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Running Head: SCHOLARLY ASSIGNMENT

Marco Giannotta
Scholarly Assignment
Practical Nursing
November 19th, 2015
Practical Nursing Theory 3
Professor: Paul Jeffrey
Humber College

SCHOLARLY ASSIGNMENT

Teaching your infant at a very early age the proper way to eat and drink substances is
very important for their health and safety. Ensuring that the baby is sitting in an upright position
while eating and making sure all the food is swallowed can ultimately save the babys life. There
are multiple care providers that can help you ensure that your infant is eating and drinking the
proper way.
It is very important to ensure that when eating or drinking the individual must be sitting
in an upright position to prevent complications such as aspiration which could lead to
pneumonia, cardiac arrest, or even death. According to Medicine Plus, aspiration is to draw in
or out using a sucking motion. It has two meanings: Breathing in a foreign object (sucking food
into the airway and a medical procedure that removes something from an area of the body
(Vorvick. L, 2014). It is also a known fact that sitting up straight while eating makes it much
easier for your stomach to digest the food rather than eating while laying down. It does not
matter what age the individual is, anyone can seriously put themselves at risk when not eating in
an upright position. Parents teach their children at a very young age to eat and drink the correct
way so that they do not have any problems in the future. Sitting up straight while eating has also
been proven to prevent gastroesophageal reflux from occurring. According to Lewis: MedicalSurgical Nursing, 8th Edition, gastroesophageal reflux is a syndrome, not a disease, in which
there is chronic symptoms or mucosal damage resulting from reflux of gastric contents into the
lower esophagus. (Lewis, 2015). Ultimately, all of these problems can easily be prevented by
any individual if he or she is sitting up straight while eating or drinking at all times.

The first collaborative care strategy that would help the child in regards to eating and
drinking would be a language-speech pathologist. A language-speech therapist can help the

SCHOLARLY ASSIGNMENT

individual cope with eating and drinking by teaching him or her the proper way to swallow. By
doing so it can decrease the chance of aspiration. This could be done by limiting the intake of
food or liquids the individual consumes. It is a known fact that consuming small amounts of food
and liquids at a time can reduce your chances of aspiration. Ultimately, sending the individual to
a language-speech pathologist and teaching them to consume small foods and liquids while
sitting up straight can effectively improve their swallowing. Another collaborative care provider
that could help the child to improve the way he or she eats and drinks would be an occupational
therapist. An occupational therapists advocates their role by teaching parents many different
techniques to feed their infant without any issues. One technique they can offer to the family is
by modifying the food they are feeding the infant by changing the consistency and texture of the
food or liquid. By changing the consistency and texture of the food or liquid it can easily prevent
aspiration from happening to children because it is much easier to swallow. The third
collaborative care strategy that can help the infant eat food and fluids while sitting up straight
would definitely be a respiratory therapist. A respiratory therapist has a very important role when
it comes to feeding a child. They ensure that all the food/liquids that the baby has consumed has
been swallowed completely and that nothing is left inside his or hers mouth. Making sure that
everything has been swallowed by the baby is very important so that the baby does not choke on
the remains. A respiratory therapist always makes sure that when feeding the baby he or she is
sitting in an upright position so that the food/liquid goes down smoothly.

There are multiple speech-language pathologists at St. Michaels Hospital located in


Toronto, Ontario that would greatly benefit this pediatric patient by providing services to that
client to help improve his or hers swallowing. The pathologist at St. Michaels Hospital offers

SCHOLARLY ASSIGNMENT

services to both inpatients and outpatients. They help by providing both clinical and instrumental
evaluations to help the child swallow more effectively. They offer clinical evaluation by varying
the amount of food and liquids the child consumes and offer the parents various feeding
techniques to help aid the child. They offer instrumental evaluations if needed such as
videofluoroscopy. A videofluoroscopy can provide important information on patterns of
impairment of the swallowing mechanism, allowing important changes in patient treatment. (J.
Gates, 2006). Sick Kids Toronto offer occupational therapists who work with children that have
problems swallowing. Sick Kids realizes that some infants have difficulty when it comes to
feeding. Knowing this, the occupational therapist assess the individuals swallowing safety and
oral feeding in order to provide feeding interventions and provide recommendations. Sick kids
offer inpatients as well outpatients similar to St. Michaels language-speech pathologists. If
medically necessary, the occupational therapist can send the infant to the radiologist to conduct a
video x-ray of the childs swallowing. McMaster children hospital in Hamilton, Ontario offers a
feeding and swallowing clinic to children around the GTA. The clinic focuses on children with
complex nutritional issues, safety with oral feeding and medical needs. The interdisciplinary
team include a gastroenterologist, a registered dietitian, a nurse, and clinic co-coordinator. They
all have a specific roles to ensure that the child comes out of the clinic healthy. By feeding your
child at the clinic the occupational therapist can watch and learn about the difficulties your child
is having. Once this is done, the interdisciplinary team work together to come up with a plan to
help making swallowing easier for the child. Abdominal x-rays or blood work may be ordered to
help the team identify the problem. According to healthline an abdominal film, also known as
an abdominal X-ray, helps doctors assess potential problems in your abdomenparticularly in

SCHOLARLY ASSIGNMENT

your spleen, stomach, and intestines (Holm. G, 2012). Knowing that, an abdominal x-ray would
help the team find out what the problem could be if that patient has swallowing issues.
In conclusion it is very important to assess your infants swallowing patterns to prevent
aspiration from occurring. Ultimately, it is clearly evident that feeding your child in an upright
position decreases the risk of many problems that can happen.

SCHOLARLY ASSIGNMENT

References
Gates, J. (2006). Videofluoroscopy and Swallowing Studies for Neurologic Disease: A Primer.
Retrieved from http://pubs.rsna.org/doi/abs/10.1148/rg.e22
Holm, G. (2012, August 15). Abdominal Film (X-Ray). Retrieved from
http://www.healthline.com/health/abdominal-film#Overview1
Lewis, S. (2011). Chapter 42 - Nursing Management: Upper Gastrointestinal Problems. Medicalsurgical nursing: Assessment and management of clinical problems (8th ed.). St. Louis,
Mo.: Elsevier/Mosby.
Vorvick, L. (2014, November 2). Aspiration: MedlinePlus Medical Encyclopedia. Retrievedfrom
https://www.nlm.nih.gov/medlineplus/ency/article/002216.htm

https://www.nlm.nih.gov/medlineplus/ency/article/002216.htm
http://pubs.rsna.org/doi/abs/10.1148/rg.e22

SCHOLARLY ASSIGNMENT