Occupational Therapy -> Activities of Daily Living / Self-care -> Feeding / Utensil Management

Feeding / Utensil Management

The setting up, arranging and bringing food to the mouth.

Reference links

  • Evaluation of MealSense©: A Sensory Integration–Based Feeding Support Program For Parents 2
    research.aota.org
    Author: Trewin, Mailloux, and Schaaf - Knowledge translation strategies may facilitate the usefulness of parent education programs related to sensory integration and feeding. MealSense provides an example of an online educational tool for parents of children with ASD and may be especially useful for times when in-person visits are not possible. Citation: Audrey Trewin, Zoe Mailloux, Roseann C. Schaaf; Evaluation of MealSense©: A Sensory Integration–Based Feeding Support Program for Parents. Am J Occup Ther May/June 2022, Vol. 76(3), 7603345020. doi: https://doi.org/10.5014/ajot.2022.046987
  • Interventions Within the Scope of Occupational Therapy Practice to Improve Activities of Daily Living, Rest, and Sleep For Children Ages 0–5 Years and Their Families: A Systematic Review 2
    research.aota.org
    Author: Gronski and Doherty - Feeding and eating, toileting, rest and sleep. Behavioral approaches, parent and caregiver education, and contextual intervention. Interdisciplinary care, family coaching and education, and behavioral approaches within the professional scope of occupational therapy to improve the functional performance, routines, and quality of life for young children and their caregivers. Benefits of these interventions include improved falling and staying asleep, more frequent child-initiated toileting, and fewer negative mealtime behavior. Citation: Meredith Gronski, Meghan Doherty; Interventions Within the Scope of Occupational Therapy Practice to Improve Activities of Daily Living, Rest, and Sleep for Children Ages 0–5 Years and Their Families: A Systematic Review. Am J Occup Ther March/April 2020, Vol. 74(2), 7402180010p1–7402180010p33. doi: https://doi.org/10.5014/ajot.2020.039545
  • Occupational Therapy Practice Guidelines For Early Childhood: Birth–5 Years 2
    watermark.silverchair.com
    Author: Clark and Kingsley - Cognitive delays: home-, community-, and preschool-based interventions. To address cognitive development in premature infants, use of NIDCAP, home-based EI, touch-based interventions, and reading aloud to the child and incorporating home programs when working in clinics. The REDI program, the Read It Again program, and teaching specific cognitive skills all improved cognitive outcomes for a range of preschool-age children who were at risk for or had a specific diagnosis associated with developmental delays. Infant–maternal attachment: skin-to-skin, KC, and parent training programs such as the MIT program. The Incredible Years, MIT, and teacher training in PBIS were all effective in improving child behavior. Parenting behaviors: direct parent training, the Incredible Years, and PCIT. Parent-delivered massage, attachment training, and the Play Project are all interventions that showed a significant impact on parental stress, anxiety, or depression. Motor outcomes: use of NIDCAP, CIMT, and BIT for children at risk for and diagnosed with CP. Home-based interventions using parent coaching and clinic-based interventions that used home programs were also effective for short-term motor development, underscoring the value and benefit of well-written home programs and coaching parents to support their child’s development. Feeding and eating: repeated-exposure interventions, nonnutritive suck, and parent training to support the child’s feeding and eating are all effective options. Toileting: The use of a wetting alarm is supported when toilet training toddlers. Sleep: use of parent training, positioning devices in the NICU, and touch-based interventions are all effective. Citation: Gloria Frolek Clark, Karrie L. Kingsley; Occupational Therapy Practice Guidelines for Early Childhood: Birth–5 Years. Am J Occup Ther May/June 2020, Vol. 74(3), 7403397010p1–7403397010p42. doi: https://doi.org/10.5014/ajot.2020.743001
  • Effectiveness of Outpatient Pediatric Feeding Interventions On Increasing Variety of Foods Consumed and Adaptive Mealtime Behaviors 2
    watermark.silverchair.com
    Author: Piller, Penning, & Bonsall - Results indicate that feeding therapy interventions performed in an outpatient setting result in an increase in the number of foods eaten on a regular basis. When children increase their number of foods, nutrition can also increase. Results also indicate that mealtime behaviors can be positively influenced as a result of feeding therapy interventions, which has the potential to impact the success of the family mealtime experience. This supports occupational therapy interventions for feeding difficulties by providing evidence of effectiveness. Citation: Aimee Piller, Jenna Penning, Aaron Bonsall; Effectiveness of Outpatient Pediatric Feeding Interventions on Increasing Variety of Foods Consumed and Adaptive Mealtime Behaviors. Am J Occup Ther July 2022, Vol. 76(Supplement_1), 7610505029p1. doi: https://doi.org/10.5014/ajot.2022.76S1-PO29

Activity List(s)

Visual Schedule Cards

Goal Bank

  • Peter will demonstrate improved fine motor skills by opening lunch containers independently on 4 /5 days by March 5, 2023 . 1
  • Peter will feed themself independently with the usage of adaptive equipment for 3/5 meals a week at school by May 5, 2023 to improve function in their ADLs. 0
  • Peter will self feed independently with the usage of adaptive equipment for 1 /3 meals a day as reported by caregiver by May 5, 2023 for improved function in his ADLs. 0
  • Peter will carry his lunch tray independently with standby assistance at school on 4 /5 days by March 5, 2023 . 0
  • Peter will scoop objects with the usage of adaptive equipment on 4 /5 tries by May 5, 2023 to demonstrate improved function in feeding. 0
  • Peter will hold their utensil and manipulate the utensil in their hand with the usage of adaptive equipment on 4 /5 tries by the end of the school year in order to improve their ADL of feeding. 0
  • With the use of information-based strategies such as schedules, calendar alerts, visuals of energy levels and regulation strategies, and bullets of the activity flow, Rhoda will meet physiological and physical needs related to eating, going to the bathroom, and recess with 80% modeling, in 4 /5 opportunities, in 2 months. 0
  • Given sensory strategies (i.e., steps for eating, visual supports, etc.), Lanita will tolerate kissing non-preferred foods in 3 /4 trials across 3 consecutive therapy sessions with decreasing prompts as measured by observation and data collection in order to expand her diet to include meat and vegetables. 3
  • With regular (individually tailored) exercises and sensory diet, Patrick will demonstrate an appropriate level of arousal for 10 minutes in 4 /5 treatment sessions, with visual cues and 50% encouraging verbal cues for increased participation and functional independence in daily life. 0
  • Given max assist, Juan will scoop food with a spoon during a meal 4 out of 4 times as measured by observation and data collection over 4 therapy sessions to demonstrate utensil management skills. 1

Resources

  • Chick-Fil-A Menu preview

    Chick-Fil-A Menu

    Glenna Nave

    Pictures of Chick-fil-A menu with item name and pricing information.

    3

  • Executive Functioning: Menus preview

    Executive Functioning: Menus

    Glenna Nave

    Use this visual of a peanut butter and jelly sandwich as a final product to work backwards to figure out what ingredients are needed and the steps needed to prepare it.

    4