Because the majority of children who are wheelchair or bed bound have a difficult time eating, special emphasis must be placed on how the feeding is accomplished. The difficulties determine the strategies and techniques needed, and they in turn, have a tremendous impact on the foods--even for the child who can eat by mouth.

Obviously, children who require a tube to be fed need more help than with just the tube and the feeding. They have their underlying problems. and it sometimes takes the parents and caregivers a while to be comfortable with all that means emotionally and with doing the work of caring for the child.

It's not easy in any aspect.