THE CHILD WITH FEEDING AVERSION
–IMPACT OF GASTROINTESTINAL DISCOMFORT–

Dates, Location, and Sponsors | Instructors | Course Objectives | Schedule



Children are born with the inner ability to eat and to grow appropriately. During infancy they learn to interact with adults as they expand their eating skills and enjoy both the food and the mealtime environment. Some children experience a disruption of this normal cycle because of difficulties in physical, sensory, gastrointestinal, and environmental skills and opportunities.

One of the most critical variables in the success of a feeding program is the level of comfort that the child experiences in the gastrointestinal system.  The presence of reflux, nausea, gagging and retching strongly influences the child’s relationship with food and mealtimes and makes them reluctant participants in therapy programs to enhance feeding skills.   Many children develop strong aversions to eating and receive their nutrition primarily through feeding tubes.

The workshop will explore some of the gastrointestinal roadblocks that limit the development of eating skills and comfort.  Strategies designed to increase gastrointestinal comfort and confidence in relationship to feeding skills are discussed. The course will address the feeding and mealtime issues of children who eat and drink by mouth as well as those who receive their nutrition through a feeding tube.




COURSE DATES, LOCATIONS
& SPONSORING ORGANIZATIONS

Please contact the sponsoring organization for a brochure and registration information.

This workshop is not scheduled for 2009

 

 

 

INSTRUCTORS

Suzanne Evans Morris, Ph.D., is a speech-language pathologist in private practice near Charlottesville, Virginia. She is nationally and internationally known for her work in identifying and treating young children with feeding and pre-speech disorders. Dr. Morris maintains a practice which includes direct clinical work, continuing education workshops, development of clinical materials and clinical research. She is the director of New Visions, which sponsors innovative workshops for the teaching of feeding-related skills, and provides family-oriented clinical services. Dr. Morris has studied Neurodevelopmental Treatment approaches extensively in England, Switzerland, and the United States. She is the author of the Pre-Speech Assessment Scale, a rating scale for the measurement of pre-speech behaviors in children from birth through two years, and coauthor of Pre-Feeding Skills: A Comprehensive Resource for Mealtime Development (2nd edition), and the Mealtime Participation Guide. materials and clinical research.

Dr. R. Charles Dumont, M.D, is an associate professor, director of the Pediatric Integrative Medicine Program, and medical director of pediatric nutrition in the Department of Pediatrics at Loyola. Dr. Dumont has held a long interest in complementary/alternative medicine and nutrition. He has been trained in mind/body medicine at the Harvard Mind/Body Institute, medical hypnosis through the UCLA Medical Acupuncture Program with additional training in Korean Hand Acupuncture, and training in homeopathy through the American Institute of Homeopathy. He has extensive experience in many areas of complementary/alternative medicine and has lectured nationally on the subject. Dr. Dumont graduated from the Eastern Virginia Medical School in Norfolk Virginia in 1968. He joined the faculty at Columbus Children's Hospital and the Ohio State University in 1994 after completing both pediatric residency and pediatric gastroenterology fellowship at those institutions.



COURSE OBJECTIVES

This workshop will enable the participant to

  • become familiar with the anatomy and physiology of the gastrointestinal system.

  • understand how gastrointestinal comfort and discomfort impact a child’s desire to eat.

  • understand the multiple reasons why children with gastrointestinal discomfort are often reluctant eaters who experience delays in their development of feeding and mealtime skills

  • be familiar with therapeutic strategies that support mealtime comfort and feeding skill development for this group of infants and children.
       


SCHEDULE

DAY 1


8:30

Registration

9:00

Understanding the Gastrointestinal System and the Impact of Gastrointestinal Discomfort

Normal function

Gastrointestinal discomfort

  • Reflux

  • Dysmotility

  • GERD and its symptoms

  • Medical management of GERD

  • Side-effects of medications and surgery

  • The role of stress

 

10:30

Break

10:45

Frequency of gastrointestinal discomfort in children receiving therapy for feeding disorders

Development of feeding aversion in response to gastrointestinal discomfort

12:30

Lunch

1:30

Taking Care of the Self:  Children’s Functional Responses to Discomfort

  • Seeking comfort  

  • Moving away from discomfort

  • Fear-based care of the self

    • Perpetuation through personal safety rules, resistance, increased selectivity and avoidance

3:00

Break

3:15

 

  • Trust-based care of the self

    • Change through mealtime participation, food exploration, comfort strategies, self-knowledge, desire to eat and building eating skills

4:30

End of Session


DAY 2


8:30

Identifying the Feeding Challenges That Relate to Gastrointestinal Discomfort

  • Neurophysiological foundations

  • Anticipation of pain and discomfort

  • Increased physical tension

  • Increased mucus and saliva production

  • Reduced tolerance for food volume

10:30

Break

10:45
  • Reduction of water intake

  • Limited dietary variety and risk of allergic sensitivities

  • Antibiotic use

  • Feelings of powerlessness–taking control

 

12:30

Lunch

1:30

Learning Strategies to Increase Comfort and Reduce Feeding Aversions

  • Identifying the subtle and initial signals of gastrointestinal discomfort

  • Stopping food intake at the first sign of discomfort

  • Reducing physical, sensory and emotional tension

  • Building the child’s awareness and discovery of what helps

  • Empowering the child

 

3:00

Afternoon Break

3:15
  • Increasing stomach acceptance of larger volumes of water and food

  • Reducing the impact of respiratory congestion

  • Exploring diet and nutritional changes

  • Incorporating strategies to reduce sensory processing and integration difficulties

  • Developing oral feeding mastery skills

 

4:30

End of Session