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Free Clinical Framework · Feeding Matters PFD Framework
Every specialist sees one piece.
Here's the whole picture.
A clinical framework for parents navigating tube feeding, GI complexity,
and the care coordination gap — finally, someone who sees all of it.
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⏺ TUBE WEANING EXPERTISE
⏺ MEDICAID ACCEPTED
⏺ IMMEDIATE OPENINGS
⏺ VT & ACROSS THE US
You're already working with a team. So why does everything still feel so disconnected?
You have the GI doctor. The cardiologist. The feeding therapist. The early intervention coordinator. The hospital dietitian with 200 patients and fifteen minutes per visit.
Each of them is doing their job. And none of them — unless you are extraordinarily lucky — is looking at the full picture of your child's feeding. Not because they don't care. Because the system was not built for that.
So the coordination lands on you. The translating, the reconciling of contradictory advice, the advocating — while you're also trying to get your child through another tube feed or another refused spoon.
This map doesn't fix the system. But it gives you the framework to navigate it — and to see exactly what's missing from your child's care.
Here's what the team looks like from the outside.
And here's what nobody is coordinating between them.
GI SPECIALIST
Manages the gut
CARDIOLOGIST
Manages the heart
FEEDING THERAPIST
Manages the behavior
NEUROLOGIST
Manages the neurology
HOSPITAL DIETITIAN
Updates the formula order
EARLY INTERVENTION
Manages development
↓
The coordination gap: Nobody is looking at the full nutritional picture across all feeding routes, connecting gut health to oral feeding readiness, or owning the whole-child plan. That job has quietly become yours.
The Clinical Framework
The Four PFD Domains — applied to medical complexity
For medically complex children, more than one domain is almost always active — and the way they interact is what makes feeding so hard to solve in isolation.
MEDICAL
YOUR CHILD'S FULL HISTORY
Cardiac, GI, neurological, genetic, prematurity — and how that history still shapes the body's relationship with eating today.
NUTRITION ⭐️ lead domain
BEYOND THE FORMULA ORDER
Gut microbiome after surgery & antibiotics, real nutrient gaps, and what an individualized plan actually looks like vs. a formula update.
FEEDING SKILL
CAN SWALLOW ≠ FEELS SAFE
Oral aversion, NICU history, aspiration risk, and the difference between skill gaps and trauma-based avoidance.
PSYCHOSOCIAL
THE FEEDING RELATIONSHIP
Mealtime trauma, caregiver stress, and what it takes to rebuild safety after years of medical feeding complexity.
What you'll walk away with
01
YOUR CHILD'S DOMAIN PROFILE
A framework to identify which domains are most active — and most underaddressed — in your child's current care.
02
THE COORDINATION MAP
A printable tool to map your current team and find the gaps — with one question to bring to your next specialist visit.
03
THE TUBE WEANING REALITY
What the evidence actually says — and what a whole-child approach looks like vs. what most protocols offer.
04
THE NUTRITION TRUTH
What a formula order is not — and what a clinical nutritional assessment for a medically complex child actually includes.
We hold all four domains at once.
No other provider in Vermont does.
Most practices pick a lane. We were built for families who need someone in all of them — and who communicates back to your whole team.
INTEGRATIVE NUTRITION
Gut-brain axis, microbiome, functional lens
TUBE WEANING
Evidence-based, nervous system–paced
BLENDED DIETS
Research-backed, home implementation
TEAM COORDINATION
Notes back to your providers — always
RESPONSIVE FEEDING
Trauma-informed, relational approach
ANS AWARENESS
Autonomic nervous system at the table
SPECIALIZED IN THE COMPLEXITY NOBODY ELSE WANTS TO TAKE ON
We work with families navigating some of the most complex pediatric feeding situations — and we don't hand you a pamphlet at the end of 15 minutes.
CONGENITAL HEART DEFECT
DOWN SYNDROME
PREMATURITY & NICU
CEREBRAL PALSY
GERD & EOE
SHORT BOWEL SYNDROME
TUBE WEANING
BLENDED DIETS
Hirschsprung's
ORAL AVERSION
ASPIRATION
300+ PFD DIAGNOSES
"
My daughter has been through open heart surgery, a feeding tube, and three different specialists. Everyone managed their own piece. Attune2Food was the first team to see her whole picture — and help me feed her at home.
— Attune2Food Parent, Vermont
GET THE WHOLE PICTURE.
FINALLY.
A clinical framework for medically complex families who deserve more
than a formula update and a pamphlet.
🔒 NO SPAM, EVER 💳 MEDICAID & INSURANCE 📞 IMMEDIATE OPENINGS