WHAT ARE THE ADVANTAGES & DISADVANTAGES OF AN NG TUBE? endobj This allows the right amount of feed to slowly flow into the stomach over a set time. Diane … For this reason, we have provided a Tube Feeding Guide for patients. feeding-tube dependence. <> Articles, Speech Therapy News Swallowing and Feeding gillian on April 21, 2016 What are swallowing / feeding disorders? Notify me of follow-up comments by email. Dysphagia Speech Therapy. Your email address will not be published. Palate Speech and Feeding: Importance of Speech Therapy & Intro Abeille speech + Feeding Therapy offers a wide range of treatment and evaluation options for children with communication and feeding disorders We are currently serving the st. louis and st charles county areas. Does it improve quality of life? Develop a healthy and positive relationship between the child and … Swallowing disorders are often the result of structural weakness or dysfunction and result in difficulty with the actual act of moving food from the mouth to the tummy. Decision Making Primary responsibility for leading families through discussions of values and treatment choices may rest on non-physician providers. • Can be dangerous if inserted into the airway instead of the food pipe. Speech Therapy Services. Using the gastrostomy When your child is first due a feed, you will be shown how to use the device. According to a speech therapist, Lee Ann Damian, from Dayton Children’s Hospital “The baby’s ability to feed and gain weight is not only a survival issue, but is one of the main factors in … The Role of a Speech Language Pathologist. Other … %���� 1106008. In most cases, doctors can convert a G-tube to a GJ-tube if patients … Thank you, Arden, for your brilliant program, your compassionate spirit and endless support!” -Parent “I highly recommend Children's Speech & Feeding Therapy if you are looking … Feeding disorders may occur due to a variety of contributing factors, as listed below: Gastrointestinal disorders: Often … Speech therapy; Feeding Tube Care; Post Operative Care; Geriatric Care; Craniotomy Care; Virtual Rehab. Feeding Therapy Feeding Therapy We have an expert group of speech therapists and occupational therapists who are specifically trained to help babies and children who have reduced or limited intake, food refusal/selectivity, dysphagia (swallowing difficulty), oral motor deficits, and delayed feeding skills. Welcome to Oral Motor Speech and Feeding Therapy. x���Mo�@����De��*�!&I[�K=D=P�1�hIh�~g�%��^`f4~f東a4����u�q�����N�2Ƹ̂�b�.��� ,ӄC��Ø�Lu��N��K���u�*�c�dt5�P=��r� � Therefore, when seeking treatment of a feeding disorder for your child, only those with experience and extensive training in this area are qualified to carry out these interventions. Enteral feeding is the delivery of a nutritionally complete feed, containing protein, carbohydrate, fat, water, minerals and vitamins, directly into the stomach, duodenum or jejunum via a nasogastric tube (NG) or a gastrostomy. 192 likes. NZCYCN national guidelines. This feeding tool is . The clinic services include consultations, evaluations, and ongoing therapy for children in need of speech or feeding services. Gastrojejunal (GJ) tubes are similar to G-tubes in that they enter the stomach directly through the skin using the same site as for a G-tube. There are 2 types of feeding tubes: a nasogastric tube – a tube passed through your nose and down into your stomach; a percutaneous endoscopic gastrostomy (PEG) tube – a tube is implanted directly into your stomach; Nasogastric tubes are designed for short-term use. Our therapy techniques add a tactile component to feeding and speech therapy, enabling clients to “feel” the movements necessary for the development of speech clarity. OT Rehab Items; Rehab Kits; Top rated products. Stepping Stones Pediatric Feeding & Speech Therapy Clinic is a rehabilitation facility for children facing feeding challenges, speech & language difficulties. Does it result in prolongation of life? Speech and Feeding Therapy At Recess Therapy, we are passionate and knowledgable in working with children with the diagnosis of: Autism Spectrum Disorder (ASD), Prematurity, Developmental Delay, Neuromuscular Disorder Feeding/Oral Motor Difficulty, Craniofacial Anomalies , Anxiety Disorder that affects Speech expression, Genetic Disorders, Speech and language delay. The tube goes through the abdomen and into the stomach, allowing your child to receive the proper nutrition while bypassing the need to swallow. Oral reflexes; … Feeding Therapy. Offered in New York or Over by Teletherapy to Those Outside NYC. Looking for a solution to your child’s feeding dependency? Many of these children are in therapy but are having difficulty progressing toward the acceptance of food and liquid. About SuVitas; Why Suvitas; Suvitas Facility; SuVitas … A child’s speech … It may also make you sneeze, cough or retch as it tickles your throat. Obsessing over this adorable (& HEALTHY!) Many states offer therapeutic services in the home, which can be a benefit for children with feeding tubes, since they are eating in their home environment. Articles, Speech Therapy News Swallowing and Feeding gillian on April 21, 2016 What are swallowing / feeding disorders? Leave a Reply Cancel reply. Who Does the Pediatric Feeding Disorder Program Serve? As a speech-language pathologist who treats swallowing disorders, I have worked closely with patients and families faced with the decision of permanent feeding tube placement. Chewy Tubes offers 8 fun and effective tools for practicing biting and chewing skills. This also gives time for you to learn how to use the gastrostomy. Date last published: 30 May 2019. Feeding Matters. During this therapy the child, parent/caregiver and speech language pathologist will work through a variety of different techniques including review of posture, diet modifications, review of prior swallowing studies and collaboration with your child's … To help you make an informed decision, get the essential facts about using feeding tubes. You may be referred to a dietitian for advice about changes to your diet to … State programs vary in their funding. Speech Therapy; Feeding Tube Care; Post Operative Care; Search for: Book An Appointment. Care You will be shown how to care for your child’s gastrostomy while you are staying on the ward. Feeding … Feeding, Pre-Feeding & Oral Motor Therapy. <>>> There are many causes of eczema & dark … Once the tube has been passed to the required length it will be secured to the face with some adhesive tape. Feeding Therapy. We work closely with families to assist with G- tube weaning while collaborating […] A variety of strategies and approaches is used in feeding therapy. Tube feeding for kids with impaired eating ability. The most reliable way of checking that the tube is in the stomach is by checking the acid level of some of the fluid drawn back from the tube. It may be called NG tube feeding if the tube is placed through the nose. If your child has been recommended a feeding tube or thickened liquids further swallowing therapy and education are likely beneficial for you and your child. endobj A gastrostomy button is a feeding device that fits into the stoma. Skip to content. Feeding devices There are two types of feeding devices that your child can have: A gastrostomy tube (PEG): is a long tube that fits in the stoma and is held in the stomach with a soft plastic disc. It is held in the stomach by a … Feeding therapy is a multi-disciplinary approacy that may involve families, speech-language pathologists, occupational therapists, physical therapists, psychologists, dieticians, and physicians. endobj North Shore Pediatric Therapy is not medically equipped to place a feeding tube in a child, and will refer out to a specialist for this procedure. A PEG can generally stay in place for around 18 months and then will need to be changed. In severe cases, some people may require feeding tubes. Notify me of new posts … I get emails all the time asking for advice on how to get kids to eat. A nurse will insert the NG tube. An SLT is trained to work with people with eating or swallowing difficulties. Geriatric Consultation; Naturopathy; Virtual Physiotherapy; Doctor; Speech Therapy; Occupational Therapy; Clinical Psychology; Diet and Nutrition; About. The longer internal tube permits feeding directly into the intestine. Children’s community nurses If your child does not already have a children’s community nurse, a referral will be made. Notify me of follow-up comments by email. We receive referrals from: Duke Medical Center. 4 0 obj If swallowing becomes very difficult or there is a risk of aspiration then it will be recommended that Enteral feeding is considered. This will be carried out under a general anaesthetic (medicine given to make your child go to sleep). The stoma An operation is needed to make the stoma and to place the feeding device into the stomach. Disadvantages • Can appear unsightly • Insertion can sometimes cause distress although this soon resolves once the tube is in place. Speech in The City LLC provides private speech evaluations, school consultations, and direct one-to-one speech therapy in the following areas guided by the American Speech and Hearing Association’s rigorous standards . This is to stop an infection around the stoma site. We specialize in feeding and speech therapy assessment for babies, toddlers, school-aged children as well as adults in Singapore. Feeding therapy addresses pediatric patients who may demonstrate problems gathering food and getting ready to suck, chew, or swallow, or difficulty with feeding due to food aversion. SLTs use a range of techniques that can be tailored for your specific problem, such as teaching you swallowing exercises. Playtime is the work of children AND pup. These skills are vital to their developing verbal skills. bottle or formula dependence. Let’s talk fruit teethers! It is also important to check the tube position after periods of vomiting or a coughing episode as the tube can change its position. Most systems have two feeding ports — one into the stomach, and a second tube that extends into the small intestine. If reflux or vomiting is present and distressing for the child, medical review should be sought, and the tube feed should not be commenced or running during the feeding intervention. VCU Children's Hospital. (Note: tube feeding is used to refer to alternative nutrition given via a tube. For some patients and families, the decision for a permanent feeding tube was an easy one to make, but for others it has been deeply emotional and difficult. The red, large-stemmed, T-shaped Chewy Tube is a therapy tool designed to promote jaw strength in oral motor exercises. Speech & Occupational Therapy Specialists. Filed Under: Feeding Treatment Tagged With: appetite, feeding therapy, Pediatric Dysphagia, speech therapy, tube feeding, tube feeding formula, tube weaning. Tube weaning is the answer. 1 0 obj Melissa provides feeding therapy to children with medical diagnoses (gastroesophogeal reflux, cardiac conditions, pulmonary conditions) including dysphagia and genetic syndromes (e.g. **Feeding issues can be serious. feeding tubes; Swallowing therapy. Does your child or adult have dysphagia … Call Us +65 8777 3171. <> When the tube is placed into the stomach through the skin it is called PEG tube feeding or G tube feeding.) A gastrostomy is a hole (stoma), from the skin into the stomach. Feeding therapists provide feeding therapy and are usually occupational therapists (like myself) or speech and language pathologists (SLP). Advantages • Provides a safe method of feeding • Can be removed when not in use • No anaesthetic is needed for insertion • Child may feel more comfortable because their stomach is filled as with normal feeding. November 9, 2016 tummymom. What else does tube feeding have to offer? Carilion - Roanoke. pediatric nutrition . Our experienced clinicians, intensive & successful therapy programs, nurturing environment, holistic approach with carefully selected calming music, neurologically stimulating art aid in providing children and their families with a unique and wonderful … If the tube is in the stomach, the fluid will normally have a pH (acid level) of 4.0 or below. Behavioral Feeding Therapy Treatments of Pediatric Feeding Disorders It is important to note that the treatment of feeding disorders is a specialty field within applied behavior analysis. SPEECH AND LANGUAGE THERAPY Speech and language therapists, sometimes referred to as SALT, help with both communication and feeding difficulties. You will be able to talk to the consultant about which device would be most suitable for your child. After 45 days in ICU and several more weeks on a ward, Robert was able to go home, albeit with a feeding tube. Kelly is a Speech Pathologist with over 10 years experience treating children with a variety of disorders such as avoidance, texture aversion, hesitant eating, picking eating, ARFID, pediatric feeding disorders, Autism related feeding issues, tube feeding concerns, GERD, and more. Benefits of a speech and language therapy tube-weaning programme. Down Syndrome, Turner Syndrome, epilepsy, Cystic Fibrosis, muscular dystrophy) which may limit a child’s ability to orally feed. Food, drink, and certain oral medications can be delivered directly through the tube, and patients can still choose to eat normally. It is my sincere hope that some of these tips are helpful for you as well. WHAT IS A GASTROSTOMY? At his point, Apollo had had his g-tube for nearly a year and was eating … Feeding devices There are two types of feeding devices that your child can have: A gastrostomy tube (PEG): is a long tube that fits in the stoma and is held in the stomach with a soft plastic disc. Transition care. If your child currently has a feeding tube or is planning to receive one, feeding therapy is highly recommended to ensure your child is receiving adequate nutrition and quantity from oral feedings. Typically, feeding therapy is provided by a speech therapist, but sometimes occupational therapists also may provide therapy. What is Transition care? She is an accomplished lecturer, traveling the nation delivering courses registered for ASHA CEUs on best practices for evaluation and … Speech-language pathologists have an important role within the interprofessional team in assessing swallowing in patients with advanced dementia, advising family and hospital staff about risks and benefits of oral feeding, and the safest techniques for doing so, to maximize quality of life for these … Speech-Language Pathologists' Views About Aspiration Risk and Comfort Feeding in Advanced … Inserting the tube does not hurt, but it may be uncomfortable for a short while for children it can cause distress but is a very quick procedure. Posts about feeding tubes written by findthekeyspeechtherapy. referral to other professionals, such as a psychologist or dentist If feeding therapy with an SLP or OT is recommended, the focus on intervention may include the following: making the muscles of the mouth stronger More » Chewy Qs Develop baby's biting skills safely and … You may then be referred to a dietician. It is integrated in a hierarchy with other tools in the Bite Tube Set and in numerous exercises described in “Assessment and Treatment of the Jaw - Putting It All Together: Sensory, Feeding and Speech.” Red, smooth, large-stemmed, T-shaped, tubular For chewing and biting skills, TMJ … Pediatric feeding therapy can address many challenges that you face including but not limited to: breastfeeding issues, increasing oral intake, food aversions, strengthening the oral motor muscles, and moving from tube feeding to oral intake. You may be referred to a speech and language therapist (SLT) for swallowing therapy. Children and adults enjoy biting on Chewy Tubes. Product categories. Sensory bins are an A+ w. Remember! At North Shore Pediatric Therapy, our multidisciplinary therapists provide outpatient therapies for children with feeding tubes, and recommendations for children who may need a feeding tube. Common symptoms include: poor weight gain. Children Services. Feeding therapy can occur individually as well as in a group. The condition of the stoma site should be checked regularly, and the skin should be kept clean and dry. Providing Early Childhood Intervention services for babies and young children with … Comments. We! They will be able to provide ongoing support for you and your child once you are at home. book a free consult. Your child can still eat and drink normally if they are able and it is safe for them to do so. Use firm pressure, as tolerated, when offering oral-tactile experiences. To help you make an informed decision, get the essential facts about using feeding tubes. Margaret Bourne's small family-centered clinic provides speech and language, oral-motor, and feeding therapy for children ranging in ages from infants to young adults. Children and adults who are … However, our NSPT therapists will be a part of the interdisciplinary team … Double handle cup. Speech therapy is the assessment and treatment of communication problems and speech disorders. Your email address will not be published. A syringe is attached to the tube and the feed is poured into it and allowed to flow by gravity down the tube, through the gastrostomy and into the stomach. It is held in the stomach by a balloon filled with water. Rachael has been #vaccinated! Services . Our speech and language therapists offer feeding and swallowing therapy at Nemours Children’s Specialty Care, Jacksonville and select satellite locations. occupational/speech therapy. At some point, the speech therapist will evaluate every infant that is admitted to the NICU to determine whether there will be feeding difficulties. LOVE! The Bedside Dysphagia Evaluation involves the … Although most patients are educated on how to use their feeding tube, often times this information can seem overwhelming. Comments. A gastrostomy button is a feeding device that fits into the stoma. Name * Email * Website . This document is only valid for the day on which it is accessed. The red, large-stemmed, T-shaped Chewy Tube is a therapy tool designed to promote jaw strength in oral motor exercises. Search for: Search. Abeille Speech + Feeding therapy offers a wide range of evaluation services for children with suspected communication and feeding disorders. http://cuttingedgepediatrictherapy.com/ Tatum walks you through how we use our client kitchen for speech therapy to help our kids with feeding issues. With over 30 years of combined experience in the field of pediatric feeding disorders, Dr. Laura Seiverling, Psychologist and BCBA-D, and Elise Jusko, CCC-SLP, will draw from their own experiences working on a multidisciplinary feeding team together and will provide an overview of how cross-discipline collaboration between SLPs and BCBAs can look when it comes to both assessment and treatment of various … Michelle Dawson, MS, CCC-SLP, CLC, Member/Manager of HeartWood Speech Therapy in Columbia, SC, is the acclaimed host of “First Bite: Fed, Fun, Functional” a speech therapy podcast that addresses “all thangs” Pediatric Speech Therapy. extreme food selectivity. Medicines You can also use the gastrostomy to give your child their medicine and you will be shown how to do this by the nursing staff. Objective. We're here for you from your 1st birthday . The food pipe and the airway separate from each other below the voice box and there is a small risk that the NG tube could end up in the airway instead of the stomach. When a baby is learning how to feed, it is important not only that we respect their feeding cues, but also that we understand when they are telling us that they need a break. Speech and language therapist also help with any feeding difficulties, including suggestions for making food and drink easier to swallow, this may be through thickening drinks, mashing or pureeing foods. When Apollo was in feeding therapy in 2013 it was run in a speech therapy clinic by SLP. If your nurse is at all concerned that the tube is not in the correct place the tube will be removed immediately and replaced. In kids, genetic and other disorders that affect their development can compromise their ability to swallow and eat. Donate. Now accepting new clients! It is performed by speech-language pathologists or speech therapists who use evidence-based techniques to improve communication. Your child will stay in hospital for two to three days so that they can recover from the operation and start their new feeds. They are also responsible for observing and referring for tests if the person is having difficulty swallowing (dysphagia). Many people don’t realize the impact that learning to eat regular food has on a child’s over all development. Alex TLC, 45 Peckham High Street, London, SE15 5EB. Speech pathology for feeding issues can begin as early as birth, after a problem with feeding is recognized. It is a method that helps children become happy and healthy eaters by eliminating their dependency on feeding tubes. These sessions are for a child with swallowing or feeding challenges, as well as for family members or caregivers who feed the child most often. We serve patients from birth to 21 years of age that are experiencing feeding aversions, oral motor delay, difficulty swallowing, behavioral problem related to feeding, food refusal, poor weight gain, difficulty with texture transition, as well as G-tube to oral feeding transition. Dietary changes. Home; SHOP; About … CST is a pediatric speech, language, feeding private therapy practice in Manhattan. Notify me of new posts by email. Biting on Chewy Tubes builds tone and strength in the masseter muscle and helps develop the up/down pattern of jaw movement needed for speech, feeding and overall oral motor skill. This is a big decision, but you often aren’t getting the unbiased facts you need. Our services are provided through the Division of Otolaryngology (Ear, Nose & Throat/ENT) — a recognized leader in providing state-of-the-art ENT programs for kids. Here are some tips and tricks that have been effective with the children I have personally seen for feeding therapy. The contents of your child / baby’s stomach are normally acidic. We serve patients from birth to 21 years of age that are experiencing feeding aversions, oral motor delay, difficulty swallowing, behavioral problem related to feeding, food refusal, poor weight gain, difficulty with texture transition, as well as G-tube to oral feeding transition. Leave a Reply Cancel reply. Speech therapy is required for speech disorders that develop in childhood or speech impairments in adults caused by an injury or illness, such as stroke or brain injury. Brenner Children's Hospital. A tube-weaning programme lead by a speech and language therapist can have many benefits for your child, including: Develop safe and effective feeding skills. WHAT IS A NASOGRASTRIC TUBE? following feeding tube placement were reported to be 80% at 1 month, 50% at 6 months, and 38%–40% after 1 year (Finucane & Christmas, 2000). … School Divisions. What We Offer. Feeding therapy often happens on a weekly basis, but can be every other week or once a month during a scheduled block of time, usually 30-60 minutes long. This type of gastrostomy needs to be changed every 3-6 months but doesn’t involve a general anaesthetic when being changed and will be done at home by your specialist nurse. Paediatric Tube Feeding information for Speech Language Therapists. Search. People in the late stage of dementia may have trouble eating and drinking so families may be asked if they want to put in a feeding tube. 2 0 obj Sensory bins! Christma. It is important to have a feeding therapist who is specifically trained in feeding techniques. A Naso-gastric (NG) tube is a thin, plastic tube that is inserted into one nostril, down the back of the throat and into the stomach. Swallowing disorders are often the result of structural weakness or dysfunction and result in difficulty with the actual act of moving food from the mouth to the tummy. A Speech Language Pathologist will work on a full range of cognitive-communication and swallowing disorders across a wide patient population. Your pediatrician can recommend your child for an evaluation for feeding therapy or other services such as physical therapy, occupational therapy, speech therapy, vision therapy or developmental therapy. Very grateful for th. We love our patients. Community Services Boards. Feeding Therapy: What to Do When You are Stuck. Email Us info@magicbeans.sg. Mehnaaz Karim Speech Therapy, Centurion, Gauteng. These are the … Some dietitian/nutritionists provide direct treatment, but more often provide support with additional services for some children to manage any weight or growth concerns when it is necessary. SOVAH Health. Whereas, a feeding disorder is often behaviorally motivated and results in the refusal … Checking the position of the tube should occur on insertion as well as every time it is used. When a child learns to manipulate solid food in their mouth, this helps build their oral motor skills. tube_feeding_guide.pdf: File Size: 728 kb: File Type: pdf: Download File. If your child is unable to take food and liquid by mouth or cannot consume enough nutrients on their own, we may insert a feeding tube. With the help of individual and group feeding therapies, our son Thomas has gone from being a 100% feeding tube dependent infant to a healthy and vibrant three year old who is now 100% orally fed. How to choose transition care? Powered by … Pressure should be consistent and firm, not light and feathery. Early Intervention is key, … I have said this before but will say it again, these kids are hard, feeding intervention can … Not all speech language pathologists (SLPs) and occupational therapists (OTs) are trained in feeding. This approach, … Speech therapists can provide systematic feeding approaches, including but not limited to mealtime focus, S.O.S. %PDF-1.5 Sometimes the feeding tubes are just used to ‘top up’ if the child hasn’t eaten or drunk very much, they are also very useful for administering medications. There are lots of different liquid feeds available and a dietitian will talk about the type and the amount of feed for your child. Registered Charity No. Why Transition care? A child with feeding problems typically has difficulties related to eating or drinking, which may impact physical, social, and psychological development. TalkTools® was created to provide the best Oral-Placement Therapy (OPT) techniques, training, and tools to clients, therapists and parents. Help child to understand the importance of food in relation to hunger. They work together, one-on-one with your child, to help progress toward specific feeding goals. Occupational Therapy, Speech Therapy, Feeding Tubes. Using her behavioral feeding techniques, she will be able to help your child with texture progression, increasing volume, reducing … Continuous feeding The feed is given using an electric pump. Name * Email * Website. There are two ways that the milk feed can be given: Bolus feeding The feed is given at regular times during the day. An inability to communicate verbally is incredibly debilitating for children and adults who have already developed these skills as well as for those who have never acquired these skills. On the menu: common terminology for our pediatric populations with feeding tubes, emphasis on quality not quantity feeds, and addressing long-term planning while stressing the motto of “fed is fed is fed” and that some of these little ones do need a feeding tube for nourishment and PO for quality of life. Whereas, a feeding disorder is often behaviorally motivated and results in the refusal of or an aversion … Please read our disclaimer. feeding tubes Feeding your premature baby: Getting Started with Oral Feeding- Stress Cues . Feeding therapy can be complex, but it can also be a lot of fun! The tube will need to be replaced and swapped to the other nostril after about a month. From the … Before the “breakfast” part of his therapy, they always warmed up with some sensory exercises inside their mouths. ����B�b��h�ll(:u���g��� x��Y�~r��z�/Z�5!D{�m����-�N�C�����9��e�1� �w[���B ��i�u]�� �| ɢD[��U]��.��b� ��&X:�UP�-xKf�ʲX�< � g�y`ؗk|8�Vn�q� /n�d��6�*�� �Ο�zU݇��z�˻.�5���{����;��P�jU��G� �i�_ㄠ�F��Bl?�{������#�. One way of managing these swallowing difficulties is to have a feeding tube fitted into the stomach through an opening made in the abdomen — a surgical procedure known as a gastrostomy. UVA Hospitals. A feeding system is inserted during surgery and requires anesthesia. This soon passes. The method used will depend on many factors, the most common plan is a combination of both, bolus feeds during the day and a continuous feed overnight. Drop by our site to know more! Can increase the secretions in the nostril especially when first passed or if you have a cold HOW TO CHECK THE POSITION OF THE NASOGASTRIC TUBE It is important to check that the NG tube is in the correct place, (the stomach). February 15, 2015 by Krisi Brackett Leave a Comment. Speech and Language Therapeutic Services are an integral part of a neuro-rehabilitation set up. Required fields are marked * Comment. Does it prevent aspiration? <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Feeding therapy is the first step in learning to eat. Feeding therapy may involve direct oral-motor intervention to address weak musculature in and around a child’s mouth or it may involve a behavioral feeding plan with no hands-on oral-motor therapy. stream About Magic Beans; Mission & Vision; Types of Therapy; Tour of Our Clinic; Events; Join Us; Contact Us; Feeding & Swallowing. Find the Key Speech Therapy. . At this clinic, the SOS Approach to Feeding is the primary approach. Acknowledging and … Required fields are marked * Comment.
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