Question
I am about to evaluate an 8 month old because she is not babbling or really vocalizing at all. She has an NG tube due to refusal behaviors but also drinks formula from a bottle and early purees from a spoon. Oral skills are reportedly efficient for bottle
Answer
I doubt very much that the ng tube is impeding this child's expression. I have yet to have a patient that cannot vocalize or verbalize because of an ng tube. You didn't state why the child has food refusal behaviors, perhaps it is medical. That may also be impacting expressive language. I think your evaluation and treatment plan sound good. You are correct, though. You will have to actually see and assess the child's communication before knowing what to do next. Sounds like you are on the right path.
Mary E. Warburton, M.A., CCC-SLP has been a speech-language pathologist for 14 years. She is the Lead Speech-Language Pathologist at St. Louis Children's Hospital-Ranked #5 in the nation by Parents Magazine. Mary specializes in Pediatric Feeding and Swallowing, NICU, Cardiac and Lung Transplant patients. She resides in St. Louis, with her husband and 2 sons.
Mary Warburton, M.A.,CCC-SLP
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