Melanie Rogers, Mary Steinke
An examination of student nurse practitioners' diagnostic reasoning skills
International journal of nursing practice
infants children congenital heart disease chd often require supplemental nutrition via tube feeding surgery tube feeding may required due poor weight gain inadequate oralmotor skills andor reduced endurance oral feeding team described successful approach weaning population horsley et al 2022 pediatr cardiol 4314291437 subgroup tubefed patients chd demonstrate oral feeding aversion oa presents unique challenges tube weaning process discuss teams experience tube weaning orally averse children chd 36 patients enrolled cincinnati childrens heart institute cardiology feeding tube wean clinic 11 31 determined oral feeding aversion oa speechlanguage pathologist slp descriptive data comparing oa group nonaverse group gathered prior wean groups ability tube wean successfully although oa group lower median oral intake 9 vs 24 higher age start wean 9 vs 4 months oa also longer median duration wean days 17 vs 12 days higher likelihood return tube feeds within sixmonth postwean 22 vs 0 additionally oa group higher percentage genetic syndromes 36 vs 16 although found statistically significant study children oa present unique challenges tube weaning results study show weaning children chd oa possible multidisciplinary team knowledgeable population