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From Our Dietician - Morgan Knust

For some kids, weight gain can be a struggle. As parents and caregivers, it can be easy to become obsessed with every calorie consumed and every ounce gained. This can be stressful! While there are many reasons why a child might have low intake (low appetite, sensory issues, oral motor delays, etc.), we can still make small changes that make a big difference. Both nutrition quality and quantity are important!


Building a balanced meal is the first step. We want meals to contain each of our three macronutrients to ensure that the meal is packed with energy and hits all of your little one’s nutritional needs. 


  1. Carbohydrates: This is the nutrient needed in the highest quantity for energy needs! It’s best to choose carbohydrates that have fiber in them like whole grains, fruit, vegetables, beans, and lentils. Carbs can often be a good vessel for adding calories to: think peanut butter stirred into oatmeal or avocado mashed onto whole grain toast. Beans are a great food to blend into sauces or use as the base of baked goods!

  2. Protein: Protein is essential as the building blocks to support the rapid growth that happens during childhood! Many parents fear their child isn’t getting enough, especially if they aren’t huge meat eaters, but protein can come from a variety of other sources: eggs, milk, greek yogurt, cottage cheese, cheese, peas, beans, hemp hearts and nut butters. Consider adding more than one of these sources per meal if meat/poultry isn’t on the plate, and it will add up quickly to meet protein requirements. 

  3. Healthy fats: These give us the most bang for our buck as our most calorie-dense nutrient, which means that even a small amount can go a long way! They are essential for brain development and vitamin absorption. These are foods like olive oil, chia seeds, flax seeds, avocados, nuts, nut butters and full-fat dairy. 


When kids need to gain weight, it often isn’t as simple as just adding more food to the plate. After building a balanced meal, step two is finding creative ways to boost calories without increasing the volume of the food. Here are some of my favorite tips and tricks!


  • Use butter and oils as part of the cooking process: cook protein/veggies in generous amounts of fats or spray olive oil onto frozen foods before heating up in the oven.

  • Stir in fats like butter into noodles/rice, peanut butter into greek yogurt, or heavy whipping cream (50 calories per tablespoon!) into sauces/oatmeal/scrambled eggs.

  • Smoothies are a great way of reducing the amount of volume of food with blending - and you can sneak in some calorie boosters like avocados, full-fat dairy, and ground flax/chia seeds.

  • Top foods with a sprinkle! Sprinkle hemp hearts on top of avocado toast, ground flaxseed on top of peanut butter banana slices, or parmesan cheese on top of veggies or pasta. Try letting your little one do the sprinkling themselves to create engagement and excitement around the food!

  • Use condiments and dips generously. Not only are they adding calories to the plate, they are also providing a fun way for kids to try new foods. Hummus and guacamole serve as great high calorie dips with bonus nutrition, but regular ketchup is just fine too! Consider using greek yogurt for the base of sweet or savory dips for a little extra protein.


Feeding kids can already feel overwhelming, and concerns about weight gain can add even more pressure. However, meal times don’t have to become a battle! Keeping food experiences positive without forcing bites or requiring a clean plate helps support growth and a healthy relationship with food. Rather than focusing on exact calorie numbers, use the framework for building healthy meals and snacks while incorporating small amounts of calorie boosters. 


If you’re feeling unsure about what this looks like for your child or are still concerned about weight gain, you don’t have to figure it out alone. I’m always here to help - please reach out at any time for personalized guidance and support tailored to your family!


-Morgan Knust R.D.


 

For individuals diagnosed with Amyotrophic Lateral Sclerosis, changes in speech can happen over time. Story banking offers a meaningful way to capture what matters most before those changes occur. Unlike voice banking, which focuses on preserving how someone sounds, story banking focuses on what they want to say, including personal memories, messages to loved ones, and the phrases that reflect who they are.

This process allows individuals to record stories, values, humor, and connection in their own words. These recordings can later be used with communication devices, helping maintain not just communication, but identity and personal expression.


  • Capture meaningful stories, messages, and personal phrases

  • Support future communication with authenticity and intention

  • Focus on connection, not just speech


Story banking is not just a clinical tool. It is a deeply personal process that gives individuals a sense of control and purpose during an uncertain time. It also creates something lasting for families to hold onto and revisit.

If you are interested in learning how to guide someone through this process, we invite you to explore our online course:



 

The recent closure of Patheous Health, headquartered in Overland Park, has created a significant shift in access to instrumental swallow evaluations across our region and beyond. For years, their mobile services helped bring both Fiberoptic Endoscopic Evaluation of Swallowing (FEES) and Modified Barium Swallow (MBS) studies directly to patients, reducing delays and improving clinical decision-making. Their rapid growth and expansion across multiple states reflected just how essential these services had become. 


With their closure, many facilities, providers, and families are now facing a very real gap. When access to instrumental evaluations is delayed or unavailable, it can impact timely diagnosis, diet recommendations, and overall patient safety. Dysphagia is not something that can be managed by guesswork alone. Clinical bedside assessments are valuable, but they cannot replace the real-time visualization that FEES and MBS provide. Without these tools, there is increased risk for aspiration, unnecessary diet restrictions, and prolonged recovery.


This moment highlights an important truth in healthcare: access matters just as much as expertise. When one large provider steps away, it creates a ripple effect across communities. Facilities that once relied on a single vendor are now needing to quickly identify new partners to ensure continuity of care.  A more localized, relationship-driven model of care can help restore that stability, ensuring patients are not left waiting for critical answers.


At Speech and Swallowing Specialists of Kansas City (SaSSKC), we recognize both the urgency and the responsibility this creates. Our team provides mobile FEES services with a focus on timely access, collaboration with care teams, and immediate clinical feedback. We believe patients deserve answers in real time, not days or weeks later, and that facilities deserve a responsive partner they can trust.


If your facility, your patients, or your loved ones are affected by this change, we encourage you to take the next step:

  • Establish a contract to ensure uninterrupted access to instrumental swallow evaluations

  • Provide your patients with timely, bedside diagnostics and recommendations

  • Avoid delays that can impact safety, nutrition, and quality of life

  • Work with a local team invested in your community


You can get started by visiting SaSSKC.com and completing a referral form. Our team will guide you through the process and help you reestablish consistent, high-quality access to swallow evaluations.


Transitions like this can feel uncertain, but they also create an opportunity to build something more responsive and connected. Your patients deserve clarity, safety, and timely care. We are here to help make that happen.



 

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