Wednesday, February 12, 2014

Feeding for the child with cerebral palsy

Many children with cerebral palsy have problems in eating and drinking which can cause a lot of difficulty for the parents. However with appropriate management, these problems can be reduced considerably. It is important to remember that the sooner correct management is introduced, the better are the chances of reducing the problems. The first step to appropriate management is seating your child correctly while he is eating and drinking.
SEATING YOUR CHILD ON THE LAP
A mother usually feeds a child who is very young by making him sit on her lap. Let your child sit on your lap. Place your arm around his neck so that his head is kept straight and facing forward. This position is suitable while he is being fed or given a drink.
 
Do not feed your child while he is lying on your lap as there is a danger
of choking.
To make feeding and drinking easier for your child, try and get your child to sit by
himself on the floor or on a chair if he can! It will also make him more independent.
 


INDEPENDENT SITTING

If your child can sit by himself, you can
place him on the floor for feeding. A
floor table can be put in front of him. In
this way, he will spill food while eating.
You can also seat him on a chair with a
table kept in front. The height of the
chair should be such that his feet are
flat on the ground.
It is more convenient to feed your child
when you sit facing him.
  
ADAPTED FLOOR SEATING

If your child cannot sit by himself on the floor or on a chair, placing him in one of
the following positions may be helpful.
If your child has not learnt to sit by himself
without support, then seat him
against the wall and place a floor table
in front of him. The table will give him
support from the front.
if the floor table does not give enough
support, your child may still tend to fall
sideways. In this case, a cut-out table
will be more comfortable. It will fit
around his chest and also give support
to his elbows.
If your child needs more support, then
make her sit in the corner of a room on
a cushion or on a rolled up blanket.
Place a floor table or a cut-out table in
front of her to provide additional support.
  
If your child needs more support, then
make her sit in the corner of a room on
a cushion or on a rolled up blanket.
Place a floor table or a cut-out table in
front of her to provide additional support.
  
You may find it difficult to seat your child in the positions mentioned earlier due to
his physical problems or his lack of understanding. A list of adapted seats is
given below. When you choose a seat for your child, consider the difficulties he
has as well as the space available in your house.
  
If your child is able to hold up his head,
place him in a corner seat. If he tends to
fall or slip forward, fix a cylindrical block
of wood in the seat between his legs. This
will prevent him from slipping forward.
  
Try using a floor seat if your child still
continues to have problems. This kind
of seat will give more support to the back
and sides. If he slips forward while sitting,
then fix a cylindrical block of wood
on the seat between the child's legs.
  
Your child can be fed while he is sitting in
a corner seat or a floor seat by placing a
small floor table or a cut-out table in front
of him.
  
http://www.asksource.info/pdf/A933_feedingthechild_1995.pdf