Developmental Transition From Gavage to Oral Feeding in the Preterm Infant

2003 ◽  
Vol 21 (1) ◽  
pp. 61-92 ◽  
Author(s):  
SUZANNE M THOYRE
Keyword(s):  
Preterm Infant ◽  
Transition Period ◽  
Oral Feeding ◽  
Future Research ◽  
Nursing Research ◽  
Multiple Systems ◽  
Early Oral Feeding ◽  
Optimal Functioning ◽  
Working Together ◽  
Feeding Skills

The development of early oral feeding skills in the preterm infant is an active and complex area of nursing research. This integrative review summarizes the accumulated nursing research since 1990 that describes feeding the preterm infant during the transition from gavage to full oral feeding. Literature was identified through searches of databases covering the fields of nursing and medicine and of journals and nurse researchers who publish in this area of study. Four main areas of research were identified: development of infant feeding skills, descriptive studies on the transition period, studies that focus on identifying infant readiness to begin oral feeding, and studies that explore optimal ways to advance oral feeding as the infant moves toward full oral feeding. Research studies were critiqued from a developmental science perspective, which conceptualizes feeding skill as an emergent property of multiple systems, both within and outside the infant, that are interacting and working together to promote optimal functioning. Through this analysis, areas for future research are identified.

scholarly journals The Early Feeding Skills Assessment for Preterm Infants

2005 ◽  
Vol 24 (3) ◽  
pp. 7-16 ◽  
Author(s):  
Suzanne Thoyre ◽  
Catherine Shaker ◽  
Karen Pridham
Keyword(s):  
Preterm Infants ◽  
Transition Period ◽  
Oral Feeding ◽  
Early Feeding ◽  
Adequate Intake ◽  
Motor Functioning ◽  
Oral Motor ◽  
Postconceptional Age ◽  
Feeding Skills ◽  
The Individual

Preterm infants develop the skills necessary to begin oral feeding as their health stabilizes and as they reach a postconceptional age that supports coordination of breathing and swallowing with oral-motor functioning. The time from initiation of oral feeding to full oral feedings (with adequate intake for growth and maintenance of physiologic stability) can vary from days to months for the preterm infant. The approach to feeding the infant during this transition period must be developmentally supportive and tailored to meet the needs of the individual. To accomplish this, caregivers—notably nurses and parents—need to communicate about the specific skills that the infant has gained, about skills that are emerging, and about skills that the infant has not yet developed. The Early Feeding Skills (EFS) Assessment is a checklist for assessing infant readiness for and tolerance of feeding and for profiling the infant’s developmental stage regarding specific feeding skills: the abilities to remain engaged in feeding, organize oral-motor functioning, coordinate swallowing with breathing, and maintain physiologic stability. This article introduces the EFS.

Feeding Skills in the Preterm Infant

ASHA Leader ◽  
2010 ◽  
Vol 15 (7) ◽  
pp. 22-23 ◽  
Author(s):  
Steven M. Barlow ◽  
Meredith A. Poore ◽  
Emily A. Zimmerman ◽  
Don S. Finan
Keyword(s):  
Preterm Infant ◽  
Feeding Skills

scholarly journals Early oral feeding is safe and useful after rectosigmoid resection with anastomosis during cytoreductive surgery for primary ovarian cancer

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Kazuyoshi Kato ◽  
Kohei Omatsu ◽  
Sanshiro Okamoto ◽  
Maki Matoda ◽  
Hidetaka Nomura ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Hospital Stay ◽  
Anastomotic Leakage ◽  
Cytoreductive Surgery ◽  
Group Versus ◽  
Postoperative Hospital Stay ◽  
Oral Feeding ◽  
Early Oral Feeding ◽  
Rectosigmoid Resection ◽  
Primary Ovarian Cancer

Abstract Background The aim of this study was to investigate the safety and clinical usefulness of early oral feeding (EOF) after rectosigmoid resection with anastomosis for the treatment of primary ovarian cancer. Methods We performed a retrospective review of all consecutive patients who had undergone rectosigmoid resection with anastomosis for primary ovarian, tubal, or peritoneal cancer between April 2012 and March 2019 in a single institution. Patient-related, disease-related, and surgery-related data including the incidence of anastomotic leakage and postoperative hospital stay were collected. EOF was introduced as a postoperative oral feeding protocol in September 2016. Before the introduction of EOF, conventional oral feeding (COF) had been used. Results Two hundred and one patients who underwent rectosigmoid resection with anastomosis, comprised of 95 patients in the COF group and 106 patients in the EOF group, were included in this study. The median number of postoperative days until the start of diet intake was 5 (range 2–8) in the COF group and 2 (range 2–8) in the EOF group (P < 0.001). Postoperative morbidity was equivalent between the groups. The incidence of anastomotic leakage was similar (1%) in both groups. The median length of the postoperative hospital stay was reduced by 6 days for the EOF group: 17 (range 9–67) days for the COF group versus 11 (8–49) days for the EOF group (P < 0.001). Conclusion EOF provides a significant reduction in the length of the postoperative hospital stay without an increased complication risk after rectosigmoid resection with anastomosis as a part of cytoreductive surgery for primary ovarian cancer.

scholarly journals Patients, clinicians and researchers working together to improve cardiovascular health: a qualitative study of barriers and priorities for patient-oriented research

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e031187 ◽  
Author(s):  
Maria-Jose Santana ◽  
Sandra Zelinsky ◽  
Sadia Ahmed ◽  
Chelsea Doktorchik ◽  
Matthew James ◽  
...  
Keyword(s):  
Health Research ◽  
Heart Diseases ◽  
Research Priorities ◽  
Research Programme ◽  
Advisory Council ◽  
Future Research ◽  
Prediction And Prevention ◽  
Participatory Health Research ◽  
Working Together ◽  
Oriented Research

ObjectivesThe overall goal of this study is to identify priorities for cardiovascular (CV) health research that are important to patients and clinician-researchers. We brought together a group of CV patients and clinician-researchers new to patient-oriented research (POR), to build a multidisciplinary POR team and form an advisory committee for the Libin Cardiovascular Institute of Alberta.DesignThis qualitative POR used a participatory health research paradigm to work with participants in eliciting their priorities. Therefore, participants were involved in priority setting, and analysis of findings. Participants also developed a plan for continued engagement to support POR in CV health research.SettingLibin Cardiovascular Institute of Alberta, Cumming School of Medicine, University of Calgary, Canada.ParticipantsA total of 23 participants, including patients and family caregivers (n=12) and clinician-researchers (n=11).ResultsParticipants identified barriers and facilitators to POR in CV health (lack of awareness of POR and poor understanding on the role of patients) and 10 research priorities for improving CV health. The CV health research priorities include: (1) CV disease prediction and prevention, (2) access to CV care, (3) communication with providers, (4) use of eHealth technology, (5) patient experiences in healthcare, (6) patient engagement, (7) transitions and continuity of CV care, (8) integrated CV care, (9) development of structures for patient-to-patient support and (10) research on rare heart diseases.ConclusionsIn this study, research priorities were identified by patients and clinician-researchers working together to improve CV health. Future research programme and projects will be developed to address these priorities. A key output of this study is the creation of the patient advisory council that will provide support and will work with clinician-researchers to improve CV health.

scholarly journals Safety analysis of early oral feeding after esophagectomy in patients complicated with diabetes

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zhisheng Jiang ◽  
Jing Luo ◽  
Mengqing Xu ◽  
Zhuangzhuang Cong ◽  
Saiguang Ji ◽  
...  
Keyword(s):  
Esophageal Carcinoma ◽  
Type Ii Diabetes ◽  
Radical Resection ◽  
Oral Feeding ◽  
Life Questionnaire ◽  
Type Ii ◽  
Early Oral Feeding ◽  
Nutritional Index ◽  
Feeding Group

Abstract Objective To evaluate the safety of early oral feeding in patients with type II diabetes after radical resection of esophageal carcinoma. Methods The clinical data of 121 patients with type II diabetes who underwent radical resection of esophageal carcinoma in the department of cardiothoracic surgery of Jinling Hospital from January 2016 to December 2018 were retrospectively analyzed. According to the median time (7 days) of the first oral feeding after surgery, the patients were divided into early oral feeding group (EOF, feeding within 7 days after surgery, 67 cases) and late oral feeding group (LOF, feeding after 7 days, 54 cases). Postoperative blood glucose level, incidence of complications, nutritional and immune indexes, inflammatory indexes, normalized T12-SMA (the postoperative/preoperative ratio of vertical spinal muscle cross-sectional area at the 12th thoracic vertebra level) and QLQ-C30 (Quality Of Life Questionnaire) scores were recorded and compared in the two groups. Results There was no statistical difference in preoperative nutritional index and postoperative complication rates between the EOF and LOF group (p > 0.05). The postoperative nutritional index (ALB, PA, TRF, Hb) and immune index (IgA, IgG, IgM) of the EOF group were higher than those of the LOF group (p < 0.05), and the inflammatory indicators (CRP, IL-6) of the EOF group were significantly lower than those of the LOF group (p < 0.05). Moreover, postoperative T12-SMA variation and QLQ-C30 scores of the EOF group were higher than those in LOF group (p < 0.05). Conclusions Early oral feeding is safe and feasible for patients with type II diabetes after radical resection of esophageal cancer, and it can improve short-term nutritional status and postoperative life quality of the patients.

scholarly journals Future research avenues to facilitate social connectedness and safe collective behavior at organized crowd events

2021 ◽  
Vol 24 (2) ◽  
pp. 216-222
Author(s):  
Anne Templeton
Keyword(s):  
Social Connectedness ◽  
Extreme Case ◽  
Group Processes ◽  
Future Research ◽  
Collective Behaviors ◽  
Accurate Perception ◽  
Working Together ◽  
Future Research Directions ◽  
Crowd Psychology ◽  
Perception Of Health

During the COVID-19 pandemic, organizers of crowd events must facilitate physical distancing in environments where attendees previously enjoyed being close with ingroup members, encourage accurate perception of health risks and close adherence to safety guidance, and stop expected normative behaviors that may now be unsafe. Research from crowd psychology demonstrates how group processes are integral to each of these issues. The COVID-19 pandemic, however, has created an extreme case environment in which to evaluate the collective findings from previous research and identify future research directions. This paper outlines how organizers of crowd events and researchers can work together to further develop our understanding of social connectedness in crowds, reasons for risk-taking behavior, and level of engagement in new collective behaviors. By working together to address these issues, practitioners and researchers can develop our understanding of crowd processes and improve safety at future crowd events.

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