Spaulding Rehabilitation Hospital
Feeding and Nutrition Program

Feeding and Nutrition Program

Our Therapeutic Feeding and Nutrition Program offers an onsite multidisciplinary team of pediatric experts in the following areas:

  • Gastroenterology
  • Nutrition
  • Speech-Language Pathology
  • Occupational Therapy
  • Physical Therapy
  • Social Services

RHCI for Children's Therapeutic Feeding Team approach is designed to benefit infants and children who develop feeding difficulties because of the following circumstances:

  • Mouth or throat weakness causing choking, gagging or coughing
  • Reduced muscle control, neurological disorders
  • Medical complications, prematurity, cardiac conditions, traumatic injury
  • Non-oral feedings
  • Growth and weight problems, malnutrition
  • Chronic respiratory illnesses, asthma, pneumonia
  • Digestive issues, reflux, vomiting, constipation, diarrhea
  • Metabolic distrubances, food allergies
  • Behavioral issues, autism, ADD
  • Sensory integration disorders
  • Extreme selectivity and food refusal
  • Under-eating or over-eating
  • Food anxieties or aversions
  • Facial, oral, dental, pharyngeal anomalies
     

The comprehensive multidisciplinary team evaluation often consists of:

  • Analysis of the caregiver's description of the feeding issues, including history of birth, growth and dietary patterns
  • Meal observation
  • General health and medical assessment, including weight and height
  • Nutritional assessment including digestive status
  • Assessment of oral-sensorimotor, swallowing, feeding skills
  • Evaluation of motor control and positioning
  • Analysis of neuro-developmental milestones, social and cognitive skills
  • Assessment of the home routine

Once specific underlying causes for the child's feeding and nutition problems are identified, the team prepares an individualized, family-focused treatment program.

How to Access our Therapeutic Feeding and Nutrition Program:

Parents and caregivers should begin by discussing their child's feeding/swallowing or nutrition difficulties with their medical doctor.  Primary care physicians, pediatricians and nurses will contact our Center to refer children for clinical feeding evaluations.  A written prescription, referral, accurate growth chart and related medical reports are sent to us from the physician.  Once received, our office will arrange an appointment for a Clinical Feeding and Nutrition Evaluation with the family.  Medical insurance coverage is determined on a case-by-case basis and self-pay scales are available.

 Information, referrals: (508) 833-1060
                                  Fax: (508) 833-2216