A 12-month-old-boy was referred for a clinical Show more Dysphagia: Clinical Management in Adults and Children A 12-month-old-boy was referred for a clinical feeding evaluation.
A 12-month-old-boy was referred for a clinical Show more Dysphagia: Clinical Management in Adults and Children A 12-month-old-boy was referred for a clinical feeding evaluation.
His medical history includes normal development including feeding through 11 months of age. He developed a high fever that led to seizures. These seizures were accompanied by vomiting and difficulty breathing. He was transferred to a medical facility by helicopter while in status epilepticus. The seizures were controllable by medication. He remained in the hospital for 17 days and returned home with a nasogastric feeding tube and developmental skills that had decreased to approximately a 4-month level. The NG tube is causing vomiting and must be replaced several times per week. He has no allergies. He is taking several medications to address the seizures and altered muscle tone. Of significance the family recently lost another child age 4 years to significant medical complications associated with extreme prematurity. What motor and feeding skills may this child have developed before the onset of his seizures? Given his described current level of motor functioning what feeding skills may be expected? The mom is familiar with SLP therapy from her older childs experience. She asks what type of dysphagia therapy you are planning to implement. Which pediatric therapy approach seems most appropriate to you and why? Show less
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