Presentation on theme: "Feeding Relationships New Mexico WIC Program in collaboration with New Mexico State University and Ellyn Satter Associates Esther Devall Shirley Jaquez."— Presentation transcript:
Feeding Relationships New Mexico WIC Program in collaboration with New Mexico State University and Ellyn Satter Associates Esther Devall Shirley Jaquez Lisa Shields
Feeding is a Metaphor For parent-child relationship. For family functioning.
Levels of Intervention Primary Secondary Tertiary
Primary Intervention Teach positive feeding. Detect risk. Provide anticipatory guidance. Support parents.
Further Interventions Secondary - WIC nutritionists with additional training. Tertiary - referral to therapists in community.
Issues in Feeding Children Food Selection. Feeding Relationship.
The Issue in Feeding Children is Trust Children are internally regulated. Require trust to regulate. Ignoring their needs interferes with internal regulation. Ignoring their needs undermines their self- esteem.
Parent’s Tasks in Separation-Individuation Provide opportunities to explore. Support autonomy. Provide structure. Set limits.
Developmental Stage Initiative (3 – 5 years)
Parent’s Tasks in Initiative Make maturity demands. Have realistic expectations. Remain present and available. Support without intruding.
Feeding Periods Early Infancy - Nipple feeding. Late Infancy - Transition to solids. Toddler - Modified adult foods.
Eating Skills in Early Infancy Roots for nipple. Sucks. Swallows.
Eating Skills in Middle Infancy Begins sitting. Follows food with eyes. Lips close over spoon. Moves semi-solids to back of tongue. Swallows semi-solids.
Eating Skills in Late Infancy Tongue moves food to side of mouth. Positions food In mouth. Delays swallow. Munches. Palms food. Scrapes food into mouth.
Eating Skills in Toddler & Preschool Years Chews. Moves food around in mouth. No pause in side-to-side transfer. Begins to use utensils.
Child Characteristics That Risk Feeding Difficult temperament. “At risk” or very small. Eats very large or very small amounts. Illness. Prematurely born. Physical or cognitive limitations. Requires a modified diet.
Parent Characteristics That Risk Feeding Over-active, too stimulating. Under-active, not engaging. Chaotic or disorganized. Rigid or over-controlling. Over-concerned about child’s food selection or weight. Under-concerned about child’s food selection or weight. Has a particular agenda for growth.