Paediatric Learning Inner-Directed Oral Nutrition

Paediatric Learning Inner-Directed Oral Nutrition (LION)

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Emergency Referrals

Useful Management Information

The Paediatric Learning Inner-Directed Oral Nutrition (LION) service is an acute service for paediatric patients requiring input from a multi-disciplinary feeding team. The LION team consists of clinicians who have specialist knowledge and skills in children’s feeding and include:

Dietitian
Speech Pathologist
Occupational Therapist
Psychologist
Registered Nurse

To be eligible for this clinic patients will be at risk of hospitalisation or nasogastric tube insertion due to concerns with three or more of the following:

faltering growth,
reduced oral feeding,
swallow safety concerns,
Oral aversion, pressure feeding or related difficulties with reading infant cues,
significant parent stress/worry.

Patients may also be eligible for this clinic:

To manage enteral or oral feeding where condition has the potential to require more complex or emergent care if MDT assessment is delayed
Requires MDT support for tube weaning as showing signs of readiness to tube wean.

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?

Category 1 (appointment within 30 calendar days)	At risk of hospital admission or nasogastric tube insertion Concerns with >3 of the following: Faltering growth Less than expected weight gains Decline in growth trend Reduced oral feeding Oral/Feeding Aversion Suck feeding concerns Delayed oral motor skills impacting on ability to eat age-appropriate foods or drink Swallow safety concerns (e.g. recurrent chest infections, coughing, wet breathing) Pressure feeding and related difficulties with reading infant cues (e.g. over or under responsive cues, unpredictable state transitions, co-regulation) Significant parent stress/worry-in relation to feeding
Category 2 (appointment within 90 calendar )	Not at immediate risk of hospital admission or nasogastric insertion Enteral or oral feeding where condition has the potential to require more complex or emergent care if MDT assessment is delayed. Requires MDT tube weaning assessment as showing signs of readiness to tube wean. Condition is unlikely to require more complex care if MDT assessment is delayed.
Category 3 (appointment within 365 calendar days )	No category 3 criteria
If your patient does not meet the minimum referral criteria Assessment and management information may be found on a range of conditions at HealthPathways If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested: Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.) Please note that your referral may not be accepted or may be redirected to another service

Standard Referral Information

Reason for request

To establish a diagnosis
For treatment or intervention
For advice and management
For specialist to take over management
Reassurance for GP/second opinion
For a specified test/investigation the GP can't order, or the patient can't afford or access
Reassurance for the patient/family
For other reason (e.g. rapidly accelerating disease progression)
Clinical judgement indicates a referral for specialist review is necessary

Relevant clinical information about the condition

Presenting symptoms (evolution and duration)
Physical findings
Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
All conservative options that have been pursued unsuccessfully prior to referral
Body mass index (BMI)
Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
Any special care requirements where relevant (e.g tracheostomy in place, oxygen required)
Current medications and dosages
Drug allergies
Alcohol, tobacco and other drugs use

Patient's Demographic Details

Full name (including aliases)
Date and country of birth
Residential and postal address including whether patient resides at an aged care facility
Telephone contact number/s – home, mobile and alternative
Medicare number (where eligible)
Name of the parent or caregiver (if appropriate)
Name of delegate and contact details (Department of Corrective Services)
Preferred language and interpreter requirements
Identifies as Aboriginal and/or Torres Strait Islander
Any special needs, access requirements and/or disability relevant to the referral

Referring Practitioner Details

Full name
Full address
Contact details – telephone, fax, email
Provider number
Date of referral
Signature
Nominated general practitioner’s details (if known), if the nominated general practitioner is different from the referring practitioner

Other relevant information

Willingness to have surgery (where surgery is a likely intervention)
Choice to be treated as a public or private patient
Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Essential Referral Information

Contact details for parents/carers
Reason for referral
Medical history
Feeding history

Additional Referral Information

Social history
Psychosocial information including parental mental health, social stressors

Send Referrals To

Smart Referrals

Preferred Method
About Smart Referrals

Secure Web Transfer

Medical Objects Account: GQ42150009Z

HealthLink EDI: Qldgchsd

Internal Referrals

Paediatric Learning Inner-Directed Oral Nutrition (LION) qhRefer

Fax

(07) 5687 4497

Post

Booking and Referral Centre
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215

Enquiries

1300 559 083

Related HealthPathways

No directly related pathways found

HealthPathways home page

Service Availability

If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.