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Feeding, eating, and swallowing are essential components of successful social participation in daily meals; therefore, children with feeding difficulties are at risk of being excluded from full participation in meals at home, school, and in other social situations. This introductory course defines feeding and eating occupations and presents the theoretical foundations for planning occupation-based intervention for children with feeding difficulties in home, school, and other community settings. Dr. Jennifer Pitonyak presents contemporary, occupation-based theories and frames of reference that guide intervention aimed at supporting the participation of children with feeding difficulties in mealtime experiences. This course is the first introductory course in a series on occupation-based approaches to intervention for children with feeding and eating difficulties. This is the first in a two course series by Dr. Pitonyak.
Jennifer Pitonyak, PhD, OTR/L, SCFES, is a licensed occupational therapist with 20 years of clinical experience working with children with feeding difficulties. She has previously worked in both inpatient and outpatient multidisciplinary feeding programs at Kennedy Krieger Institute in Baltimore and the Children’s Hospital of Philadelphia, providing occupational therapy services to children with oral motor…
Feeding and eating are essential occupations for health, well-being, and social participation of children in family and other social routines. Dr. Pitonyak defines feeding and eating according to the Occupational Therapy Practice Framework: Domain and Process, 3rd Edition (AOTA, 2014) and discusses how successful feeding and eating is intertwined with other areas of occupational participation.
Using the OT Practice Framework, this chapter presents on outcomes for occupation-based approaches to feeding. Dr. Pitonyak highlights the outcomes related to health, wellness and wellbeing, including participation, quality of life, role competence and occupational performance.
3. Theories, Models, & Frameworks for Clinical Decision Making
In this chapter, Dr. Pitonyak provides an overview of three general approaches to intervention and examines how each approach supports participation and performance of mealtime occupations. Contemporary models and frames of reference, such as SCOPE-IT, are introduced for guiding an occupation-based approach to intervention.
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