Interdisciplinary Strategies for Treating Oral Aversions in Children.
Oral aversion is a frequent diagnosis in the pediatric population. For a minority of children, feeding challenges rise to the level of requiring clinical evaluation and intervention. Determining the best evaluation and treatment plan can be challenging, but there is a consensus that treatment for children with a severe oral aversion involves an interdisciplinary approach. Within the team model, multiple strategies have demonstrated effectiveness, including sensorimotor skill building, behavioral modification, hunger provocation, and sensory integration therapy. This tutorial reviews the diagnostic and treatment process for a child with oral aversion, including identification of an underlying etiology, the medical and behavioral evaluation, and formulation of a treatment plan.
Children's Mercy Kansas City, Kansas City, Missouri sedwards1@cmh.edu.
Sarah
S
Edwards
Department of Pediatrics, University of Kansas Medical Center, Kansas City, Kansas Center for Children's Healthy Lifestyles & Nutrition, Kansas City, Missouri.
Ann McGrath
AM
Davis
Children's Mercy Kansas City, Kansas City, Missouri.
Linda
L
Ernst
Children's Mercy Kansas City, Kansas City, Missouri.
Brenda
B
Sitzmann
Department of Pediatrics, University of Kansas Medical Center, Kansas City, Kansas Center for Children's Healthy Lifestyles & Nutrition, Kansas City, Missouri.
Amanda
A
Bruce
Children's Mercy Kansas City, Kansas City, Missouri.
David
D
Keeler
Department of Pediatrics, University of Kansas Medical Center, Kansas City, Kansas.
Osama
O
Almadhoun
University of California in San Diego, Rady Children's Hospital, San Diego, California.
Hayat
H
Mousa
New Orleans Children's Hospital, New Orleans, Louisiana.
Paul
P
Hyman
D002648:Child; D002652:Child Behavior; D002675:Child, Preschool; D004435:Eating / Q000523:psychology*; D004750:Enteral Nutrition; D005247:Feeding Behavior / Q000523:psychology*; D001068:Feeding and Eating Disorders / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D005767:Gastrointestinal Diseases / Q000150:complications; D006801:Humans; D007223:Infant; D044342:Malnutrition / Q000517:prevention & control; D009422:Nervous System Diseases / Q000150:complications; D010146:Pain / Q000150:complications; D010287:Parent-Child Relations; D010348:Patient Care Team; D010372:Pediatrics; D017410:Practice Guidelines as Topic; D011613:Psychotherapy
children; interdisciplinary; oral aversion; review; treatment; tube feeding