Dr. Kay A. Toomey – Picky Eaters vs Problem Feeders vs Avoidant/Restrictive Food Intake Disorder (ARFID)
Salepage : Dr. Kay A. Toomey – Picky Eaters vs Problem Feeders vs Avoidant/Restrictive Food Intake Disorder (ARFID)
Archive : Dr. Kay A. Toomey – Picky Eaters vs Problem Feeders vs Avoidant/Restrictive Food Intake Disorder (ARFID) Digital Download
Delivery : Digital Download Immediately
Dr. Kay A. Toomey is a member of the faculty.
6 hours and 29 minutes.
Audio and video formats are available.
Date of publication: January 16, 2020
Description
Pediatric feeding problems make it difficult or impossible for a kid to routinely eat, drink, or digest food, putting their health and development at risk.
Concerns with these children’s inadequate intake include:
Aversions to certain foods
a lack of interest in food or eating
Food avoidance based on sensory qualities
Fear of choking or other negative outcomes
The following are examples of serious physical and psychological complications:
Malnutrition is severe.
Failure to Grow
Significant impairment with psychosocial functioning
Dr. Kay Toomey, a feeding expert with over 30 years of clinical expertise screening and treating children with a wide range of feeding issues, will be featured. She will demonstrate clear recommendations for using the proper therapeutic strategy.
Learn how to utilize realistic therapy interventions with children from each diagnostic category, as well as how to improve family meal routines and boost children’s consumption of more nutritious meals.
Determine the physical, motor, sensory, oral-motor, environmental, nutritional, and behavioral elements that must be considered in order to effectively analyze eating difficulties.
Define distinct criteria for classifying a kid as a typical eater, a fussy eater, a problem feeder, or a child with ARFID.
Learn when to recommend a patient to a specialist for extra care.
Change the lives of the children with whom you work…
Purchase this recording right now!
Handouts
Picky Eaters vs. Problem Feeders vs. ARFID (1.9 MB)
After purchase, 115 pages are available.
Self-Study Instructions for ASHA Credit (64.4 KB)
Available upon purchase
Certificate Instructions from the Commission on Dietetic Registration (CDR) (163.1 KB)
Outline available after purchase
The Problem’s Prevalence
Picky eaters ARFID feeding issues
The Difficulty of Feeding/Eating
7 human function regions
How do kids learn to eat? (or not)
How to Conduct a Comprehensive Feeding Evaluation
Medical/organs
Oral-motor abilities
Sensory-motor abilities
Postural and motor abilities
Nutrition
Learning/cognition
Environment
Criteria for Differential Diagnosis, Research, and Limitations
Picky eaters
Capable of tolerating new things on the plate Limited range or variety of foods that will consume
Frequently consumes meals that are not consumed by the rest of the household.
Feeding difficulty Restricted range or variety of foods
Rejects whole food texture categories
When confronted with new meals, she cries and “falling apart.”
ARFID
Accept a restricted diet in terms of sensory characteristics.
Food rejection is associated with negative or fearful sensations.
Picky; easily distracted and forgetful
Treatment Methods – Match Treatment to Diagnosis
Desensitization over time
Flooding and extinction
Eating problems
Case Studies: What Happens When Assessments Go Well and What Happens When They Don’t
Picky eating – Case 1 = a 2 12 year old boy with a restricted range of permitted meals, inconsistent eating from one day to the next, and difficulties staying at the table.
Case 2 = a two-and-a-half-year-old female with a limited dietary variety, an overreliance on liquids for calories, and swallowing aid.
Case 3 = 9-year-old man with a shortage of nutritious proteins and no veggies in his diet, according to his parents.
Case 1 = a 3 year, 10 month old female with a G-tube, born at 26 weeks gestation, and with a difficult medical history.
Case 2 = 4.25-year-old female born with congenital Rubella, low weight gain, limited food range, gagging and coughing episodes, episodes of refusing to eat
ARFID – Case 1 = 15-year-old guy with persistent “chok-y” sensation, severe weight loss, hospitalized in a Swallowing Disorders program; Case 2 = 13-year-old male with difficulty eating food at school, restricted food range according to parental report, unwillingness to eat veggies
Feeding Strategies for Children with Feeding Disorders
Routines and environmental assistance
Foods that correspond to a child’s skill set
Reinforcement
Maladaptive behavior management
When Should You Refer?
Picky Eater vs. Problem Feeder Criteria Faculty
Kay A. Toomey, M.D. Seminars and items that are related: Toomey and Associates, Inc. 3
Dr. Kay A. Toomey is a pediatric psychologist with over 30 years of professional expertise examining and treating children with various feeding difficulties. She created the SOS Approach to Feeding as a family-centered technique for identifying and addressing feeding difficulties in children. Dr. Toomey was instrumental in the establishment of The Children’s Hospital – Denver’s Pediatric Oral Feeding Clinic and the Rose Medical Center’s Pediatric Feeding Center. She is also a Gerber Products consultant.
Prior to joining private practice, Dr. Toomey co-chaired the Pediatric Therapy Services Department at Rose Medical Center. She worked as the Clinical Director of Toomey & Associates, Inc.’s Feeding Clinic for six years and as the Clinical Director of SOS Feeding Solutions at STAR Institute for eight years, and she lectures about her method nationally and internationally. Dr. Toomey is the president of Toomey & Associates, Inc. and a clinical consultant to the STAR Institute’s Feeding Clinic.
Disclosures for Speakers:
Kay Toomey works in private practice. Nestle Infant Nutrition/Gerber division pays her a consultation fee. Education Resources, Inc. and the SPD Foundation/STAR Institute pay her a speaking fee. PESI, Inc. provides Dr. Toomey with a speaking fee.
Kay Toomey is a non-financial member of Feeding Matters.
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