Management of children with swallowing disorders.

Early diagnosis and treatment of feeding and swallowing problems may improve a child's health status and quality of life and reduce health care costs. Pediatric nurse practitioners have a salient role in the early diagnosis of children at risk for feeding and swallowing problems. Increased knowledge about the normal swallowing process, children at risk for feeding and swallowing disorders, and associated symptoms enhances early diagnosis and treatment. The child's general health history and physical evaluation, along with additional diagnostic tests, provide the basis for the formulation of an individualized feeding program by an interdisciplinary team. Pediatric nurse practitioners, through their knowledge about dysphagia and participation on a interdisciplinary team, can provide support for family members and assist them in adapting to and caring for a child with a swallowing impairment.