Assessment

An appropriate assessment of a child's feeding disorder is a critical first step in initiating treatment. The management of complicated feeding disorders usually requires a multidisciplinary team devoted to establishing diagnosis, assessment of need, and developing a thorough treatment plan. This team may include a variety of pediatric specialists, including physicians (e.g., general pediatricians, developmental pediatricians, pediatric gastroenterologists, allergists, and otolaryngologists), nurse practitioners, nutritionists, occupational therapists, speech therapists, psychologists, and social workers. The assembled team must begin its approach to diagnosis and therapy with complete history taking by all interested parties. This includes a careful prenatal, birth, and neonatal history. In addition to determining the nutritional and medical status of the child, an appropriate psychological and developmental pediatric evaluation must be performed.

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