Jason's Feeding Interventions
Jason's Feeding Interventions
Personal Hygiene: Brushing Teeth
Interventions: Sensory Modulation. Gradually Increase the sensory simulation while Jason is in quiet distraction free room.
Grade Up: Add background noise to increase sensory distraction
Grade Down: Dim lights to decrease sensory distraction
Interventions: Body Sensory Input. This will introduce Jason to oral alerting activities around the mouth that will prepare him for the sensory experience of a toothbrush
Patient is unable to brush teeth independently due to sensory issues.
References:Mallick, E., Sethy, D., & Bajpai, P. (2017). Effect of Oral Sensorimotor Stimulation on Drooling and its Relationship with Feeding Behavior in Children with Spastic Cerebral Palsy. Indian Journal of Physiotherapy & Occupational Therapy, 11(4).
References:Roberts, T., Stagnitti, K., Brown, T., & Bhopti, A. (2018). Relationship between sensory processing and pretend play in typically developing children. American Journal of Occupational Therapy, 72(1), 7201195050p1-7201195050p8.
The PEOP was used because it examines the barriers between the person and the occupation. Jason has many barriers that is effecting his occupational performance.
The PEOP also examines the relationship between the person and the environment. Jason's environment can promote or inhibit his occupational performance.
Diagnosis's: Prune Belly Syndrome, chronic lung disease, and chronic kidney disease. Patient was born 14 weeks premature. Feeding: Patient had NG tube to supplement bottle feeding at 6 months. Caregiver Priority: To improve independent feeding and increase consumption of solid foods.
Assessment: Behavorial Pediatrics Feeding Assessment Scale. I expect the results to conclude that there is a deficit in Jason's ability to feed independently (Mallick, Seth, & Bajpai 2017).
Assessment: SPM (Sensory Processing Measure). This assessment will assess Jason's ability to process sensory information related to play and feeding. I expect him to be lower then expected in the amount of sensory information then he can process (Roberts, Stagnitti, Brown, & Bhopti 2018).
Change physical position will help with better positioning for dressing.
Grade up: Practice positioning with minimal assistance.
Grade down: Practice positioning with maximal assistance.
Patient does not play with new toys that provide new sensory sensations
Sensory Modulation: This will increase the amount of stimulation that Jason receives that will prepare him for play with new toys.
Bodily Sensory Input: This will reduce the hyperreaction that occurs when Jason is in contact with new toys.
Grade up: Have Jason come into contact with toys that are more stimulating. Could also perform play in a more sensory overloaded room.
Grade Down: Jason will play will toys that are not sensory heavy. Can also play in a distraction/sensory free room.
Changing Tone. The client will work on increasing tone to increase posture which will help with dressing.
Patient requires assistance when dressing LB and needs maximal assistance when dressing UB
Does not self-feed with utensils due to sensory and physical limitations
Change Physical position with moderate assistance: This will help Jason create a proper feeding posture
Grade up: Have Jason maintain an upright position with minimal assistance
Grade Down: Have Jason Maintain and upright position with maximal assistance.
Bodily Sensory Input: This will help reduce the hyperactivity that occurs when an abnormal texture comes into contact with his most
LTG:In 12 weeks, Jason will independently play with one new sensory-rich toy a day in a distraction free room.
STG:Within 4 weeks Jason will be able to sit upright independently to prepare for independent feeding.