Transition from Tube Feedings to Feedings by Mouth in Children

Schauster, Heidi; Dwyer, Johanna T.

doi:10.1016/s0002-8223(96)00081-8

Cited by 44 publications

(41 citation statements)

References 8 publications

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“…Tube Feeding by Gastrostomy (Table 3) There is a fairly general consensus in the literature that gastrostomy feeding is preferable for children who are likely to be fed by tube for any length of time, in part because this will reduce aversive oral experiences and thereby promote more pleasurable oral feeding [17,18,26]. While some studies show that gastrostomies are generally well accepted by parents and lead to improved quality of life [27], negative consequences are possible because of the risk of the anesthetic and medical complications [28].…”

Section: Aversive Stimuli Associated With Feedingmentioning

confidence: 99%

“…While some authors recognize the possible significance of child-parent interaction in achieving successful oral feeding [26,31], this aspect of tube feeding has not been investigated systematically. In some cases this is because retrospective studies do not allow for analysis of parental behavior, and in other cases parents may not have been physically present [48].…”

Section: Social Interaction At Mealtimesmentioning

confidence: 99%

“…Some authors [5,26] have emphasized the importance of approximating tube feedings to normal mealtimes in size and timings. Food has been offered before a tube feeding when a child was thought to be hungry.…”

Section: Social Interaction At Mealtimesmentioning

confidence: 99%

See 2 more Smart Citations

Tube Feeding in Infancy: Implications for the Developmentof Normal Eating and Drinking Skills

2005

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Tube feeding is commonly used as a method of giving children nutrition while they are being treated for disease. While this is an effective way of ensuring a child thrives and grows, research studies and clinical experience have shown that long-term oral feeding difficulties often arise when the child no longer requires tube feeding. This article gives a critical review of the literature on tube feeding and its effect on normal eating and drinking skills. While few studies have followed a rigorous research design, there is enough literature to identify a number of factors which may be implicated in later feeding difficulties and which therefore need further exploration in research studies. These factors include age at which oral feeding commences, medical complications, exposure to taste and textures during sensitive periods, aversive experiences, and different methods of delivering tube feeds.

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Section: Aversive Stimuli Associated With Feedingmentioning

confidence: 99%

Section: Social Interaction At Mealtimesmentioning

confidence: 99%

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Tube Feeding in Infancy: Implications for the Developmentof Normal Eating and Drinking Skills

2005

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“…A critical component of the process of determining a child's readiness for oral feeding, therefore, is to establish the extent to which their caregiver is ready. This in turn depends on the caregiver not only having a clear understanding of behavioural feeding techniques but also of being able to adopt considerable consistency, patience and perseverance in their application (Schauster and Dwyer, 1996). Furthermore, it is important to appreciate that the time required to make this transition may take weeks or months.…”

Section: Weaning a Child From Gastrostomy Tube Feedingmentioning

confidence: 99%

Gastrostomy tube feeding: when to start, what to feed and how to stop

Gottrand

Sullivan

2010

Eur J Clin Nutr

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“…Furthermore, the anxiety of being hospitalized, combined with a variation in the feeding environment, can contribute to a decreased appetite (Hunsberger, 1989). Finally, hospitalized patients often eat in bed, an environment not typically associated with mealtime (Schauster & Dwyer, 1996).…”

mentioning

confidence: 99%

A Comparison of Calorie and Protein Intake in Hospitalized Pediatric Oncology Patients Dining With a Caregiver Versus Patients Dining Alone: A Randomized, Prospective Clinical Trial

Williams

Hinds

et al. 2004

J Pediatr Oncol Nurs

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Hospitalization and cancer therapy can contribute to decreased food intake in children and adolescents with cancer, making it a challenge to meet their nutritional needs. The affect of hospitalization and the eating environment for pediatric oncology patients has not been studied very well, and the effect of altering the social aspect of mealtime for hospitalized pediatric oncology patients has not been studied at all. The authors conducted a randomized, prospective clinical trial to determine if hospitalized pediatric oncology patients consume more protein and calories when eating with a family member or when eating alone in their room at mealtime. All food and beverage intake was recorded for 3 consecutive days, and a food service satisfaction survey was completed on Day 3. Food records were analyzed for calorie and protein intake, and surveys were analyzed for patient/parent satisfaction. The study was completed by 200 hospitalized patients and their parent/caregiver. Overall, neither calorie nor protein intake differed significantly between the two groups, but patient/parent satisfaction was significantly higher in the group of patients who dined with their caregiver. By using analysis of variance, the authors found that ideal body weight and years of sickness were significantly associated with calorie and protein intake.

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Transition from Tube Feedings to Feedings by Mouth in Children

Cited by 44 publications

References 8 publications

Tube Feeding in Infancy: Implications for the Developmentof Normal Eating and Drinking Skills

Tube Feeding in Infancy: Implications for the Developmentof Normal Eating and Drinking Skills

Gastrostomy tube feeding: when to start, what to feed and how to stop

A Comparison of Calorie and Protein Intake in Hospitalized Pediatric Oncology Patients Dining With a Caregiver Versus Patients Dining Alone: A Randomized, Prospective Clinical Trial

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