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Feeding: Picky Eaters and Sensory Processing

Feeding: Picky Eaters and Sensory Processing. Presented by Jan Van Horn, School Psychologist Kat Hyatt, Occupational Therapist. The Fundamentals. Sensory Processing Posture Motor Planning. Problems: what do we see. Overstuffing/Overeating Gastrointestinal/Digestive problems

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Feeding: Picky Eaters and Sensory Processing

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  1. Feeding:Picky Eaters and Sensory Processing Presented by Jan Van Horn, School Psychologist Kat Hyatt, Occupational Therapist

  2. The Fundamentals • Sensory Processing • Posture • Motor Planning

  3. Problems: what do we see • Overstuffing/Overeating • Gastrointestinal/Digestive problems • Selective (refusal and aversions) • Type of food • Texture of food • Presentation/meal ritual

  4. Factors to Consider • Overeating • Sensory seeking • Not registering • Emotional factors • Selectivity: • Hyperresponsive (texture, taste, smell, temperature, vision, mixture) • Motor deficits • Ritualistic • Digestive: • Pediatrician input

  5. Causes for Hypersensitivity • Early noxious experiences • Lack of exposure • Neurological impairment • Combined factors • Hyposensitivity

  6. Assessing the Problem • Food records: what, when, where, and how • Questionnaires • Interviews • Observation • Review the fundamentals

  7. Now What • Social Stories • Social Factors • Behavioral • routine and structure for meal times • Elements you can control • Bite size, food type, texture, flavor, color, shape, auditory/visual distractions

  8. The Motor Component • Work within endurance abilities • Special seating: upright posture without working too hard to eat • Movement breaks • Weighted utensils/cups • Non-slip plate/bowl surface

  9. The Sensory Component • Guidelines to Approach: • Rapport • give control/offer choices • Desensitize • Progressive presentation • Introduce non-preferred items to one sense at a time • Gradual mixing

  10. Desensitizing • Child explores mouth with own hands • Use of rubber/hard toys • Brush and massage: NUK, toothbrush, warm washcloth, ice cube/ice pop • Blow toys (bubbles, whistles) • Start dipping in variety of pureed foods/juices to introduce flavors/textures. Between meals or during snack time can be a good time to work on desensitizing, as nutritional intake is less important at those times than during full meal times • If a desensitizing routine is established, use a fast version “warm up” prior to meal times to prepare to eat the meal

  11. Interventions for Hyposensitivity • Typically it is more difficult to train the body to feel something that it is not registering • Try “warm up” activities with sucking, blowing to “wake up” oral area • Compensatory strategies • Mirror • Hygiene • Meal planning

  12. References Case-Smith, J. (2001) Occupational Therapy for Children St. Louis, Missouri: Mosby. Therapy West, Inc./pLAy Studio class: Hands-On Sensory Integration Treatment for the Child with Autism: An Interdisciplinary Approach. October 8-9, 2010. Contributers: Erna Blanche, PhD, OTR/L, FAOTA; Janet Gunter, MA, OTR/L; Juliana Gutierrez, MA, OTR/L, SWC; Christy Skura, PT, DPT, PCS; Shelby Surfas, OTD, OTR/L Yack, E., Aquila, P., Sutton, S. (1998) Building Bridges Through Sensory Integration. Las Vegas, Nevada: Sensory Resources.

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