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Feeding: Transitioning from tube feeding to oral feedingFFeeding: Transitioning from tube feeding to oral feedingFeeding: Transitioning from tube feeding to oral feedingEnglishDevelopmentalBaby (1-12 months);Toddler (13-24 months);Preschooler (2-4 years)Mouth;EsophagusMouth;EsophagusNon-drug treatmentCaregivers Adult (19+)NA2014-11-07T05:00:00Z​​Beth Haliburton, RD;Ashley Graham, OT​​7.0000000000000075.0000000000000628.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Discover how to help a tube-fed child gradually adjust to feeding by mouth.</p><p>If your child has been tube fed for a long time, they may gradually transition to oral feeding (feeding by mouth). This transition can be long and challenging.</p><p>When your child’s health-care team tells you that your child is safe to feed orally, the following ideas can help make this transition easier.</p><h2>Key points</h2> <ul> <li>Talk to your child’s health-care team about when to start oral feeding and which foods are safest.</li> <li>Help your child adjust by setting up a meal schedule, including them in family mealtimes, serving a range of age-appropriate, safe foods and letting them try to feed themselves.</li> <li>Always be aware of any signs of distress such as coughing, refusal of feeds or difficulty breathing.</li> <li>If your child is distressed, stop oral feeding and ask your health care team for advice.</li> </ul><h2>Make mealtimes positive</h2> <p>Your child’s readiness to start feeding by mouth is an exciting time. Help your child develop trust around food by making mealtimes positive.</p> <p>Every child is unique and will adjust to feeding by mouth at their own pace. At this stage, the goal is not about how much your child eats or how many calories they get from their feeds by mouth. Instead, aim for your child to enjoy the social aspect of eating with your family so that they will eat more and, in time, develop the skills they need to feed themselves.</p> <h2>Set up a meal schedule for oral feeds</h2> <p>Your child’s interest in eating will vary throughout the day and from day to day. They may also need time to learn what hunger and fullness feel like, as tube feeds can interfere with this.</p> <ul> <li>Set up a routine that includes three meals and two or three snacks a day.</li> <li>Start with very small meals. </li> <li>Offer food every three to four hours at consistent times every day.</li> <li>Limit mealtimes to a maximum of 30 minutes. </li> <li>While your child is still receiving some tube feeds, and if the feeding schedule allows, offer food by mouth before the tube feed.</li> </ul> <h2>Include your child in family mealtimes</h2> <ul> <li>Eat with your child. Children learn from copying others.</li> <li>If your child can hold their head up and sit with minimal support, sit them in a highchair during family mealtimes (even if they are not taking anything by mouth).</li> <li>If the feeding schedule allows, run tube feeds during family mealtimes so your child is still included.</li> </ul> <h2>Let your child try self-feeding</h2> <ul> <li>Let your child <a href="/Article?contentid=1457&language=English">feed themselves</a> instead of feeding them from a spoon. This gives them a sense of control that they have not had with tube feeds.</li> <li>A child often explores their food before they start feeding themselves. Let your child play with food by placing small amounts of purees on their highchair tray. It will be messy, but this is ok!</li> <li>Ask your occupational therapist (OT) for tips to help <a href="/Article?contentid=1458&language=English">move your child from one food texture to another</a>, for example from purees to soft pieces of cooked food.</li> </ul> <h2>Encourage healthy mealtime behaviour</h2> <ul> <li>Praise your child when they try new foods and show good eating behaviour.</li> <li>Do not react when your child spits out or throws food.</li> <li>Minimize distractions: turn off the TV and put toys away.</li> </ul> <h2>Offer a range of foods</h2> <ul> <li>Offer your child nutritious foods that are suitable for their stage of development.</li> <li>Offer a range of foods: salty, sweet, sour and spicy. Different flavours will spark your child’s interest in what they are eating.</li> </ul> <h2>Monitor your child’s safety</h2> <ul> <li>Ask your child’s health-care team about when to start oral feedings and what foods are safest for your child.</li> <li>Be aware of any signs of distress such as coughing, refusal of feeds, difficulty breathing or <a href="/Article?contentid=1463&language=English">choking</a>. If your child shows any of these signs, stop oral feeding and talk to your child’s health-care team.</li> </ul>
Alimentation : passage de l’alimentation par sonde à l’alimentation par la boucheAAlimentation : passage de l’alimentation par sonde à l’alimentation par la boucheFeeding: Transitioning from tube feeding to oral feedingFrenchDevelopmentalBaby (1-12 months);Toddler (13-24 months);Preschooler (2-4 years)Mouth;EsophagusMouth;EsophagusNon-drug treatmentCaregivers Adult (19+)NA2014-11-07T05:00:00Z​​Beth Haliburton, RD;Ashley Graham, OT​​7.0000000000000075.0000000000000628.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Découvrez comment aider un enfant alimenté par sonde à passer progressivement à l’alimentation par la bouche.</p><p>Si votre enfant est alimenté par sonde depuis longtemps, il se peut qu’il passe progressivement à l’alimentation par voie orale (par la bouche). Cette transition peut être longue et difficile.</p><p>Quand l’équipe soignante de votre enfant vous annonce que celui-ci peut s’alimenter sans risque par voie orale, les idées qui suivent peuvent faciliter la transition.</p><br><h2>À retenir</h2> <ul> <li>Demandez à l’équipe soignante de votre enfant quand commencer l’alimentation par voie orale et quels aliments sont les plus sûrs.</li> <li>Aidez votre enfant à s’adapter en établissant un horaire pour la prise des repas. Associez-le aux repas en famille, servez un choix d’aliments sûrs et adaptés à son âge, et laissez-le essayer de se nourrir seul.</li> <li>Soyez toujours à l’affût d’éventuels signes de détresse (toux, refus de manger ou respiration difficile).</li> <li>Si votre enfant est en situation de détresse, interrompez l’alimentation par voie orale et demandez conseil à votre équipe soignante.</li> </ul><h2>Faites des repas un moment agréable</h2> <p>C’est un moment de joie que celui où votre enfant est prêt à commencer à s’alimenter par la bouche. Aidez-le à prendre de l’assurance face à la nourriture en faisant des repas un moment agréable.</p> <p>Chaque enfant est unique et s’habituera à son propre rythme à la prise de nourriture par la bouche. À ce stade, l’objectif n’est pas de consommer une quantité précise de nourriture ou de tirer un nombre précis de calories de la nourriture prise par la bouche. Cherchez plutôt à faire apprécier à l’enfant le côté social de la prise des repas en famille pour qu’il mange davantage et, avec le temps, qu’il acquière les compétences nécessaires pour s’alimenter seul.</p> <h2>Établissez un horaire de repas pour l’alimentation par voie orale</h2> <p>L’intérêt que votre enfant porte à la nourriture variera au cours de la journée et d’une journée à l’autre. Il est possible également qu’il ait besoin de temps pour apprendre ce que sont la faim et la satiété, car l’alimentation par sonde peut interférer avec ces sensations.</p> <ul> <li>Mettez en place une routine comprenant trois repas par jour ainsi que deux ou trois collations.</li> <li>Commencez par de très petits repas.</li> <li>Proposez de la nourriture à l’enfant toutes les trois ou quatre heures, aux mêmes heures tous les jours.</li> <li>Limitez la durée des repas à 30 minutes maximum.</li> <li>Tant que l’enfant continue à être alimenté partiellement par sonde, si l’horaire des prises alimentaires le permet, offrez-lui de la nourriture à prendre par la bouche avant de l’alimenter par sonde.</li> </ul> <h2>Faites participer votre enfant aux repas pris en famille</h2> <ul> <li>Mangez avec votre enfant. Les enfants apprennent en imitant les autres.</li> <li>Si votre enfant peut redresser la tête et s’asseoir presque sans soutien, installez-le sur une chaise d’enfant pendant les repas en famille (même s’il ne prend pas de nourriture par la bouche).</li> <li>Si l’horaire des prises alimentaires le permet, alimentez votre enfant par sonde pendant les repas familiaux afin qu’il soit associé à ceux-ci.</li> </ul> <h2>Laissez votre enfant essayer de s’alimenter seul</h2> <ul> <li>Laissez votre enfant <a href="/Article?contentid=1457&language=French">se nourrir lui-même </a> plutôt que de le nourrir à la cuillère. Il aura ainsi un sentiment de contrôle qu’il n’a pas eu avec l’alimentation par sonde.</li> <li>Souvent, l’enfant inspecte les aliments avant de commencer à manger. Laissez-le jouer avec la nourriture en plaçant de petites quantités de purées sur le plateau de la chaise d’enfant. Il en mettra partout, mais ce n’est pas grave!</li> <li>Demandez conseil à l’ergothérapeute pour faire <a href="/Article?contentid=1458&language=French">passer votre enfant d’une texture alimentaire à l’autre</a>, par exemple des purées aux morceaux tendres d’aliments cuits.</li> </ul> <h2>Encouragez un comportement sain à l’heure des repas</h2> <ul> <li>Complimentez votre enfant quand il essaie de nouveaux aliments et qu’il se tient bien lorsqu’il consomme de la nourriture.</li> <li>Ne réagissez pas quand votre enfant crache ou jette de la nourriture.</li> <li>Réduisez au minimum les distractions : éteignez la télévision et rangez les jouets</li> </ul> <h2>Offrez des aliments variés</h2> <ul> <li>Proposez à votre enfant des aliments nutritifs adaptés à son stade de développement.</li> <li>Proposez des aliments variés : salés, sucrés, acides ou épicés. Des saveurs différentes éveilleront l’intérêt que l’enfant porte à ce qu’il mange.</li> </ul> <h2>Surveillez que votre enfant ne court aucun danger</h2> <ul> <li>Demandez à l’équipe soignante de l’enfant quand commencer l’alimentation par voie orale et quels aliments sont les plus sûrs.</li> <li>Guettez les éventuels signes de détresse, tels que la toux, le refus de manger, la respiration difficile ou <a href="/Article?contentid=1463&language=French">la suffocation​</a>. Si votre enfant présente un de ces signes, interrompez l’alimentation par voie orale et parlez-en à l’équipe soignante de l’enfant.</li> </ul>

 

 

Feeding: Transitioning from tube feeding to oral feeding1977.00000000000Feeding: Transitioning from tube feeding to oral feedingFeeding: Transitioning from tube feeding to oral feedingFEnglishDevelopmentalBaby (1-12 months);Toddler (13-24 months);Preschooler (2-4 years)Mouth;EsophagusMouth;EsophagusNon-drug treatmentCaregivers Adult (19+)NA2014-11-07T05:00:00Z​​Beth Haliburton, RD;Ashley Graham, OT​​7.0000000000000075.0000000000000628.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Discover how to help a tube-fed child gradually adjust to feeding by mouth.</p><p>If your child has been tube fed for a long time, they may gradually transition to oral feeding (feeding by mouth). This transition can be long and challenging.</p><p>When your child’s health-care team tells you that your child is safe to feed orally, the following ideas can help make this transition easier.</p><h2>Key points</h2> <ul> <li>Talk to your child’s health-care team about when to start oral feeding and which foods are safest.</li> <li>Help your child adjust by setting up a meal schedule, including them in family mealtimes, serving a range of age-appropriate, safe foods and letting them try to feed themselves.</li> <li>Always be aware of any signs of distress such as coughing, refusal of feeds or difficulty breathing.</li> <li>If your child is distressed, stop oral feeding and ask your health care team for advice.</li> </ul><h2>Make mealtimes positive</h2> <p>Your child’s readiness to start feeding by mouth is an exciting time. Help your child develop trust around food by making mealtimes positive.</p> <p>Every child is unique and will adjust to feeding by mouth at their own pace. At this stage, the goal is not about how much your child eats or how many calories they get from their feeds by mouth. Instead, aim for your child to enjoy the social aspect of eating with your family so that they will eat more and, in time, develop the skills they need to feed themselves.</p> <h2>Set up a meal schedule for oral feeds</h2> <p>Your child’s interest in eating will vary throughout the day and from day to day. They may also need time to learn what hunger and fullness feel like, as tube feeds can interfere with this.</p> <ul> <li>Set up a routine that includes three meals and two or three snacks a day.</li> <li>Start with very small meals. </li> <li>Offer food every three to four hours at consistent times every day.</li> <li>Limit mealtimes to a maximum of 30 minutes. </li> <li>While your child is still receiving some tube feeds, and if the feeding schedule allows, offer food by mouth before the tube feed.</li> </ul> <h2>Include your child in family mealtimes</h2> <ul> <li>Eat with your child. Children learn from copying others.</li> <li>If your child can hold their head up and sit with minimal support, sit them in a highchair during family mealtimes (even if they are not taking anything by mouth).</li> <li>If the feeding schedule allows, run tube feeds during family mealtimes so your child is still included.</li> </ul> <h2>Let your child try self-feeding</h2> <ul> <li>Let your child <a href="/Article?contentid=1457&language=English">feed themselves</a> instead of feeding them from a spoon. This gives them a sense of control that they have not had with tube feeds.</li> <li>A child often explores their food before they start feeding themselves. Let your child play with food by placing small amounts of purees on their highchair tray. It will be messy, but this is ok!</li> <li>Ask your occupational therapist (OT) for tips to help <a href="/Article?contentid=1458&language=English">move your child from one food texture to another</a>, for example from purees to soft pieces of cooked food.</li> </ul> <h2>Encourage healthy mealtime behaviour</h2> <ul> <li>Praise your child when they try new foods and show good eating behaviour.</li> <li>Do not react when your child spits out or throws food.</li> <li>Minimize distractions: turn off the TV and put toys away.</li> </ul> <h2>Offer a range of foods</h2> <ul> <li>Offer your child nutritious foods that are suitable for their stage of development.</li> <li>Offer a range of foods: salty, sweet, sour and spicy. Different flavours will spark your child’s interest in what they are eating.</li> </ul> <h2>Monitor your child’s safety</h2> <ul> <li>Ask your child’s health-care team about when to start oral feedings and what foods are safest for your child.</li> <li>Be aware of any signs of distress such as coughing, refusal of feeds, difficulty breathing or <a href="/Article?contentid=1463&language=English">choking</a>. If your child shows any of these signs, stop oral feeding and talk to your child’s health-care team.</li> </ul>feedingtubetooralFeeding: Transitioning from tube feeding to oral feeding

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