1 / 33

Feeding Relationships

Feeding Relationships. New Mexico WIC Program in collaboration with New Mexico State University and Ellyn Satter Associates Esther Devall Shirley Jaquez Lisa Shields. Feeding is a Metaphor. For parent-child relationship. For family functioning. Levels of Intervention.

Download Presentation

Feeding Relationships

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Feeding Relationships New Mexico WIC Program in collaboration with New Mexico State University and Ellyn Satter Associates Esther Devall Shirley Jaquez Lisa Shields

  2. Feeding is a Metaphor • For parent-child relationship. • For family functioning.

  3. Levels of Intervention • Primary • Secondary • Tertiary

  4. Primary Intervention • Teach positive feeding. • Detect risk. • Provide anticipatory guidance. • Support parents.

  5. Further Interventions • Secondary - WIC nutritionists with additional training. • Tertiary - referral to therapists in community.

  6. Issues in Feeding Children • Food Selection. • Feeding Relationship.

  7. The Issue in Feeding Children is Trust Children are internally regulated. • Require trust to regulate. • Ignoring their needs interferes with internal regulation. • Ignoring their needs undermines their self- esteem.

  8. INTERNAL Hunger Appetite Satiety EXTERNAL Calories Food “Shoulds” Regulation Process

  9. Children Are Erratic With Eating • Food acceptance varies. • Accept/reject food unpredictably. • The amount they eat varies. • They don’t eat a square meal. • They eat what tastes good.

  10. Equation for a Good Diet Well Balanced Meals & Snacks + Positive Eating Environment __________________________ = Well Nourished Child

  11. Division of Responsibility • Parent: What • Infant: How Much and Whether • Parent: What, When, and Where • Toddler: How Much and Whether

  12. Parent’s Tasks • Choose and prepare food. • Have regular meals and snacks. • Make eating time pleasant. • Provide mastery expectations.

  13. Children’s Eating Capabilities • Children will eat when hungry. • They know how much to eat. • They will eat a variety of foods. • They will grow predictably. • They will mature with eating.

  14. Developmental Stages • Homeostasis – Birth to 3 months. • Attachment - 3 to 6 months. • Separation-Individuation - 6 months to 3 years. • Initiative - 3 to 5 years.

  15. Developmental Stage • Homeostasis (Birth – 3 months)

  16. Parent’s Tasks in Homeostasis • Calm and organize. • Respond to infant cues.

  17. Developmental Stage • Attachment (3 – 6 months)

  18. Parent’s Tasks in Attachment • Maintain reciprocity. • Engage child. • Modulate arousal.

  19. Developmental Stage • Separation–Individuation (6 months – 3 years)

  20. Parent’s Tasks in Separation-Individuation • Provide opportunities to explore. • Support autonomy. • Provide structure. • Set limits.

  21. Developmental Stage • Initiative (3 – 5 years)

  22. Parent’s Tasks in Initiative • Make maturity demands. • Have realistic expectations. • Remain present and available. • Support without intruding.

  23. Feeding Periods • Early Infancy - Nipple feeding. • Late Infancy - Transition to solids. • Toddler - Modified adult foods.

  24. Eating Skills in Early Infancy • Roots for nipple. • Sucks. • Swallows.

  25. Eating Skills in Middle Infancy • Begins sitting. • Follows food with eyes. • Lips close over spoon. • Moves semi-solids to back of tongue. • Swallows semi-solids.

  26. Eating Skills in Late Infancy • Tongue moves food to side of mouth. • Positions food In mouth. • Delays swallow. • Munches. • Palms food. • Scrapes food into mouth.

  27. Eating Skills in Toddler & Preschool Years • Chews. • Moves food around in mouth. • No pause in side-to-side transfer. • Begins to use utensils.

  28. Child Characteristics That Risk Feeding • Difficult temperament. • “At risk” or very small. • Eats very large or very small amounts. • Illness. • Prematurely born. • Physical or cognitive limitations. • Requires a modified diet.

  29. Parent Characteristics That Risk Feeding • Over-active, too stimulating. • Under-active, not engaging. • Chaotic or disorganized. • Rigid or over-controlling. • Over-concerned about child’s food selection or weight. • Under-concerned about child’s food selection or weight. • Has a particular agenda for growth.

  30. Factors In Growth • Medical. • Psychosocial. • Feeding Relationship. • Nutritional.

  31. Normative Consistent Smooth Gradual changes Divergent Unpredictable Uneven Dramatic changes Growth Patterns

  32. Feeding Relationships in WIC Clinics • Certification • Risk factor. • Nutrition goal. • One-on-One counseling. • Nutrition Education • Facilitated discussions. • Additional Counseling • Primary or secondary intervention.

  33. Concept Map of Feeding Relationships Division of Responsibility Child’s Responsibility Parent’s Responsibility Infant: What Child: What, When, & Where Infant: How Much & Whether Child: How Much & Whether

More Related