experimentally-based feeding skills Flashcards
the feeding experience can be…
conditional or learned
conditional (approp. for ST to TX)
positive reinforcement: pleasure sensory stimuli received from eating –> conditions child to accept food again
negative: child aspirates often when he drinks –> conditions him/her to be fearful and protective of his airway and may refuse to drink
learned (not approp. for ST to tx)
positive: praise is given when child sits at table or finishes meal or tries something new –> child learns it is good to do these things and will repeat
negative: if child is allowed to spit food or run around the table or refuse healthy foods –> learns this is acceptable and will repeat
food allergies/intolerance
- potentially neg experiences if foods cause GI pain/discomfort
- diet may be severely limited (bc of ltd experience w/ flavors/texture) w/ mult. food allergies
- often leds to food refusal and food aversion in early childhood
- always ask about current/former food allergies
- infants under 18 mos: ask probe questions about how they tolerate different foods (allergies may not yet be diagnosed)
allergy wait rule
when introducing foods, introduce 1 at a time and for 4-5 to see what kind of effect that 1 food has on the infant to see if they’re able to tolerate it
wait until after 4 mos to introduce foods, bc before then, they can develop food allergies
considerations
1) food= age-appropriate & consistent w/ family’s diet
2) always consider family/cultural traditions for food choices and meal customs
3) always observe patients w/ parents/family during meals, consider home environment & contributing factors
4) remember: child can’t always tell us why they dont want to eat something; our job to determine reasons
ALWAYS CONSIDER during EVERY eval & tx session
GI status Respiratory status Age (CA & AA) Med Dx/Hx Positioning Functional ability What is natural & normal?
