delicious, healthy and balanced recipes, from finger foods and purées to adapting your own favourite meals. Joe Wicks is responsible for getting the nation moving with his incredible record-breaking family-friendly workouts. Now he's turned his attention to making weaning – a daunting prospect for all parents – a happy and enjoyable time for the whole family. Whether you’re a first-time parent or not, Wean in 15 guides you towards getting the best for your little one, from figuring out when to start weaning and how much food your child needs, to adapting your own meals for your child. Joe knows how difficult it can be to manage your time, so he also shows you how to prep like a boss with shopping lists and freezable items. With one hundred tasty recipes split into age stages, expert help with nutrients, allergies, supplements and fussy eaters, as well as knowing how to understand your child’s signals, this is the only weaning guide you will ever need to lay the foundation for a lifetime of healthy, happy eating.
Avoidant Restrictive Food Intake Disorder, more commonly known as ARFID, is a relatively newly introduced diagnostic category. Research in the field, although growing, remains limited, with clinical knowledge and expertise varying across clinicians. There may be uncertainty how to correctly identify and diagnose the disorder as well as how best to direct treatment. This clinical guide sets out to be a trailblazer in the field, providing up-to-date information and comprehensive clinical guidance on ARFID in childhood and adolescence. Chapters in the book are divided into five sections, the first focussing on the importance of attending to the perspectives of those directly affected by ARFID. Three subsequent sections cover diagnosis and presentation, including chapters on aetiology, epidemiology, assessment, and outcome measures; clinical assessment, including psychological, family, nutritional, medical, and sensory components; and management, discussing nutritional, medical, psychological, and wider system approaches. The final section discusses prognosis and outcomes, and considers future research directions. This clinically focussed book, with contributions from a multi-disciplinary authorship, is intended to function as an accessible, practical guide, and reference resource. It includes summaries of available evidence, with related recommendations for clinical practice. The advice and suggestions included will assist clinicians in targeting their attention appropriately, to ensure that children, adolescents, and their families receive the best possible care.
The first of its kind, Tracheostomy and Ventilator Dependence in Adults and Children: Learning Through Case Studies provides clinicians, educators, and students in the fields of speech pathology, otolaryngology, nursing, and respiratory care with detailed descriptions of real-world interventions and treatment strategies. A wide variety of tracheostomy and ventilator dependency cases are presented, including congenital, acquired, and progressive illnesses; surgical cases; and COVID-19 pandemic case studies. The case studies also address both pediatrics and adults in many settings, such as outpatient, inpatient acute care and rehabilitation, ICU, and home care. Written in an engaging tone that focuses on the humans behind the diagnoses, the case studies offer a holistic approach that integrates what is known about physiology and treatment methods into the context of actual patients and their lives. Heterogeneous, ever-changing, and highly complex, this patient population requires skillful and innovative approaches across disciplines. Readers may use this inspiring and educational text as a resource, selecting a case that is similar to one they are facing or may face in the future, which may ultimately help them navigate speech, phonation, vent weaning, and swallowing objectives for their own patients. Each case has a title indicating the primary diagnosis so that readers may easily choose cases that are relevant to their clinical practice or educational objectives. Sourced from speech pathologists, respiratory therapists, nurses, and physicians from around the world, the well-rounded clinical perspectives in these challenging and thought-provoking case studies will facilitate learning and enhance the knowledge of health care professionals, thus helping to improve the care and outcomes of pediatric and adult patients with tracheostomy or ventilator dependence. The book may also be used to supplement academic coursework for health care professionals in fields such as medical speech-language pathology by providing real-world examples of patient care for problem-based learning. Key Features: * Full-color clinical photographs featuring patients and interventions * Background information related to the specific issue and physiologic underpinnings * Case history of the patient, including the environment where treated * The problem to be solved or goal to be achieved * The decisions that led to the plan, treatment, or intervention * The logic, physiologic basis, or research behind the treatment/intervention strategies * Peer-reviewed references
Samour & King’s Pediatric Nutrition in Clinical Care, Fifth Edition provides comprehensive coverage of the nutritional aspects of pediatric clinical care. A widely trusted resource for more than twenty years, this text combines coverage of nutrition assessment and care with detailed coverage of normal growth, relevant disease states, and medical nutrition therapy.
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