Paediatric dysphagia: How I inform my decisions (1) – Penetrating questions.
Author: Charlotte Buswell
Magazine issue: Spring 06
Page numbers: 24-26
Date: 27 February 2006
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Is penetration during swallowing a normal or abnormal event for children? Does it indicate dysphagia or risk of aspiration? What do we do when we see it – remove oral feeding, perhaps unnecessarily, or continue it, perhaps risking respiratory consequences? Charlotte Buswell reviewed the little evidence that is available and found much of it contradictory. Applying the findings to her practice, she now finds parents are more able to make informed choices about continuation of oral feeding. She also uses the findings to suggest alterations to planning, carrying out and reporting on assessment of swallowing in children that will give a more realistic picture of their aspiration risk.
