Session Date
Lesson Topic
Feeding Therapy
Lesson Outline
Santino was greeted by the therapist as he finished his session with Marcus. He transitioned well from the floor to the table. He immediately requested Pop the Pig. Dorothy observed session for carryover purposes. A choice of cheetos and captain crunch cereal were offered ("do you want sticks or balls?"). Santino requested cereal after initial refusal/turn away. He appeared visually aversive as he looked away toward the wall. He was directed to place 10 pieces on the napkin which he did do with SLP model. Initially he refused to interact however he completed task with verbal reinforcement. He placed them in the all done bowl with ease. He refused to kiss the piece with SLP model - SLP tapped to hand, forearm, shoulder, and cheek 5x. Santino intermittently refused. With SLP model, Santino crushed the cereal into crumbs. He did elicit facial grimace however he continued to play with the cereal with ease. He was given a napkin to wipe hands as he was demonstrating a finger play. Between interaction trials of cereal, he was given hamburger pieces to put into the pig's mouth as a "pause time" to take a small break between food trials. Throughout session, when Santino would appear agitated/guarded and turn away from the task, he would be directed to complete one more trial and have a break in efforts to keep feeding therapy and food positive. With muffins (second exposure), he smashed onto the table with the palm of his hand. Santino refused to interact further with the muffin. When white cheddar Cheetos were presented, he immediately began to crush into crumbs without direction. SLP tapped crumbs to hand, arm, shoulder and lips. Santino demonstrated minimal aversion and began to play with the "fishing game". He intermittently licked the crumbs off of his lips. At that time, he assisted in clean up. The plan for feeding therapy was discussed at length. I look forward to continuing to work with Santino as his visual and tactile aversions decrease. I will see him next Friday.
Assignment
Continue to present food visually/play without expectation to eat
Session Minutes
30
Minutes Student Attended
30
Session Hours
0.50
Hours Attended
0.50
Entry Status
Review Status
Student Name(s)
Subject