Because children with CP expend so much energy in their efforts to accomplish ADLs, more frequent rest periods should be arranged to avoid taxing their limited capabilities. The diet should be tailored to the child’s activity and metabolic needs. Gastrostomy feeding may be necessary to supplement regular feedings and ensure adequate weight gain, particularly in the child who is at risk for growth failure and chronic malnutrition. In children with severe CP and subsequent oral feeding difficulties, a feeding gastrostomy should be considered (Rogers, 2004). Gastrostomy feeding as a supplement to oral feeding is often recommended, especially when illness and decreased fluid or medication intake affect the child’s wellbeing (Rogers, 2004). Oral feedings may be continued to maintain oral motor skills. Weight gain is perceived as an important measure of adequate oral feeding efficiency.