Sequential treatment of a feeding problem using a pacifier and flipped spoon

Kristi D Rivas1, Cathleen C Piazza, Heather J Kadey

  • 1University of Nebraska Medical Center, Munroe-Meyer Institute, Omaha, Nebraska, USA.

Insights

Treating feeding disorders in chronically ill children can be challenging due to distressed behavior. This study shows a sequential treatment approach, using a pacifier and flipped spoon, effectively managed a child's feeding disorder and crying.

Area of Science:

  • Pediatric Gastroenterology
  • Behavioral Pediatrics
  • Child Health

Background:

  • Feeding disorders are common in chronically ill children.
  • Distressed behavior during feeding can deter parental intervention.
  • Parental reluctance to treat may stem from observing the child's distress.

Purpose of the Study:

  • To investigate the efficacy of a sequential treatment approach for a pediatric feeding disorder.
  • To address parental concerns regarding crying during feeding interventions.
  • To manage complex medical and behavioral issues in a pediatric feeding disorder case.

Main Methods:

  • A case study of a child with chronic medical problems and a feeding disorder was conducted.
  • Treatment components were introduced sequentially to manage crying and improve feeding.
  • Interventions included the use of a pacifier to reduce crying and a flipped spoon to enhance mouth clean.

Main Results:

  • The sequential treatment approach successfully reduced crying during feeding.
  • The flipped spoon intervention improved mouth clean.
  • The child's feeding disorder was effectively managed through this tailored strategy.

Conclusions:

  • A sequential, component-based treatment strategy can be effective for pediatric feeding disorders.
  • Addressing parental concerns, such as crying, is crucial for successful intervention.
  • This approach offers a viable solution for complex pediatric feeding and behavioral challenges.

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