Kim Cooperman

11.1.1 Name of Disorder

Feeding problems, including tube feedings in patients with neurodevelopmental delay.

11.1.2 Clinical Definition

Feeding disorders due to neurologic compromise.

11.1.3 How It Is Diagnosed

May present in many ways at any age.

11.1.4 Nutritional Implications

Children with neurodevelopmental delays are at increased risk for:

• Altered growth (i.e., underweight, overweight, short stature).
  
• Inadequate energy and nutrient intake to support growth and health.
  
• Feeding problems related to oral – motor and/or behavior difficulties.
  
• Need for enteral (tube) feeding.
  
• Chronic constipation or diarrhea.
  
• Gastroesophageal reflux.

11.1.5 Pearls

Signs/Symptoms requiring consideration of nasogastric, nasoduodenal, and gastrostomy feedings reported by the family: