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Enteral Feeding
- Involving the Interdisciplinary Team
- Considering Enteral Feeding Route
- Enteral Nutrition Selection
- Choosing an Appropriate Enteral Feeding Regimen
- Enteral Nutrition Administration Time
- Reuse and Cleaning of Enteral Feeding Equipment
- Risks and Complications of Enteral Feeding
- Administering Medication
- Monitoring Enteral Nutrition
- Assessment of Tube Feeding Intolerance
- Troubleshooting for Enteral Nutrition
- Establishing Home Enteral Nutrition (HEN)
- Additional Resources
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Transition from Enteral to Oral Feeding
- Tube Weaning: Transition From Enteral to Oral Feeding
- Readiness for Oral Feeding
- Set Achievable Goals
- Establish a Positive and Responsive Feeding Relationship Between Child and Parent/Caregiver
- Normalization of Feeding and Eating Behaviours
- Use of Behavioural Technique to Increase Oral Intake, such as Hunger Provocation
- Preparing to Wean Enteral Tube Feeds
- Planned Permanent Removal of a Surgically Placed Feeding Tube
- Additional Resources
Establish a Positive and Responsive Feeding Relationship Between Child and Parent/Caregiver
- Acknowledge and respond to the child’s cues. Transition takes time and patience which needs to be child-led for success.
- Create an environment that is free of stress, reduces anxiety, and supports a positive experience with food.
- Support social modeling through family-focused mealtimes with positive reinforcement and interactions.
- Offer foods within the child’s developmental capacity to support the child to decide what and how much to eat (Krom, de Winter, & Kindermann, 2017).
- Support a child-led process. .Force feeding does not support responsive feeding; it is traumatic to the parent-child relationship.
