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JPEN J Parenter Enteral Nutr ; 39(8): 899-909, 2015 Nov.
Article in English | MEDLINE | ID: mdl-26487751

ABSTRACT

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.


Subject(s)
Child Behavior , Eating/psychology , Feeding Behavior/psychology , Feeding and Eating Disorders/therapy , Patient Care Team , Child , Child, Preschool , Enteral Nutrition , Feeding and Eating Disorders/diagnosis , Feeding and Eating Disorders/etiology , Gastrointestinal Diseases/complications , Humans , Infant , Malnutrition/prevention & control , Nervous System Diseases/complications , Pain/complications , Parent-Child Relations , Pediatrics , Practice Guidelines as Topic , Psychotherapy
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