Pediatric Tx

Question 1

What are the purposes of Behavioral Interventions?

Answer 1

Increasing compliance, and reducing maladaptive behaviors.

Techniques such as shaping, prompting, modeling, stimulus fading, alternate behavior, and differential reinforcement, as well as the implementation of basic mealtime principles (e.g., scheduled mealtimes in a neutral atmosphere with no food rewards).

Question 2

What is food chaining?

Answer 2

The technique builds on a child’s successful eating experiences by creating a series of links between those foods she eats well to new foods you wish her to eat. The links build on one another, making small variations on the food a child eats well to gradually introducing new varieties. The child is more likely to eat the new variety because it’s similar to the food she already enjoys eating.

Question 3

What are some of the postural changes you can use in ped tx?

Answer 3

Chin-tuck
Chin up
Head rotation
Upright positioning: 45 degree angle at hips and knees, with supports as needed,
Head stabilization:: supported so as to present in chin neutral position,
Reclining position-e.g., using Boppy pillow or reclined infant seat with trunk and head support,
Side-lying positioning for infants.

Question 4

Describe the use of adaptive equipment/utensils in ped tx.

Answer 4

Adaptive feeding equipment or change in feeding utensils
E.g.: Appropriate type of bottle or nipple may promote the coordination of sucking, swallowing, and respiration during feeding; for older children, spoons of various shapes and sizes can help regulate bolus size and facilitate more effective feeding, particularly in children with oral phase deficits (Arvedson, 1998).