SpeechPathology.com Phone: 800-242-5183


The Speech Pathology Group - You'll Be in Good Company - September 2020

Home Health Care Services for the Pediatric Population

Leandre Gerwin, MA, CCC-SLP, Kirsten Keppner, MS, CCC-SLP, Katie Mikkilineni, MS, CCC-SLP

December 19, 2016

Share:

Question

What are some consideration for determining if a child should receive home health care services?

Answer

It is important to consider the following issues when determining if a child should receive home health care services: 

Respiratory issues:  Children with trachs, ventilators, severe BPD or other lung complications should receive home health services. Children with respiratory problems are very susceptible to illness, especially during RSV season. 

Gastrointestinal complications: Children with G tubes or any child that is on a continuous feed would most-likely benefit from home health services. 

Immunosuppression:  The medical team can help determine if a child’s immunosuppression is such that it makes them eligible for home care services. 

Endurance: Endurance may not be seen as problematic for patients in an outpatient setting however for some children, just the car ride to therapy can cause emesis or great fatigue.  Therefore, if a child has very poor endurance providing home care services may be the best option for them.  

Seasonal considerations: There are children that are considered to be fine when they are outside of RSV or flu season.  These children may be better suited for home care services from October through May. They could transition to outpatient during the summer and then transfer back to home health care in the fall. 

Geography:  Some children can live a significant distance from their pediatrician’s office or hospital.  Although this can be a very subjective criterion it is worth considering when deciding if home care services would be beneficial to the patient.  


leandre gerwin

Leandre Gerwin, MA, CCC-SLP

Leandre Gerwin is a graduate of the University of Cincinnati and has been a practicing Speech Language Pathologist at Cincinnati Children’s Hospital Medical Center for 17 years. During that time she has served medically fragile children, treating both oral motor feeding and language disorders through Home Health Care, the Neonatal Follow up Clinic and the Eosinophilic Disorders Clinic. She is the liaison for the Speech Pathology Department to Home Care for Cincinnati Children’s Hospital Medical Center and has presented at ASHA on the topic of creating and maintaining a successful Speech Therapy service program for Home Care patients.


kirsten keppner

Kirsten Keppner, MS, CCC-SLP

Kirsten Keppner is a graduate of the University of Wisconsin and has been working as a Speech Language Pathologist at Cincinnati Children’s Hospital Medical Center for 10 years.  She currently works as a home health care therapist and an inpatient therapist on the oncology/hematology unit and bone marrow transplant unit. She treats patients with a variety of feeding and language disorders and performs video swallow studies.  She has presented at ASHA on providing services to children undergoing bone marrow transplant and on Home Care speech therapy services. 


katie mikkilineni

Katie Mikkilineni, MS, CCC-SLP

Katie Mikkilineni is a graduate of Miami University has been working as a Speech-Language Pathologist at Cincinnati Children’s Hospital Medical Center for 8 years. She is currently at the Drake Campus and Home Health Care. Her area of interest and expertise is working with children and families impacted by apraxia, autism, speech and language disorders, and dysphagia. Katie has been with the Division of Speech Pathology for 8 years.


Related Courses

continued Conversations, The CE Podcast: An Introduction to Feeding Responsively
Presented by Karen Dilfer, MS, OTR/L, Stephanie Cohen, MA, CCC-SLP, CLC
Audio

Presenters

Karen Dilfer, MS, OTR/LStephanie Cohen, MA, CCC-SLP, CLC
Course: #1033745Level: Intermediate1 Hour
  'useful information, easy to apply to treatment'   Read Reviews
This podcast is a conversation introducing the framework of responsive feeding in the evaluation and treatment of young children with pediatric feeding disorders. The discussion will include basic tenets of feeding responsively, how responsive parenting and feeding intersect, common issues that may get in the way of maintaining a responsive feeding approach, and how best to support families.

Responsive Feeding: Together At The Table
Presented by Stephanie Cohen, MA, CCC-SLP, CLC, Karen Dilfer, MS, OTR/L
Video

Presenters

Stephanie Cohen, MA, CCC-SLP, CLCKaren Dilfer, MS, OTR/L
Course: #1033750Level: Intermediate4 Hours
  'videos were helpful'   Read Reviews

Master skills to implement in your practice immediately with continued SLP Master Class. This 4-hour master class focuses on responsive feeding in the context of child development, common feeding struggles, the parent-caregiver relationship, and working with the team.


Feeding Infants in the Neonatal Intensive Care Unit (NICU) and Beyond: An Overview - Part 1
Presented by Jennifer Pusins, CScD, CCC-SLP, BCS-S, IBCLC
Video

Presenter

Jennifer Pusins, CScD, CCC-SLP, BCS-S, IBCLC
Course: #9554Level: Introductory1 Hour
  'Brought to light a lot of things to keep in mind with preterm infants'   Read Reviews
This is Part 1 of a two-part series. SLPs involved in the care of infants with feeding and swallowing difficulties provide assessment and treatment to promote safe, positive feeding experiences. This course will provide an overview of feeding and swallowing problems that can occur in infants, including a discussion of risk factors and underlying etiologies. A review of the research related to best practices in assessment and treatment of these infants will be presented.

Feeding Infants in the Neonatal Intensive Care Unit (NICU) and Beyond: An Overview - Part 2
Presented by Jennifer Pusins, CScD, CCC-SLP, BCS-S, IBCLC
Video

Presenter

Jennifer Pusins, CScD, CCC-SLP, BCS-S, IBCLC
Course: #9555Level: Introductory1 Hour
  'Learning about different nipples and flows!'   Read Reviews
This is Part 2 of a two-part series. SLPs involved in the care of infants with feeding and swallowing difficulties provide assessment and treatment to promote safe, positive feeding experiences. This course will describe assessment procedures and evidence-based treatment techniques that can be implemented with these infants, including a discussion of breastfeeding management.

Improving Pediatric Feeding Assessment Skills - Tongue Functioning
Presented by Jennifer Dahms, MS, CCC-SLP, BCS-S
Video

Presenter

Jennifer Dahms, MS, CCC-SLP, BCS-S
Course: #8637Level: Intermediate1 Hour
  'More in-depth information about things I usually describe in a very limited way (minimal/no, reduced, or adequate/functional lingual lateralization)'   Read Reviews
This is Part 2 of the five-part series, Improving Pediatric Feeding Assessment Skills. Tongue functioning is important for the control of food and liquid during the feeding process. This course will discuss the types of disordered tongue movements that interfere with eating and how those deficits may impact the child's feeding as a whole.