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A Treatment Package without Escape Extinction to Address Food Selectivity

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Published on: August 21, 2015

Sensitive cooperation: a basis for assisted feeding.

Bente Martinsen¹, Ingegerd Harder, Fin Biering-Sorensen

¹Department of Nursing Science, Institute of Public Health, University of Aarhus, Aarhus, Denmark. bm@nursingscience.au.dk

Journal of Clinical Nursing

|February 26, 2009

Summary

Sensitive cooperation in assisted feeding requires genuine concern and takes time to develop for individuals with high cervical spinal cord injury (hcSCI). Healthcare professionals must establish this foundation for future care.

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Area of Science:

Qualitative research methodology.
Phenomenological approach using Reflective Lifeworld Research.

Background:

Individuals with complete high cervical spinal cord injury (hcSCI) require lifelong assistance with daily activities.
Initial reluctance to cooperate with personal assistants is common.
Assisted feeding highlights the critical nature of cooperation between individuals and caregivers.

Purpose of the Study:

To describe sensitive cooperation as a foundation for assisted feeding.
To explore the experiences of individuals with hcSCI regarding assisted feeding.

Main Methods:

Qualitative study involving 16 individuals with hcSCI.
Two interviews conducted over 18 months, with the second including observation.
Analysis of interview transcriptions and observation notes using Reflective Lifeworld Research.

Main Results:

Sensitive cooperation is characterized by genuine acquaintance and sincere concern.
Developing sensitive cooperation is a time-intensive process.
Assisted feeding is influenced by the caregiver's temporality, not solely the individual's pace.
Past feeding experiences significantly shape current and future assisted feeding interactions.

Conclusions:

Sensitive cooperation is essential for effective assisted feeding in individuals with hcSCI.
Healthcare professionals play a crucial role in establishing sensitive cooperation from the outset.
Meticulous, interruption-free assisted feeding by professionals creates the groundwork for future caregiver relationships.