Pressure to eat or finishing on time – it will increase anxiety and it will not make them eat faster
Not giving their preferred food - they won’t start eating other foods if you limit the amount of preferred foods
Having the idea of “good” and “bad” food – food is food and if they are only managing a few foods, this is ok for now
- Food exposure
- Food chaining
- 6 steps to eating
- Messy play
FOOD AVOIDANCE BASED ON
- Explaining hunger/fulness
- Window of opportunity
- Motivation work
- TEAM work
- Other strategies
- Food exposure
- Working on emotions
• Teenagers and adults usually bring their own motivation to add a new food
– despite their sensory issues (i.e. – teenager that wants to be able to go
out with friends and eat pizza)
• The child does not have to eat the foods presented to them
• It is about exploring food with the child
• It is about sharing an experience with the child, not to the child.
• Regularly reassure the child that they are “ok”
• It is about getting messy – wash hands at the end
• Use different food characteristic, for example:
• Large dry foods
• Medium dry foods
• Fine dry foods
• Wet drinks
• Sticky foods
- What is the colour?
- What size is it?
- What is the appearance?
- Is it wet or dry?
- Does it feel cold or hot?
- Does it feel bumpy or rough?
- Is it weak or strong smell?
- Is it a nice smell?
- Does it have a strong taste?
- Is it sweet or salty?
- Is it spicy?
- Does it feel loud when you chew it?
- Is it crunchy?
- Does it get soft quickly?
*Not expected to eat, it is ok to spit it out
- Any other sensation?* Small mouthful is ok and gradually increase quantity
- Emphasise that they are not expected to eat the food!!!
- Outside of mealtimes
- To try and stick to a routine – so they know what to expect
- To use different place to practice
Fade in - adding small amounts of food they don’t like into food they like
Add some spice – ketchup, curry, salt, honey, sugar
Food chain – try similar foods i.e. veggie chips with same format to potato chips
Change presentation – salted x unsalted
Deconstruct – break the food i.e. pizza – try with a piece of bread add tomato sauce add cheese…THEY NEED TO AGREE WITH THESE STRATEGIES!
• Assessment for underlying and potentially treatable contributing factors like history of gastroesophageal reflux disease due to cows-milk protein intolerance, premature delivery with subsequent feeding difficulties due to reduced acquisition of oral motor skills, organic disease including enteropathy due to coeliac disease and metabolic diseases.
• To assess risk for micronutrient deficiencies as evident from pattern of food restriction.
• To assess if patient is underweight for complications of protein/energy malnutrition including cardiac complications and impact on bone density
• To monitor if required nutritional rehabilitation in the underweight patient by admission with daily blood tests to rule out refeeding syndrome.
References or Creators Credit