<p>Loss of oral feeding may lead to grief that is unrecognised and unsupported, particularly in the presence of learning disabilities. This can evoke resentment and abnormal grieving responses or challenging behaviour. The child in transition from oral to enteral feeding and the family and/or carers should be assisted through all the stages of mourning for this lost activity to final adjustment and acceptance. It is particularly important for children with learning disabilities to know that they as people have a heritage and a history, and learn how to communicate their feelings and cope adequately with future transitions and bereavements.</p>