Pediatric feeding difficulties involving sensory-based food aversion, oral motor coordination deficits, limited diet repertoire, and maladaptive mealtime behaviors requiring graded exposure and sensory-motor intervention.
| Goal | |
|---|---|
| Patient will accept 5 novel foods touching lips without aversive response (head turning, crying, gagging) across 3 consecutive sessions using a systematic desensitization hierarchy. |
| Goal | |
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| Patient will interact with 3 novel food textures through tactile play (touching, squishing, spreading) for 2+ minutes without hand wiping or avoidance. |
| Goal | |
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| Patient will self-feed using a preloaded spoon for 10 consecutive bites of puree with adequate hand-to-mouth coordination and minimal spillage. |
| Goal | |
|---|---|
| Patient will sit upright in a supportive highchair with feet flat on a footrest for the duration of a 15-minute meal without arching or sliding. |
| Goal | |
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| Patient will take 3 bites of a non-preferred food after modeling and positive reinforcement without gagging in 4/5 opportunities. |
| Goal | |
|---|---|
| Patient will drink from a straw cup with graded jaw support fading to independent jaw control for 3 oz liquid within a single mealtime. |
| Goal | |
|---|---|
| Patient will use a raking grasp to self-feed 10 small finger foods (puffs, cereal pieces) within a 10-minute snack time given hand-over-hand fading to independent. |
| Goal | |
|---|---|
| Patient will tolerate face and mouth wiping with a wet cloth after meals without pulling away or crying given a predictable routine and countdown. |
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