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Information on how education and care services provide proactive and reactive management for children and young people that require oral eating and drinking support.
The oral eating and drinking in education and care procedure (PDF 864KB) describes how education and care services plan and manage children and young people that require oral eating and drinking support.
Oral eating and drinking care plan
An oral eating and drinking care plan - HSP210 (DOC 254KB) is completed by a speech pathologist or treating health professional, in consultation with parents or legal guardians, when a child or young person requires their food or fluid consistency to be modified or needs to be fed.
Children and young people generally do not require an oral eating and drinking care plan for food phobias, eating disorders or oral sensitivities.
The gastrostomy care instruction – HSP212 (PDF 327KB) and nasogastric care instruction – HSP212 (PDF 291KB) have been developed to support staff and provide first aid strategies for children and young people with a gastrostomy device or nasogastric tube.
Health support agreement
Where a child or young person has an oral eating and drinking care plan and requires support and assistance a health support agreement - HSP120 (DOC 243KB) and safety and risk management plan - HSP121 (DOC 147KB) must be completed.
Where a child or young person has food phobias, eating disorders or oral sensitivities a health support agreement can be developed. This does not always require an oral eating and drinking care plan.
Health support agreements are completed by the parent and education or care service to document specific risk minimisation strategies, individualised management and treatment for the child in the context of the education or care service.
The guide to planning health support – HSP125 can assist in the development of the health support agreement by prompting through a series of questions and considerations.
The health support agreement should clearly identify cultural, spiritual and language needs.
Oral eating and drinking observation log
An oral eating and drinking observation log - HSP211 (DOC 150KB) is used as a communication tool between education or care services, parents and health professionals to:
- communicate with parents or legal guardians (where changes in mealtime or eating and drinking abilities are noted; this may include both positive and negative changes)
- initiate a review of the Oral Eating and Drinking Care Plan
- provide information and/or evidence for the review of the Oral Eating and Drinking Care Plan (may be used to document eating and drinking all observations over a specific timeframe ie 1 day, 5 days).
The observation log can be completed by education and care staff when a change is noted in the child or young person’s eating and drinking abilities or behaviours during or after mealtimes, for example:
- a change in the ability to chew or swallow or manage food and drink
- tires, is increasingly fatigued or loses consciousness during or after meals
- frequent and repeated coughing, spluttering, gagging, gurgling, near choking, or distress during or after meals
- rapid weight loss.
Supply of food and equipment
Where the oral eating and drinking care plan identifies specialised food, thickeners or equipment for oral eating and drinking management it is the parent or legal guardian’s responsibility to provide this.
Good positioning is essential for safe eating, drinking and swallowing. The child or young person’s oral eating and drinking care plan will describe the specific requirements regarding positioning if required.
Where transfer and positioning needs are identified completion of a transfer and positioning care plan - HSP220 (DOC 433KB) is recommended.
Education and care staff must provide first aid measures following any relevant care plan, first aid plan or health support agreement. Where this does not specify an individualised first aid response standard first aid is followed.
Choking is a medical emergency. Phone 000 (Ambulance)
Pulmonary aspiration is a medical emergency that can result in death from asphyxiation within minutes. Phone 000 (Ambulance)
Some children and young people with oral sensitivities may consume non-food items. Seek medical attention immediately if a harmful substance has been consumed.
- An ambulance (000) must be called for life threatening or urgent medical treatment.
- The Poisons Information Centre (13 11 26) can be called for advice.
Individual first aid plan
An individual first aid plan - HSP124 (DOC 167KB) is completed by the health professional where the first aid response is NOT the standard first aid response for that health condition.
All education and care staff, and particularly those providing support and assistance to children and young people with eating and drinking difficulties, are encouraged to undertake the Novita Children’s Services Oral Eating and Drinking Support (OEDS) Workshop. The workshop includes practical, relevant information about safe practices and worksite risk management for children and young people requiring assistance and support with oral eating and drinking.
The Women’s and Children’s Hospital Speech pathologists endorse the Queensland Health Paediatric Feeding and Swallowing online training. The department recommends education and care staff undertake this online training where they have a child or young person in their care that requires support for oral eating and drinking.
Novita provide training or consultancy to support children where they have developed the oral eating and drinking care plan. Contact Central Intake Novita
- Phone: 1300 668 482
- Email: training [at] novita.org.au
The Ellyn Satter Institute has resources and links for education and care services that may assist education and care staff that care for a child or young person requiring oral eating and drinking support.
Feeding Matters have a range of webinars and virtual workshops that can be viewed on demand and utilised as learning opportunities to support and management children and young people requiring assistance with oral eating and drinking.
- HSP210 Oral eating and drinking care plan
- HSP220 Transfer and positioning care plan
- HSP212 Gastrostomy care instruction
- HSP 213 Nasogastric care instruction
Health support agreement
- HSP120 Health support agreement
- HSP121 Safety and risk management plan
- HSP122 Offsite safety and risk management plan
- HSP124 Individual first aid plan
- Choking first aid for adult or child over 1 year
- Choking first aid for infant under 1 year
Planning and management tools
Disability and Complex Needs Team
Phone: 8226 0515
Email: education.health [at] sa.gov.au