engleski

Features of feeding and interaction in child with craniofacial malformations (case study)

Literature findings that speak in favor of progress in medicine diagnostics and early detection of difficulties also inform about increase in number of feeding difficulties in children. In the process of feeding there is integration of a big number of systems which change during the child' s growth, and for the normal developmental process of swallowing, sucking and chewing anatomic, neurological and cognitive maturity are crucial. Therefore, difficulties are possible to occur on different levels. If serious and complex problems with feeding do occur parents become dominantly focused and emotionally engaged on that very aspect of development, especially on the amount of food child takes. Feeding determines health, normal growth and development of the child. Many traumatic experiences for the child and family relate to introduction to tube feeding and also with transition to oral feeding. This work describes features and results of a six month follow-up of a girl who went through numerous operation procedures and hospitalizations due to serious medical problems (cleft lip and palate). Her feeding was realized through gastrostomy tube. The child came to speech and language and psychological assessment in the age of 18 months because of problems with transition to oral feeding and determining cognitive and speech and language level. Family aspect is discussed from psychological view as one of the factors that influenced transition to oral feeding (fears from aspiration, malnutrition and different complications ).

feeding difficulties ; child with craniofacial malformations

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