[Dysphagia] food refusal

[pressmah at sjhmc.org (pressmah@sjhmc.org)]

You seem to have implemented many good ideas.  One issue that comes to mind
is that if the child is not self feeding with the spoon he may be resisting
someone feeding him, not the mashed foods.  If this is the case working on
self feeding skills with a spoon may be helpful.  Sometimes I've even had
children allow me to continue to feed them as long as they have a spoon and
do some of it themselves.  Hilda Pressman

-----Original Message-----
From: NELSON Amy [mailto:Amy.Nelson@dadhc.nsw.gov.au]
Sent: Sunday, February 20, 2005 8:16 PM
To: dysphagia@b9.com
Subject: [Dysphagia] food refusal


Hi everyone - I'm hoping someone might have a better suggestion for this

mum than I have been able to come up with!!  I'm seeing twins, born very

prem, both still on oxygen at 2yrs chronological (about 20mths

corrected) and medicated (losec) for reflux.  Both were fed via ng for

some time, but progressed steadily on the road to oral feeding.  Now the

twin who had been doing better orally (now fully oral!) has quite

suddenly started to refuse pureed/mashed foods, or indeed anything from

a spoon.  He eats a range of finger foods, which he manages quite well

but doesn't really eat enough of and so requires pediasure which he

drinks from a bottle.  He did go through some hypersensitivity issues

related to long term tube feeding and still shows some aversion to

touching certain textures.  I have considered that he may prefer the

increased/different sensory input provided by the finger foods he likes

and thought that maybe improving the sensory components of the spoon

foods, and have also considered that this may very well be just a 'two

year old' thing that may pass, and have suggested that mum continue to

offer and expose him to a range of foods and not force the issue too

much, and also that she encourage his active participation in the meal

as much as is practical (he loves having his own spoon, but won't put it

in his mouth)... Any other ideas would be greatly appreciated!



Amy



 



 



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