Claim OwnershipMore Than Picky: Food Chaining with Cheri Fraker, CCC/SLP
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© Cheri Fraker, CCC/SLP
Description
Cheri Fraker, CCC/SLP, is an ASHA certified pediatric speech language pathologist and oral feeding specialist. Cheri teaches the listener about her PreChaining and Food Chaining therapy programs, she provides many tips for parents and therapists, and explains how to treat infants and children struggling with severe feeding and swallowing problems. Cheri discusses complex treatment programs to avoid or reducing the severity of the most challenging pediatric feeding disorders. Cheri also offers mentoring services in season 2, sharing her thirty seven years of experience with the audience.
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Let’s talk about Avoidant Restrictive Food Intake Disorder. There are several types of ARFID and Food Chaining can be a very effective tool for treating children, adolescents or any individual experiencing the challenges of ARFID. A customized Food Chaining program is a great way to change a life and open a child up to being able to enjoy new experiences with food.
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The feeding team evaluation and the oh so important first treatment sessions of the plan are discussed. This is the case history of a two-year-old born at 24 weeks. This child is a preemie grad with failure to thrive and aspiration of liquids. How do you start? Who needs to see the child? What does the home program look like? What other referrals do you need? Expand your team PreChaining therapy approach to meet the needs of the child and family. This episode is full of multidisciplinary ideas to add to your treatment program and I share ideas about how to expand the treatment program over time. Thanks for listening and Happy Chaining!
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New without No! This podcast teaches the listener how to structure mealtimes, prepare the parents for their part following the home program and how to set the right tone at the table. This episode is full of tips to help you learn how to successfully offer new foods using a Food Chaining program. Sample Food Chains are discussed. I also discuss mastering the simple, elegant art of Food Chaining and expanding the diet with joy.
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This episode discusses how to complete your evaluation and set up successful transitions to spoon and cup and stop gagging from occurring. You can let the child treat their own problem! Self directed oral motor is always the best plan! Let’s talk about PreChaining!
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Part 3 discusses advancing your Food Chaining program to more solid foods for the child who has no core diet. The 6 steps and principles of the Pre and Food Chaining programs are explained in detail.
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This is a short episode and it is part 2 of our last episode about a three year old with only one food, applesauce pouches. This one is a discussion of how to start sessions and your home program and I discuss what foods to try.
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This episode is about how to assess and treat a three year old child with only one food in the diet: applesauce pouches. How would a PreChaining/Food Chaining driven pediatric feeding team evaluate and treat this child and literally teach the child how to eat? Want to know what you should do in sessions? Find out! This podcast actually tells you what to DO.
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This season will be all about cases. The Specifics on what to DO during a feeding evaluation and setting up child specific treatment plans. Diagnostic therapy helps a child be known. Then you can design the right plan, set the right tone and develop eyes that SEE.
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You want to try Food Chaining. But how do you get started? How do you set up a snack time in a therapy session? What do you do in the beginning? I have seen a lot of things online that are described as Food Chaining, but they are not using the program as we designed it. What fruits and vegetables can I try? How do I coach a child to learn the skill of trying a new food? This IS Food Chaining! The right way. The easy way. Check it out.
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Your evaluation forms matter! You will need a very detailed medical and nutritional history and the Individualized Eating Profile. The IEP consists of data from the growth chart, analysis of the three to five day food record, oral sensory motor age and patterns noted in the Food Chaining Intake Form. This information will help you fully know your patient and plan their customized and effective Chaining program. Take time to analyze the profile! It is vital to making good decisions in Food Chaining therapy. Write your reports using this important information.
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What are you doing to learn about Y-O-U. Who are you? You are the product. You are the resource that people are turning to and you need to understand how you learn, teach, counsel, guide and work with families or on interact on a team with other personalities. Do you communicate well with physicians? Expand your vision. The True Colors Assessment will be discussed. Are you green, orange, blue or gold? Let’s find out!
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This episode addresses the issue of Nipple Confusion. Is it real? Or is it a preference? Or an oral motor problem showing itself in two distinct methods of feeding? Baby can’t or won’t take a bottle and mom has to return to work? This episode gives you ideas of how to help. Baby has taken a bottle but is now refusing breast? What do you DO? These are very treatable disorders. How can you build two great experiences?
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NEC is a horrible and poorly understood disease. “The Why’s “ behind it are hard for any medical professional to understand. We are still studying NEC and we need a lot more research. What is it? What happens? How can a therapist support a child and family? What does treatment look like? In NICU and at home? Learning about NEC made me a much better therapist and I have just scratched the surface of all there is to learn. We all have. The gut is a mystery and a vital core to our health.
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As Mary Massery would say, “if you cannot breathe, you cannot function” and she was right. Today’s episode explains the respiratory conditions of prematurity and how they impact the lungs and breathing. Breathing is a foundation skill and is the priority of our early treatment. I also talk about some of the early feeding issues associated with RDS, BPD and MAS.
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Conditions of prematurity have lasting effects. If you work in pediatrics, with any child, anywhere, you are treating some preemies. Prematurity continues. What is IVH, an Intraventricular hemorrhage? Why does it happen? Prognosis? I give you information to understand what that means and the impact on the developing baby. I also talk about team based PreChaining therapy for children with PVL and hydrocephalus to give them a therapeutic life instead of a life full of therapy.
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What should you ask, how do you ask it, how do you interpret the information you receive, how do you communicate compassionately with the family, how do you give them bad news, what ARE the 911 issues, how do I recognize the red flags, when and how do you ask the doctor to address urgent feeding issues? Develop diagnostic therapy programs and gather information. Addressing medical and nutritional issues is key to your success in treatment.
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How can you as the CCC/SLP help the nursing mom, support the child and the family, work with the team and learn from the lactation consultant? Do you understand the benefits of feeding colostrum and breast milk and how that impacts development of the microbiome? What is the microbiome and why is it so important? How can you support the health of the microbiome? Do you understand the basics of breastfeeding and breast care? Do you want to pursue your CLC? How can you help the mom and baby have a successful breastfeeding experience?
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This episode teaches you how to do PreChaining therapy like an expert and fulfill your role well on a multidisciplinary feeding team. This is about the knowledge you gain only on the job, and only with experience. How do you do multidisciplinary PreChaining therapy and play Hot Potato well? How skilled are you? Do you understand the work the rest of the team is doing? Check and see! Let’s look at how to DO this the right way.
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This episode explains how to do a safe, informative feeding and swallowing evaluation and what to do when things do go “off the rails.” Product flow rate issues? Positioning issues? Pacing needed? Or is something much more significant going on? What is the root of many types of feeding aversion and how does it show itself in infancy? Aspiration fears? How do you comfort and educate the parents? What do you DO?
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Sometimes a mistake can be your best learning opportunity. Cheri shares all she has learned from making mistakes and how having mentors around her helped her grow through those challenging times.
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