Learning to Eat. Week One

Seeing a new speechy. Thought I would write down what we are doing and document how we are going. This is for two purposes. One to help me remember what I am menat to be doing and two to see if we are making progress.

Week One.
Getting to know you. Time was spent playing witht he speechy assessing where nathan is at.
She was pleasantly surprised at him putting a spoon in his mouth by himself and taking some small tastes of puree. This was more than was anticipated due to new surroundings and a new person.

Getting to know the big bad wolf. Nathan didn't like the big bad singing wolf and was quick to learn to tell it to go away. He began to assert himself and show that he was in control and that he felt powerful in this situation. A positive in terms of play and increasing self confidence. In terms of his eating, this has been out of his control for so long that by refusing he is having some control over the situation. He has since been refusing nearly every feed by trying to whack the tube out of the way and getting upset at each feed. He's obviously not happy about having the food but not 100% sure why as he is showing hunger signs when doing this. Guess he thinks it makes him uncomfortable. He has been ill with croup and so there would be greater respiratory pressure. Maybe he is uncomfortable or the increase in retching following feeds (about 20 min after) is upsetting him. May need to try water bolus feeds again? Not sure on how much water he can have now with increase in formula volume.

Learning Ta. We have had some success with saying Ta previously but I hadn't heard him use it for a long time. By refusing to give him what was wanted until a response was made he soon began using it again.