Whether using commercial enteral formula or a homemade food blend, bolusing is an efficient method for administering enteral feeds. Bolus feeding requires the use of a syringe to deliver formula or food blends through the feeding tube. The rate of infusion is controlled by how fast the plunger is pushed or by removing the plunger and holding the syringe up, letting gravity take control and allowing formula to flow down through the tube.
Over the years, I’ve talked with hundreds of parents who have spent hundreds of hours coaching their child to take hundreds of bites, only to watch those bites swirl around in the mouth and be spit right back out. And when all you want is for your sweet, tube-fed kiddo to take, enjoy, and actually swallow something, that experience can be endlessly – and I mean, ENDLESSLY – frustrating! After all, how hard can it be to swallow?
One of my favorite Ellyn Satter quotes is “when parents do their jobs with feeding, children do their jobs with eating”. It is certainly apparent that infants and toddlers need their parents to play an active role in helping them to form happy relationships with food. But it’s important to remember that older children (even adolescents) still need their parental involvement.
The most predictable thing about toddler eating is that it is unpredictable. Variations in appetite will occur and while there will be days when your toddler only wants to lick, taste, or nibble, there will be other days when the volume of food consumed is unfathomable. Trust that your toddler knows how much to consume at each eating opportunity.
Growing Independent Eaters embraces and utilizes the feeding principles developed by Ellyn Satter. We use them because these principles have been validated through research to improve mealtime experiences in the long-term. And that’s what we want for your child: a life-long, happy, trusting, healthy relationship with food. And that kind of long-term success starts by implementing some really important principles, starting in infancy.
The do’s and don’ts of pre-weaning can be difficult to assess and navigate. In particular, many families wonder about their child’s tolerance of tube feeds and how they might adjust in order to make the experience more comfortable and conducive to oral intake. Blended diets, in particular, spark curiosity, so let’s take a look at how they might factor into your child’s pre-weaning stage.
When one of your kids is tube-fed or recently weaned, it’s easy to overlook the other kids at your dinner table, or forget that safe and joyful meals are just as important for non-tubies as for tube fed kids. I learned this the hard way – that there are a few things to be aware of when your tubie is not an only child.
Being the parent of a toddler is exceptionally fun and rewarding. It can also be exhausting. Developmentally, toddlers are learning to be independent people. Having a toddler with a feeding tube brings its own set of challenges. How do we, as loving caregivers, help the toddlers in our lives with tubes get ready to participate in a wean during this sometimes challenging developmental stage?
I learned how to let go of my anxiety-ridden control tactics, and my daughter found her appetite and learned to eat happily and independently. But that took time, patience, and a lot of help. And looking back, there is one thing that I would tell that tired, frustrated mom who skipped Thanksgiving dessert to cry in the bathroom.
When starting a wean, there are so many questions. One of the recurring fears that I discuss with parents is: What if this doesn’t work, where do we go from here? When tackling this answer, it’s really important to back up a step and to start with another question: How do we define success and “working”?
So often I hear loving and well-intended caregivers using phrases like 'I was able to,' or how do I 'get it into them' (referring to food, utensils, or oral motor therapy tools getting into children). How do I 'get them to open their mouths' so I can 'do x to them.' I hear meals described as feeds, sessions, therapy, or exercises. Lots of words that describe doing things TO our kids.
