Baby won’t eat! – Could it be a feeding aversion? It is estimated that 25 to 45 percent of normal developing babies experience feeding problems. The percentage of babies who display avoidant feeding behavior as a result of an aversion to breastfeeding, bottle-feeding or solids is unknown. Possibly because aversive feeding behavior displayed by babies is in general poorly recognized, often Keep Reading >>
Response to Preemie Nipple Use with Older Infants?
Response to Preemie Nipple Use with Older Infants? The unintended consequences of the extended use of preemie flow rate bottle nipples to support breastfeeding Catherine S. Shaker, MS/CCC-SLP, BCS-S, C/NDT Neonatal/Pediatric Speech-Language Pathologist Board Certified Specialist – Swallowing and Swallowing Keep Reading >>
Therapy: Volume, Flavor or Texture?
When I work with children who don’t eat well, I typically start by teaching them to accept a “dry spoon” which is a spoon with no food . This takes the element of food out of the practice initially and targets the refusal behavior. Once the empty spoon is accepted into the mouth, we work on acceptance of “dips” or tastes, then spoon bites of a simple thin single ingredient purée such as Keep Reading >>
Cases from Clinic
Cases from Clinic I thought I would start a regular post once a month highlighting some of our kids and how we provide intervention. I post this hoping it might give some treatment ideas to clinicians. There are many ways to treat feeding and swallowing difficulty so my intention is not to promote a certain technique or method but only to provide ideas and generate good discussion. Case Keep Reading >>
The TR-eat® Model
The TR-eat® Model Written by: Carol Elliott, OTR/L and Elizabeth Clawson, PhD Elliott, C. & Clawson, E. (2010). The TR-eat Model. Pediatric Feeding and Dysphagia Newsletter. December, Vol 10, #4, p1-6. (Revised 2018) The TRansdisciplinary Effective Assessment and Treatment (TR-eat®) model melds medical management, skill building and behavioral interventions to create a Keep Reading >>
Dysphagia Diets: IDDSI Replaces NDD
Dysphagia Diets: IDDSI Replaces NDD Standardized Diets: IDDSI Replaces the National Dysphagia Diet by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com You may hear doctors and health care professionals use terms like: “Soft,” “Mechanical Soft,” “Chopped,” “Ground,” “Blended smooth,” etc, but what does it mean? Ambiguous terms without standardized definitions lead to dangerous Keep Reading >>
Food Insecurity as a reason for feeding difficulty
In this post, I would like to discuss the delicate issue of food insecurity. Food insecurity is defined as “the state of being without reliable access to a sufficient quantity of affordable, nutritious food”. Specially, I want to address how not having enough food can affect a child’s oral motor function, weight gain, nutrient intake, eating behavior, and health. And how food insecurity can Keep Reading >>
Incorporating Beckman Oral Motor Assessment and Protocol in Feeding Intervention.
Written by Michele Cole Clark MEd CCC/SLP Last October, I had the pleasure of meeting Krisi Brackett. I served as a moderator for her continuing education course, “Pediatric Feeding & Swallowing: A Medical, Behavioral, Oral Motor Model.” I, of course, had an instant interest in her work as I fancied myself one of the few SLPs with an oral motor behavioral approach to feeding. She and I Keep Reading >>
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