11.4 - Treatment of Behavioral Feeding Disorders Flashcards
What are four signs of a behavioral feeding disorder in very young children?
Arched or stiffened body during feeding
Irritability or lack of alertness during feeding
Food or liquid refusal
Failure to accept varying textures or viscosities
When is a Feeding Disorder considered behavioral?
2
If anatomy and physiology is typical and functional
If there are no signs of reflux, changes in voice quality, or other dysphagia symptoms
What developmental disorders has a high percentage of behavioral feeding disorders?
Why?
Autism
Sensory integration issues
What particular aspects of foods can bother children with autism?
(5)
Texture/viscosity
Color
Flavor
Smell
Temperature
What two interventions can be used to assist children with autism with feeding difficulties?
Positive reinforcement
Differential attention (ignoring negative behaviors and attending to positive feeding behaviors)
What is Food Aversion?
What is the danger with Food Aversion?
Rejection of food
Not consuming the proper amount to obtain proper nutrition and hydration
What is a technique that can help reduce Food Aversion?
Food chaining (emphasizes similarities between new and already accepted foods)
Enhancing the patient’s food repertoire
What other conditions might create behavioral feeding disorders?
(3)
Children with reduced oral exposure
Children who associate feeding with pain or other negative consequences
Other developmental delays
What might cause reduced oral exposure in young children?
2
Premature birth
PEG or NG tubes
What might cause children to associate feeding with pain or other negative consequences?
(2)
GERD/LPR or other gastrointestinal disorders
Parents demonstrate negative feeding behaviors
Who usually treats feeding disorders?
2
SLPs
OTs
What are two typical goals when treating feeding disorders?
Acceptance of oral intake
Reducing instances of inappropriate behaviors
What is the name of one feeding program designed to increase food acceptance?
The Structured Behavioral Feeding Program
What five components are often incorporated into training food acceptance?
Supportive positioning
Tactile stimulation/prep
Spoon placement
Food acceptance
Positive reinforcement
How can negative behaviors be decreased in feeding disorders?
(2)
Escape extinctions
Non-contingent reinforcement
