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Feeding Therapy -> Nutrition
Nutrition therapy addresses barriers to achieving appropriate nutrition for growth. An occupational or speech therapist will work with the the patient and caregivers to address the barriers to proper nutrition whether they are based on sensory or swallowing issues.
Child Dietitians to Assess & Treat PFD - Feeding Matters 0Author: Feeding Matters - Children with pediatric feeding disorder require child dietitians to assess and treat PFD. Feeding Matters, an organization dedicated to improving the system of care of children with pediatric feeding disorder, provides a helpful provider directory for dietitians and food therapists.
Author: Teresa Boggs and Neina Ferguson - Feeding disorder in young children is a growing concern, particularly feeding challenges with sensory and/or behavioral underpinning. These feeding disorders are characterized by food refusal, anxiety when presented with novel foods, failure to advance to textured foods, and inappropriate mealtime behaviors. The Positive Eating Program (PEP) was developed to remediate feeding disorders by providing rich experiences in food vocabulary, positive sensory nonfood and food activities, and structured and predictable through trials
Milestone Moments 1Author: Centers For Disease Control and Prevention - These developmental milestones show what most children (75% or more) can do by each age. Subject matter experts selected these milestones based on available data and expert consensus.
Self-Determination Theory As a Theoretical Framework For a Responsive Approach to Child Feeding 0Author: Johanna Cormack, Katja Rowell, Gianina-Ioana Postavaru - Cormack et al. propose using self-determination theory (SDT) to support the advancement of feeding skills. SDT says that people want to improve their skills, but their ability to improve depends on their social environment. SDT in feeding focuses on cultivating: Autonomy: The ability to control your actions–so, letting kids regulate their own energy intake Competence: Feeling effective–so, choosing foods and feeding methods that provide a ‘just right’ challenge given the child’s developmental level), and Relatedness: A feeling of belonging that allows you to feel connected with others–so, focusing on social connectedness and engagement during mealtimes. On the other hand, SDT suggests that restrictions or pressure to eat will interrupt self-regulation, and might even contribute to adverse outcomes (e.g., food refusals, atypical weight gain, or eating disorders). https://www.theinformedslp.com/review/disbanding-the-clean-plate-club
- Feeding disorders - A feeding disorder, in infancy or early childhood, is a child's refusal to eat certain food groups, textures, solids or liquids for a period of at least one month, which causes the child to not gain enough weight, grow naturally or cause any developmental delays.
- Eating disorders - Eating disorders are behavioral conditions characterized by severe and persistent disturbance in eating behaviors and associated distressing thoughts and emotions. They can be very serious conditions affecting physical, psychological and social function. Types of eating disorders include anorexia nervosa, bulimia nervosa, binge eating disorder, avoidant restrictive food intake disorder, other specified feeding and eating disorder, pica and rumination disorder.
- Jane will make gains on the food hierarchy to increase food-inventory over a 3 -month period. 0
- Jane will increase food inventory by 2 foods to improve nutrition over a 6 week therapy period. 0
- Marley will increase food awareness of food types through participating in food related activities across a 3 month period. 1
- Bryson will participate in structured food tries to increase novel food acceptance to include a variety of textures and consistencies when presented in new locations across a 3 month period. 1
- Laura will tolerate the least restrictive diet without signs/ symptoms of aspiration, dehydration, or malnutrition typical for developmental peers in 3 of 4 attempts as measured by clinician observation and data collection over 5 therapy sessions to improve overall feeding and nutrition skills. 2
- Within a 12 month period, Scott will consume 5 or more IDDSI level 7 (regular ) foods from each food group with moderate cueing in order to maintain adequate nutrition as measured through observation during mealtime food trials. 0
- Bryan will increase food acceptance to include a variety of textures and consistencies through participation in food tries across a 3 month period. 1