HOW DO I KNOW MY CHILD NEEDS FEEDING THERAPY?
Have you tried everything? Diet changes, formula changes, bottles, cups, spoons, hot food, cold food…nothing is working.
You are not alone. At least 1 in 37 children under the age of 5 are diagnosed with a pediatric feeding disorder in the U.S. alone*.
Often, your pediatrician will refer you to a feeding therapist if any of these situations are going unresolved for a prolonged period of time:
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Breastfeeding or bottle-feeding difficulties, including latching, sucking or swallowing issues.
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Extremely high selectivity about the foods they eat (picky eating).
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Lack of desire or refusal of your child to expand their food choices as they grow older.
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Problems transitioning from purees and soft foods to solid foods or refusal to try foods with certain textures.
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Meals at your home take an excessively long time with continued choking or gagging.
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Your child is not gaining weight as they are expected to due to lack of nutrition.
WHAT TO EXPECT FROM A CLINICAL FEEDING THERAPY SESSION
1
PREPARE
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Schedule your evaluation at a time where they are hungry.
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If possible, gather pediatrician visit and other medical specialist notes.
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Prepare/gather food for the meal/snack, including drinks and all supplies (bottle, cup, bowl, spoon, fork, teethers, pacifier, swaddle blanket)
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Set aside 1-3 food items that your child struggles eating or refuses to eat.
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Set up your typical feeding area so that everything is ready (milk, chair, utensils, food, etc.).
2
EVALUATE
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Your child’s motor skills (tongue, lip, cheek & jaw movements) with and without food.
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Response to food (level of comfort versus stress).
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Food inventory (types, textures, volume of food eaten).
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Utensil use (bottle, cup, spoon, fork, etc.).
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Positioning (in lap, in a high chair, booster, etc.).
3
DISCUSS
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Talk about feeding concerns.
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Medical and developmental history questions.
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Feeding schedule and history questions.
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Observation of your child eating a meal or snack
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Trial of new feeding strategies and/or adjustments as needed.
4
REPORT
48 hours after the evaluation, you will receive a report with the following:
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A summary of your child’s medical, developmental, and feeding history
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Clinical impressions based on areas assessed.
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Recommendations for continued or improved feeding
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Referrals to medical providers if indicated.
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Proposed feeding treatment plan, created specifically for your child.
WHAT ARE THE GOALS OF PEDIATRIC FEEDING THERAPY AND WHEN SHOULD I EXPECT TO SEE RESULTS?
Improving and developing healthy eating habits can vary in time from each child – there is no one-size-fits-all approach. Underlying medical and developmental conditions can be a determining factor in progress, and older children with complex difficulties may take months to see results.
Generally, IGNITE preaches a long-term perspective and patience with your child when it comes to developing their eating habits and may be able to give you a more accurate timeline after the initial evaluation.
ENCOURAGING HEALTHY EATING HABITS FOR YOUR CHILD
FOR INFANTS
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Gradually introduce solid foods after six months.
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Start with softer foods and purees.
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Offer a variety of different fruits and vegetables.
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Avoid foods high in added sodium or sugars.
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Give your infant finger foods to encourage self-feeding.
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Eat a variety of healthy foods in front of them.
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Introduce water in an age-appropriate cup.
FOR TODDLERS
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Introduce a variety of foods – a “rainbow plate” – with whole grains, fruits, veggies, dairy and lean protein.
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Find a way to make meals or snacks fun – the “airplane” sound with utensils is a popular demonstration.
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When your toddler is old enough, let them pick out some of their foods at the grocery store.
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Avoid sugary drinks and limit juice.
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Do not use food as a reward.
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Limit fast foods processed foods, and any others high in salt, sugar, or “bad” fats such as trans fats.
WHAT CAN I DO AS A PARENT OR CAREGIVER TO HELP?
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Be patient – picky eaters and children with eating disorders do not magically develop good eating habits overnight.
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Be persistent – just because something is not working one day does not mean it won’t catch on. Trust the process!
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Be creative – there are a number of ways, particularly for toddlers and older, to make eating food a fun experience. Explore these to see what works for you and your child.