Monday, December 28, 2009
Sunday, November 29, 2009
Tuesday, September 22, 2009
Thursday, June 25, 2009
Accepted to speak at the 2009 ASHA (American Speech-Language-Hearing Association) Convention in New Orleans
Sunday, June 14, 2009
- My little guy (21 mo old) refused to eat his lunch I had cooked for him but loved the spicy jambalaya I had fixed for some of the older folks in the family. When he started eating it, he'd grab his mouth (like it was spicy hot!) and fuss and cry. I'd give him some of his coconut water, he'd calm down, then he'd sign "more" for the jambalaya. He did this several different times during the eating session. I know it was spicy because I was eating it, too. (hot pepper, red pepper sauce, Creole seasoning) He only ate about 3/4 of a cup, and at that point I stopped feeding it to him because italso had onions and green pepper in it. It was fairly healthy (made w/brownrice, etc...) but not something I would feed a "baby". Has your child(ren) done this? Is this bad? Is spicy stuff too much for kids w/DS? Am I overly concerned about nothing?
Once again I am amazed that pediatricians and therapists do not explain to their families that when children are diagnosed with Low Tone/Hypotonicity it also means they may have Hypo-sensitivity/Hypo-responsivity to touch, taste and smell. This little guy is demonstrating my point. He likes foods that are highly flavored because he can "taste" them. Kids with hypo-sensitivity like foods they can taste so increasing flavor for these kids is essential. It will also encourage them to chew because they can perceive the food in the mouth. For many of my clients I use dips (ketchup, salad dressing, bar-b-que sauce) to increase the flavor of any foods I want them to eat for nutritional intake. I worked with one kid whose mom described him as having adult taste buds. So in response to this parent the "spicy stuff " is only a part of what your child is telling you...it is the taste he wants. I would encourage her to increase the flavor as we really do not know how the "spicy stuff" is affecting his digestion.
Monday, April 13, 2009
As many of you know I travel a lot for business. I am now in NYC for my youngest daughter's graduation and to see a few clients. It amazes me how many of these kids still do not have therapists who know about early intervention feeding. I saw a child today with a significant tongue protrusion during swallowing and talking. The home-based therapist told this mother to press down on the child's tongue blade with the spoon to stimulate retraction. Mom was also told to press in on the tongue tip whenever the child's tongue blade was "hanging out of the mouth." Mom followed this professional's suggestions to a “T.” Guess what happened? Three weeks later this kid has a stronger tongue protrusion and does not want mom to put a spoon with "anything" in her mouth. When I teach my feeding class to the Special Educators at the University of Arizona I have them do these 2 tasks and feel what their students will be feeling. The response is generally a gag and a desire to stick the tongue tip out.
SLPs and OTs are being asked to do early intervention feeding with clients as part of our birth-t0-3 jobs. Before feeding anyone I would require them to watch Lori Overland's DVD: Feeding: A Sensory-Motor Approach.
We have to stop feeding kids like we "think" they should be fed and start feeding them to promote safe feeding and improve speech clarity.
Saturday, February 28, 2009
I have spoken with many dentists who also discourage the use of these cups as they foster an open bite. These cups are carried around and allow kids to have a sugared liquid in the mouth frequently throughout the day. For this reason the incidences of cavities is increased in kids who use them habitually. Many pediatricians don’t like them because a child can drink from them with the head tilted back allowing liquid to enter the Eustacian Tubes so these kids are at greater risk for ear infections.
There are so many reasons why they should not be used especially with our clients with tongue-thrusts which already impact negatively on their speech and feeding skill development. Using a recessed lid cup, Honey Bear with Straw or a Straw Drinking Hierarchy (admittedly biased source – other sources exist but I cannot vouch for quality) is a much better way to ensure adequate liquid nutrition, avoid spilling and actually improving oral placement and movements for speech.