There is now an official facebook page for Pediatric Feeding Support. Just go to Fun with Food-Pediatric Feeding Support and click "like". Hope to see you there!
Monday, February 7, 2011
Fun with Food Facebook Page
Monday, December 6, 2010
Breakthrough Moments
We all love breakthrough moments whether it be in therapy or just in the experiences of life! Lets take the first acceptance of more than one bite of an apple for example. What was 'ok' about the apple or the experience this time around? First of all most of the children seen for feeding therapy do have some inefficient compensatory strategies that are used to manipulate foods and in many cases those patterns appear to develop secondary to abnormal sensory experiences.
Of course some children do have limitations due to issues surrounding strength, tone or range of motion but in this post I am specifically referring to the child who has learned to 'chew' with lips closed, rolling food across the mouth, tongue mashing, 'suckling' food as a result of a combination of factors...not just oral motor. I feel this is sometimes overlooked as a child is put into a category of "sensory" or "oral motor" or strictly "behavioral"....when in fact there is likely many factors contributing.
A child who refuses an apple chunk may readily accept a very thin slice of apple. When looking at strictly sensory you may think "Well, it is visually more appealing, he likes the flat shape" or something to that affect. When looking at strictly oral motor one may say "This is easier to handle from an oral motor standpoint as the flatter, thinner shape is easier to chew".....when applying both sensory and oral motor I can see that the following is also true "The appearance is not only appealing, thus decreasing his anxiety, but he also knows that he can bite AND consistently chew this food creating a more normalized sensory response" The thickness of chunks may be overwhelming from both oral motor and sensory viewpoints resulting in "This is too hard to chew, too yucky feeling in my mouth, too painful to swallow whole...i'll either spit it out or refuse it all together!"
Point being...explore all possibilities and different angles before landing on your own conclusion prematurely! Know your child, observe his whole being, his reactions to sensory stimuli, the types of foods accepted vs the types of foods avoided. This does not always result in a clear pattern and despite identifying your child's favorite spices, flavors, textures, shapes, environments, etc underlying conditions play a role as well. Inconsistent feeding behaviors varying from accepting wide ranges of food one day and next to nothing the next or on another day could indicate gastrointestinal discomfort. This brings me back to the importance of NEVER assuming a child's feeding complication is strictly sensory, behavioral or oral motor. Those who know me know that I am opposed to some of the intensive feeding programs that are out there or behavior approaches that reinforce having to swallow food that is spit out or waiting the entire hour for a 'breakthrough' in which the child is broken down to try a bite. This is not the kind of breakthrough moment I like to experience with my own child or with any child in treatment! I realize each child is different and there is probably a basis for choosing that type of treatment, I hope to encourage parents to have patience as their child learns to eat in a happy and healthy way!
A breakthrough moment for one child may simply be pretending with the food
For another, it is dipping a food into a new sauce!
I wanted to share a sweet story of a little boy and his own breakthrough moment! The fact that these 'new finds' were carried over from the hospital to his home is a very big deal for Jackson and his family, way to go Jackson! Click on Marbles from Heaven to hear about his success!
Thursday, December 2, 2010
Thursday, July 8, 2010
Wednesday, June 9, 2010
Planting the Seed
A LOT has gone on in the last several months, hence my very long delay in posting! My family and I have moved from Asheville to Mount Pleasant, SC near Charleston. It will take some time to adjust to our new surroundings and distance from friends and our Asheville nest. Before jumping right back into work I am hoping to volunteer some time and advice to families here in my new community as I am quickly realizing how many families experience feeding difficulties and how little help is readily available in a convenient location for those families.
I love to observe and people watch and through doing that I see that we are all so very much alike--we all want the best for our children and we all strive for a happy, functional life. I am thankful for the many experiences I have had with children and feeding complications over the last 8 years because those experiences have helped me so much with my own daughter! I do feel that we, as parents, put a lot of pressure on our children to follow through with all of our expectations. We can plan for the scheduled meals and snacks with plenty of opportunity for hunger to try new foods or eat what is 'on the menu' , but when it comes right down to it, we tend to forget all of the other factors. For instance--if you have been thinking of PF Changs hot and sour soup and honey chicken all day long and your husband brings home take out BBQ--doesn't it take you a while to adjust to the idea of bbq sauce over soy sauce? We only wish we were 3 years old so we could shout "But I don't Want BBQ for dinner!!!!!!" Or if the pollen has taken over your ability to breathe and sinus drainage takes all of the enjoyment out of any food that doesn't meet your specific requirements at that given moment. We don't always need or want to explain why we want a sleeve of saltines and a REAL coke versus pink lemonade and cottage cheese. We just know that the pink lemonade and cottage cheese would make us vomit and send us running. I am not saying that every situation is like that with your selective eater. What I am saying is that we need to constantly evaluate and learn from our own preferences.
There is a lot to be said about mental preparation and planting the seed. Lets say you want to cook pork chops one night. My daughter loves chicken but she has never had pork chops, so pork chops would be a similar meat in appearance, taste and texture and a good choice for a family meal. I would go ahead and tell her that we are having pork chops "the other white meat" for dinner one night this week. I remind her again that day and I choose some small jobs in the kitchen during dinner prep. If I just threw the pork chops on her plate for dinner she might not be as receptive to actually tasting the pork chops. Take a child with a history of feeding difficulty or selective eating and you can almost guarantee refusal of the pork chops being within sight or smell.
So I challenge you this week to approach new food and new ideas in a new way...and start by planting the seed today for what might happen tomorrow or the next day. Enjoy the journey!
Sunday, May 16, 2010
Saturday, May 8, 2010
Little Blessings
Thank you for sending in these photos! I will love having these pictures to look back on and remember all of the fun (and challenging) times in therapy. So many of these pictures really capture their awesome little personalities--love it! I will add more as I get them. I have loved working with the team at Carolina Pediatric Therapy in Asheville--a special thanks to all of you and to the families for making my job so enjoyable!
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