Subject: | |
From: | |
Reply To: | |
Date: | Tue, 30 Mar 2010 08:52:11 -0400 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
Sam... we just can't compare infants to geriatrics. An infant's diet is
all liquid which requires continued suck swallow breathe cycling.
Adequate growth is dependent on intake. If any one has an opportunity
to view a modified barium swallow with an infant patient, it would be
worth your time. Based on the Frazier water protocol, our Speech
Pathologists/Therapist use sterile water to evaluate swallows and
therapy to begin feeds with very, very limited volume to prepare and
work up to sucking and swallow skills for the baby to be able to take in
enough for a swallow study. Water just would not be appropriate for
infant intake for obvious reasons. Also, I am referring to situations
that aspiration is documented and not in question. I am also referring
to those situations that require very thick texture to prevent
aspiration. By the way, we would have already trialed and assessed the
infant with the breastmilk using slow flow nipple AND external pacing
both clinically and under videofluoro (xray).
Angie Kirkwood, RN, BSN, IBCLC, RLC
CONFIDENTIALITY NOTICE. This e-mail and attachments (if any) are the sole property of Children's Hospital of Pittsburgh of UPMC and may contain information that is confidential, proprietary, privileged or otherwise prohibited by law from disclosure or re-disclosure. This information is intended solely for the individual(s) or entity(ies) to whom this e-mail or attachments are addressed. If you have received this e-mail in error, you are prohibited from using, copying, saving or disclosing this information to anyone else. Please destroy the message and any attachments immediately and notify the sender by return e-mail. Thank you.
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
|
|