Team Intervention in Food Selectivityin a Medically Complex Child inRural Appalachia

摘要

"Food selective" is the term used to describe children who eat an unusually limited variety and/or amount of foods and often have serious medical problems that inhibit the normal development of eating. While many urban areas have programs to address these complex eating problems, families in rural areas must rely on sometimes fragmented local resources. This paper describes how a university-based interdisciplinary team of professionals employ a reasoning process during the assessment and intervention with a child with food selectivity in manner supportive of prevailing Appalachian cultural beliefs and values. Issuesof this model for occupational therapy is discussed using occupation-based culturally sensitive reasoning and intervention strategies when responding to illustrate the complex interaction of sensory processing and participation in daily occupations modeled in this case report.