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Establishing Safe and Efficient Oral Feeding in the Non-Oral Toddler Presen...
Fri, May 5, 2017, 8:00 AM – 12:00 PM CDT
Program Description: Children who present as non-oral feeders at the age of 1 year old or older may never had had any experience with swallowing food or liquid for sustenance or pleasure. As a result, oral aversion is typical making the process of transitioning a child to a primarily oral feeder difficult. By using a combination of an oral exercise regimen, a structured, data-based behavioral feeding protocol adapted from evidence-based methods, and using sensory-based principles to guide food/texture and drink selection, even the most challenging children can be successful oral feeders. This program will include hands-on practice with oral exercises, feeding techniques, data collection, goal writing and a case study.
Program Objectives: As a result of this presentation, the participant will be able to:
1) Perform a data-based, comprehensive feeding/swallowing evaluation of the non-oral toddler and determine: oral motor deficits, sensory dysfunction, behavioral patterns during feeding including caregiver interactions/influence, and anatomical and physiological issues that may challenge oral feeding success.
2) Write a treatment plan consisting of data-based goals that measure: oral feeding skills (e.g. lateral tongue movement, consecutive chews on a non-food stimulus item, lip closure on a utensil, etc.), food/liquid acceptance, maladaptive behaviors during feeding such as spitting, gagging, refusal, and vomiting, amount of food/liquid actually swallowed, and goals for new foods added to repertoire.
3) Conduct a therapy session targeting oral skills drills followed by an actual mealtime implementing a behavioral protocol based on positive reinforcement, shaping, chaining, and redirecting in order to achieve safe and efficient oral intake while minimizing or extinguishing inappropriate behaviors.
4) Plan for transitioning oral feeding skills and swallowing ability acquired in therapy to caregiver(s) to achieve normalized eating and drinking behaviors at home with family.
Presenter’s Bio: Tiffany Spinos, M.C.D.CCC/SLP has been a speech pathologist for 20 years. She has spent the majority of her career working with clients who have feeding and swallowing disorders in hospitals including M.D. Anderson Cancer Center, Children’s Hospital of Virginia (now Children’s Hospital of Richmond at VCU) Feeding Disorders Program and Texas Children’s Hospital where she enjoyed transdisciplinary collaboration. She has previously presented at ASHA and has presented several times at TSHA, including as invited short course presenter. She is married with an 8 year old daughter and loves her many pets!