day 4 ppt Flashcards
faliture to thrive:
a medical diagnosis in which the infant child is not meeting his or her nutritional needs
feeding disorder:
medical diagnosis in which an infant or child is not able to achieve adequate nutrition
five criteria of feeding disorder:
- lack of adequeate eating
- significant weight loss
- last longer than one month
- no attributable to gastrointestinal / lack of food/ other mental disorder
- onset before age 6
if caloric needs are not met, the child is at risk for
stunts in physical and mental development
child with a feeding disorder may require what equipment?
gastrostomy tube and nasogastric be placed to increase caloric intake
the most important problem with child feeding
they may not be able to participate in childhood occupations
for oral tactile sensory processing you should ask about?
food prefernces and food refusals
- tastes
- textures
- temperature
- color of food
three good sensory things to check?
auditory
visual
olfactory stimuli to food
what should you check first before introducing new textures?
allergies
Oral Motor Skill Evaluation check what structures?
lips cheeks jaw tongue palate
you would check the lips for
ROM and strength
symmetry
you would check the cheeks for
ROM and strength
symmetry
you would check the jaw for
strength
chewing pattern with food and non-food items
resting posture
you would check the tongue for?
lateralization to molars
protrusion and retraction
elevation
you would check the palate for
shape/vault
abnormalities
how should you perform interventions with feeding?
in a naturalistic environment
how do you create a naturalistic environment?
set up feeding like at home - so if eat in highchair bring highchair
- bring preferred and non preferred food and drinks
- bring utensils form home
feeding intervention strategies?
sensory-based
oral motor
behavioral
oral motor treatment strategies utilize what FOR
biomechanical FOR and NDT
what intervention strategy would you use to facilitate lips/ checks / jaw movement?
Beckman stretches / Rona Alexander facial wrapping
you should create individualized treatment plans based on
child’s family’s area of need
sensory diet
daily schedule of sensory activities to incorporate at home and at school
intervention of education could be
teach family/ teacher calming sensory techniques: brushing joint compression application of weighted vest
which would you present first? play-based manner or just eating the food?
present food in a play based manner first then do the food
pretend play for self feeding intervention strategy entails?
have child feed a doll or stuffed animal
then have child feed him or himself
also practice scooping food or non food objects (marbles, pegs) form on container to the next using a spoon
a hyposensitive child is
under responsive
a hypersensitive child is
overresponsive
target activities for hyposensitive child should
increase oral awareness
target activities for hypersensitive child will
decrease the child’s sensitivities
progression for the non -oral eater:
dry spoon wet spoon spoon with water spoon with flavored water spoon with thickened water puree
list two intervention for increasing variety in puree and solids?
around the bowl method
food chaining
name one intervention for introducing flavors with liquids:
use ice cubes
then use an ice cube tray to gradually add flavors to the liquids
steps to eating:
- tolerates
- interacts with
- smells
- touch
- taste
- eating
when might a behavioral modification FoR may be appropriate?
if there is a decreased intrinsic motivation
compliance training
system of reinforcement where verbal, gestural, and physical cues are given and positive reinforcement is given when child complies
planned / active ignorable
positive reinforcement is consistently withheld for non-dangerous, nondestructive problem behaviors
what are three behavioral modification principle GOALS:
increase positive responses
prevents negative responses from impeding participation and progresses
generalize feeding techniques in therapy to home/school
could to set a time limit for what and why
meal time dummy this is stupid can’t go all day hooah
activetly ______ negative behavioral reactions
IGNORE
ratio of bites to begin with
1 to 1
