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Author : Anonim
Publisher : Unknown
Page : 0 pages
File Size : 44,6 Mb
Release : 2013
Category : Electronic
ISBN : OCLC:1117885572
Author : U. S. Department of Health and Human Services,Agency for Healthcare Research and Quality
Publisher : Createspace Independent Pub
Page : 180 pages
File Size : 51,8 Mb
Release : 2013-05-31
Category : Medical
ISBN : 1490324194
Cerebral palsy (CP) is a “group of disorders of the development of movement and posture, causing activity limitation, that is attributed to non-progressive disturbances that occurred in the developing fetal or infant brain. The motor disorders of cerebral palsy are often accompanied by disturbances of sensation, cognition, communication, perception, and/or behaviour, and/or by a seizure disorder.” This group of syndromes ranges in severity and is the result of a variety of etiologies occurring in the prenatal, perinatal, or postnatal period. Though the disorder is nonprogressive, the clinical manifestations may change over time as the brain develops, with other neurologic impairments frequently co-occurring. CP includes a spectrum of disorders of movement, posture, and coordination with heterogeneous etiologies. The diversity of the clinical features is reflected in multiple classification systems that include reference to type of motor dysfunction, body parts affected, severity, and functional abilities. Further classification is by severity level (mild, moderate, severe), and gross motor function, which reflects the functional capabilities of the affected. Developed in the late 1990s, the Gross Motor Function Classification System (GMFCS) outlines a standardized system for classifying motor function based on constructs of disability and functional limitation. The GMFCS includes levels that reflect abilities ranging from walking without limitations (level I) to severe head and trunk control limitations requiring extensive use of assisted technology, physical assistance, and a wheelchair (level V). We have synthesized evidence in the published literature to address these Key Questions: KQ1a. When compared with other nonsurgical interventions or no intervention, how effective are behavioral interventions, including positioning, oral appliances, oral stimulation, sensorimotor facilitation, and caregiver training, for improving nutritional state/growth, health outcomes, health care/resource utilization, and quality of life in individuals with CP and feeding difficulties? KQ1b. Is the effectiveness of behavioral interventions modified by age, race, severity, functional status (e.g., GMFCS level), or initial nutritional status? KQ2a. When compared with other nonsurgical interventions (e.g., positioning, oral appliances or stimulation) or no intervention, how effective are nutritional interventions (food thickeners, caloric supplementation with formulas, vitamin supplementation, and altering food consistency [e.g., pureeing]) for improving nutritional state/growth, health outcomes, health care/resource utilization, and quality of life in individuals with CP and feeding difficulties? KQ2b. Is the effectiveness of nutritional interventions modified by age, race, severity, functional status (e.g., GMFCS level), or initial nutritional status? KQ3a. What is the comparative effectiveness of tube feeding when compared with oral feeding or with nutritional and behavioral interventions in individuals with CP who present with feeding difficulties, including malnourishment, failure to thrive, aspiration, and excessive caregiver burden? KQ3b. Among individuals with CP and feeding difficulties with significant reflux, what is the effectiveness of g-tube placement with fundoplication versus oral feeding for reducing reflux and for improving nutritional state/growth, health outcomes, health care/resource utilization, and quality of life? KQ3c. Among individuals who develop reflux after gastrostomy, what is the comparative effectiveness of j-tube versus fundoplication for reducing reflux in the short term and achieving improvements in nutritional state/growth, health outcomes, health care/resource utilization, and quality of life? KQ3d. Is the effectiveness of tube feeding modified by tube placement, age, race, severity, functional status (e.g., GMFCS level), initial nutritional status, or continuous versus bolus feeding?
Author : Freeman Miller,Steven J. Bachrach
Publisher : JHU Press
Page : 537 pages
File Size : 49,7 Mb
Release : 2006-05-08
Category : Health & Fitness
ISBN : 9780801883545
When a child has a health problem, parents want answers. But when a child has cerebral palsy, the answers don't come quickly. A diagnosis of this complex group of chronic conditions affecting movement and coordination is difficult to make and is typically delayed until the child is eighteen months old. Although the condition may be mild or severe, even general predictions about long-term prognosis seldom come before the child's second birthday. Written by a team of experts associated with the Cerebral Palsy Program at the Alfred I. duPont Hospital for Children, this authoritative resource provides parents and families with vital information that can help them cope with uncertainty. Thoroughly updated and revised to incorporate the latest medical advances, the second edition is a comprehensive guide to cerebral palsy. The book is organized into three parts. In the first, the authors describe specific patterns of involvement (hemiplegia, diplegia, quadriplegia), explain the medical and psychosocial implications of these conditions, and tell parents how to be effective advocates for their child. In the second part, the authors provide a wealth of practical advice about caregiving from nutrition to mobility. Part three features an extensive alphabetically arranged encyclopedia that defines and describes medical terms and diagnoses, medical and surgical procedures, and orthopedic and other assistive devices. Also included are lists of resources and recommended reading.
Author : Archie Hinchcliffe
Publisher : SAGE Publications Pvt. Limited
Page : 0 pages
File Size : 55,9 Mb
Release : 2007-02-21
Category : Education
ISBN : 0761935606
This book is a practical guide to the effective treatment of cerebral palsy in children. It provides a set of principles by which to observe and analyze individual patients' problems and then plan treatment. With the help of this book, non-specialists working with children with cerebral palsy can make decisions and choose the appropriate therapeutic activities for each child. It includes examples of how to apply these principles to real-life situations, using easy-to-follow descriptions and illustrations. New to this revised edition is a chapter on sensory integration problems with children with cerebral palsy, which looks at ways of evaluating and then dealing with these problems. The author also integrates theory with practical skills more closely.
Author : PETER. ANDERSON SULLIVAN (GURO. ANDREW, MORAG.),Peter B. Sullivan
Publisher : Unknown
Page : 209 pages
File Size : 45,7 Mb
Release : 2020
Category : Children with disabilities
ISBN : 191161228X
This handbook provides easily accessible information on the aetiology, assessment and management of nutritional disorders in children with neurodisability.
Author : Joan C. Arvedson,Linda Brodsky,Maureen A. Lefton-Greif
Publisher : Plural Publishing
Page : 619 pages
File Size : 49,6 Mb
Release : 2019-07-26
Category : Medical
ISBN : 9781944883522
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
Author : Christos P. Panteliadis
Publisher : Springer
Page : 358 pages
File Size : 44,5 Mb
Release : 2018-03-06
Category : Medical
ISBN : 9783319678580
This third edition systematically reviews recent developments in the diagnosis and evidence-based treatment of cerebral palsy, a consequence of foetal and early infant brain damage resulting in lifelong disabilities with a range of clinical characteristics. The first part discusses the definition, aetiology, classification, imaging and neuropathology, while the second focuses on the management of the individual challenges that children with cerebral palsy face, such as spasticity, dyskinesia, feeding problems and scoliosis. Based on the diverse characteristics of cerebral palsy, children require care from various specialists, including neuro-paediatricians, orthopaedists, psychologists, epidemiologists, physiotherapists and occupational therapists. This work was written by an international team of such specialists, providing a comprehensive mix of perspectives and expertise.
Author : Peter B. Sullivan
Publisher : John Wiley & Sons
Page : 209 pages
File Size : 52,7 Mb
Release : 2009-07-13
Category : Medical
ISBN : 9781898683605
This book is written to assist those who have responsibility for the nutritional and gastrointestinal care of children with neurodisability. The emphasis throughout is on the importance of multidisciplinary care. It is concerned with the problems surrounding the nutritional management of children with neurological impairment who have difficulty swallowing and feeding. Written from a multidisciplinary perspective by a group of authors with considerable clinical and research experience in this area, it covers: ? The epidemiology of feeding disorders in children with cerebral palsy ? Nutritional assessment ? Evaluation of oral-motor function ? Dietetic management ? Nursing issues in the nutritional care of the disabled child ? Tube feeding ? Gastrointestinal problems and their investigation
Author : Shirley Ekvall,Valli K. Ekvall
Publisher : Oxford University Press
Page : 570 pages
File Size : 45,6 Mb
Release : 2005-03-03
Category : Medical
ISBN : 0195165640
Bridges the gap between nutrition research and its practical application to children with developmental and chronic disorders. After reviewing prenatal and postnatal growth, and the evaluation of nutritional status, the authors provide succinct accounts of a wide range of pediatric disorders that present special nutritional problems. Each chapter is organized to cover biochemical and clinical abnormalities, techniques in nutrition evaluation, nutritional management, and follow-up procedures. Among the diverse conditions covered in this volume are neurogenetic disorders, behavioral disorders, drug toxicity, obesity, cancer, diabetes, and inborn errors of metabolism. A companion study guide is available from the author.
Author : United States. Children's Bureau
Publisher : Unknown
Page : 20 pages
File Size : 42,9 Mb
Release : 1957
Category : Cerebral palsy
ISBN : MINN:31951D03525151A
Author : Cheri Fraker,Mark Fishbein Dr.,Sibyl Cox,Laura Walbert
Publisher : Da Capo Press
Page : 416 pages
File Size : 53,6 Mb
Release : 2009-03-05
Category : Family & Relationships
ISBN : 9780786732753
Initially developed by co-author Cheri Fraker in the course of treating an eleven-year-old who ate nothing but peanut butter, bread, and milk,Food Chainingis a breakthrough approach for dealing with picky eating and feeding problems at any age.Food Chainingemphasizes the relationship between foods in regard to taste, temperature, and texture. InFood Chaining, the internationally known feeding team behind this unique method shows how to help your child enjoy new and nutritious foods, no matter what the nature of his picky eating. The guide also includes information on common food allergies, improving eating skills, advice specific to special needs kids, and a pre-chaining program to help prevent food aversions before they develop.Food Chainingwill help you raise a lifelong healthy eater.
Author : Lu Ann Aday
Publisher : Unknown
Page : 8 pages
File Size : 40,5 Mb
Release : 1992
Category : Child health services
ISBN : IND:32000009509938
Author : Peter B. Sullivan,Lewis Rosenbloom
Publisher : Cambridge University Press
Page : 178 pages
File Size : 55,6 Mb
Release : 1996-01-16
Category : Medical
ISBN : 1898683085
Disabled children often have feeding difficulty. Choking, food spillage and protracted mealtimes can pose enormous problems for their carers and the accompanying nutritional deficit imposes additional burdens on the affected child. The aetiology of these problems is placed in context by a detailed description of normal feeding development in infants. The often under-recognised nutritional and neurodevelopmental consequences of inadequate nutrient intake together with the respiratory complications and the important problems of constipation and drooling which may accompany oro-motor dysfunction are detailed. The clinical and nutritional assessment and the application of diagnostic imaging techniques in the evaluation of such children are described. The methods of management of these children's problems form the core of this volume and they range from oro-motor therapy to various techniques for enteral feeding. The ethical issues raised by the vigorous intervention needed to improve the nutritional state of severely disabled children is explored, together with the need to provide ongoing psychological support for their carers.
Author : Ann M. Coulston,Carol J. Boushey
Publisher : Academic Press
Page : 921 pages
File Size : 40,5 Mb
Release : 2008-03-28
Category : Health & Fitness
ISBN : 9780123741189
This reference addresses basic principles and concepts that are central to the major clinical nutrition-related activities, such as nutritional assessment and monitoring, current theoretical base and knowledge of efficacious interventions, interactions between genetic and nutritional factors, and the use and interpretation of population-based or clinical epidemiological evidence.
Author : Susan H Konek,Patricia J Becker
Publisher : Jones & Bartlett Learning
Page : 725 pages
File Size : 44,8 Mb
Release : 2019-03-15
Category : Health & Fitness
ISBN : 9781284146394
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.