What is the primary goal of feeding a child with CHF in the semi-Fowler position?

The primary goal of feeding a child with congestive heart failure (CHF) in the semi-Fowler position is to improve lung expansion. This position allows for better respiratory mechanics, which can be particularly beneficial for children with CHF who may experience difficulty breathing due to fluid overload or weakened heart function. By elevating the upper body, the semi-Fowler position helps to reduce pressure on the diaphragm, thus facilitating easier and more effective lung expansion during feeding.

When a child is in this position, gravity assists the flow of blood and fluid in ways that can reduce the work of breathing. This is especially important during feeding times, as respiratory distress can be exacerbated by the horizontal position, where more pressure is placed on the thoracic cavity. Therefore, angling the child upwards not only promotes comfort but also aids their ability to breathe more freely, thus making feeding a less labor-intensive process both for the child and for caregivers.