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Treating the Picky and Problem Eater

Treating the Picky and Problem Eater
Jennifer Dahms, M.S., CCC-SLP
April 5, 2012
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 Communication Access Real‑time Translation (CART) is provided in order to facilitate communication accessibility and may not be totally verbatim.  The consumer should check with the moderator for any clarification of material.

This text-based course is a written transcript of the live event, "Treating the Picky and Problem Eater”, presented by Jennifer Dahms, MS/CCC-SLP, BRS-S on March 26, 2012.

>> Amy Hansen: Welcome to today's expert seminar titled, “Treating the Picky and Problem Eater,” presented by Jennifer Dahms, MS/CCC-SLP, BRS-S.  Jennifer Dahms is a pediatric speech therapist in Boise, Idaho.  She received her Bachelor's and Master's Degree from the University of Wisconsin‑Milwaukee.  She has worked in pediatric outpatient clinics and Birth‑to‑Three programs in both Wisconsin and Idaho, and currently has her own private practice, Valley Pediatric Feeding, LLC.  Jennifer has dedicated her continuing education and professional focus on pediatric dysphagia.  She has presented on pediatric feeding disorders at the Idaho Speech and Hearing Association's annual convention as well as at the Mountain Area Speech and Hearing Convention in 2008.  Jennifer presented on pediatric feeding disorders in the Idaho State University winter symposium in 2009.  She is also a previous presenter with us at SpeechPathology.com.  She has received  ASHA's ACE award in 2010 and in 2011.  She became a board recognized specialist in swallowing and swallowing disorders in August of 2011.  Welcome, Jennifer, we're so pleased to have you joining us today.

>> Jennifer Dahms:  Thanks Amy.  I'm so happy to be back with you today.  Thanks for inviting me back.  Today we're going to talk about treating the picky and problem eater. 

Course Objectives

  • To define the differences between picky and problem eating. 
  • To describe medical conditions that can affect the eating process.  We will talk a lot about this today because it can be as important as the therapy you're actually providing the child. 
  • To describe the eight steps of Food Chaining.  There are actually six main steps and then there are two specialty areas, one for pre‑chaining and one for special populations. 
  • To describe the levels of the SOS approach and give examples of their application. 
  • To discuss several different methods of applying a behavioral intervention to limited eating. 

I have a few questions.  How many therapists in the audience are working with picky eaters? It looks like quite a few of you.  Who is currently treating problem eaters?  Again, there are quite a few of you.  We will learn the difference between the two.  I have a feeling after today we might decide more of your picky eaters are problem eaters based on what we learn about them. 

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jennifer dahms

Jennifer Dahms, M.S., CCC-SLP

Jennifer Dahms is a pediatric speech pathologist in Boise, Idaho. She received her bachelor's and master's degrees from the University of Wisconsin - Milwaukee. She has worked in pediatric outpatient clinics and Birth-to-Three programs in both Wisconsin and Idaho and currently has her own private practice, Valley Pediatric Feeding, LLC. Jennifer has dedicated her continuing education and professional focus on pediatric dysphagia. She has presented on pediatric feeding disorders at the Idaho Speech and Hearing Association's annual convention as well as at the Inter Mountain Area Speech and Hearing Convention in 2008. Jennifer also presented on pediatric feeding disorders in the schools at Idaho State University's Winter Symposium in 2009. She received ASHA's ACE award in 2010.



Related Courses

Bolus Management Intervention in Pediatric Feeding Disorders
Presented by Jennifer Dahms, M.S., CCC-SLP, BCS-S
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Course: #6185 1 Hour
Bolus management is critical for managing semi-solids and solid foods during meals. There are many types of bolus management issues that can impact safe and efficient feeding. It is critical that feeding therapists be able to identify the functional limitations in bolus management and understand which particular techniques will be beneficial for remediation.

Please note: This course is also offered in a series of titled "Improving Oral-Motor Functioning in Pediatric Feeding Disorders", course 6240, which is offered for .6 CEUs. By completing this course, you will NOT be eligible to complete course 6240 for credit.


Lip and Cheek Intervention in Pediatric Feeding Disorders
Presented by Jennifer Dahms, M.S., CCC-SLP, BCS-S
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Course: #6112 1 Hour
Lip and cheek functioning is critical for a variety of oral motor feeding activities. There are many types of deficits with lip and cheek functioning that can impact safe and efficient feeding. It is critical that feeding therapists are able to identify the functional limitations in lip and cheek movements and understand which particular techniques will be beneficial for remediation.

Please note: This course is also offered in a series titled "Improving Oral-Motor Functioning in Pediatric Feeding Disorders", course 6240, which is offered for .6 CEUs. By completing this course, you will NOT be eligible to complete course 6240 for CEU credit.


Report Writing in Pediatric Feeding Disorders
Presented by Jennifer Dahms, M.S., CCC-SLP, BCS-S
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Course: #6247 1 Hour
In a world of reduced third party payments for feeding and dysphagia therapy, it is crucial that feeding therapists are able to convey the functional limitations in regards to a feeding disorder. It is important that goals truly be measurable and objective, but it is also important to connect those goals to how a child’s every-day functioning is affected by such deficits.

Please note: This course is also offered in a series titled "Improving Oral-Motor Functioning in Pediatric Feeding Disorders", course 6240, which is offered for .6 CEUs. By completing this course, you will NOT be eligible to complete course 6240 for credit.


Parental Concerns and Pediatric Feeding Disorders: Putting it all together
Presented by Jennifer Dahms, MS, CCC-SLP, BCS-S
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Course: #7051 1 Hour
Parents of children with feeding disorders come to the initial evaluation with many concerns. It is important for the speech language pathologist to identify the areas of need, to determine possible reasons behind the feeding difficulties, and to identify effective treatment strategies.

Children and Feeding Tubes
Presented by Jennifer Dahms, MS, CCC-SLP, BCS-S
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Children who have significant difficulties with the process of oral feeding may require alternative means for nutrition and hydration. This course will present the basic information about tube feeding for the clinician just starting out in the world of pediatric feeding disorders. This course is open captioned.