%0 Journal Article
%T Decision-making around gastrostomy tube feeding in children with neurologic impairment: Engaging effectively with families
%A Eyal Cohen
%A Katherine E Nelson
%A Peter Rosenbaum
%A Sanjay Mahant
%J Archive of "Paediatrics & Child Health".
%D 2018
%R 10.1093/pch/pxx193
%X Children with neurologic impairment may not be able to feed safely or sufficiently by mouth to maintain an adequate nutritional state. Gastrostomy tube (G-tube) feeding is an important, often essential, intervention in such situations. However, many parents and families struggle with the decision to proceed with G-tube feeding. This practice point reviews common reasons for decisional conflict in parents and explores key aspects of life with G-tube feeding. A framework for shared decision-making and the International Classification of Functioning, Disability and Health (ICF) approach are highlighted. Practical recommendations for clinicians on engaging with families for decision-making around this life-changing intervention are provided
%K G-tube
%K ICF
%K Shared decision-making
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5951081/