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[Dysphagia] food refusal
Does he get OT therapy for SI?
----- Original Message -----
From: <pressmah@sjhmc.org>
To: <Amy.Nelson@dadhc.nsw.gov.au>; <dysphagia@b9.com>
Sent: Monday, February 21, 2005 11:37 AM
Subject: RE: [Dysphagia] food refusal
> 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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>
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