Danielle Friberg

OC TH 6140

Lesson Plan

Course: OC TH 6140 Pediatric Skills and Intervention

Title and Description of Lesson: Introduction to Feeding

Interventions. This class session introduces students to the development
of feeding skills as well as the various types of interventions utilized to
address feeding disorders in the pediatric population.

Total Class Time: 90 minutes

Lesson Objectives:

By the end of the class, students will identify five risk factors for
development of feeding disorders in the pediatric population.

By the end of the class, therapists will be able to articulate the

developmental stages of feeding skills in the typically developing
child as well as the continuum of food to be offered at each stage
of development.

By the end of the class, students will demonstrate competence in

the use of treatment strategies to address underlying issues of
feeding disorders in the pediatric population.

Teaching Methods:
The format for this class will include a combination of lecture,
discussion, hands-on activities, small group work, and games.
Approximately 30 minutes will be dedicated to discussing possible
causes and risk factors for development of feeding disorders and typical
development of feeding skills. Approximately 60 minutes will be spent
discussing and practicing treatment approaches as well as completing a
short case study.

Materials:
1. Food (each of these will be presented in a small Dixie cup at the
participants desks)
Stage I baby food such as pureed sweet potato or similar texture
such as yogurt
Stage II baby food such as mixed vegetables or similar texture
such as applesauce
 Stage III baby food such as turkey dinner or similar texture such
as chowder with meat and vegetables
Meltable solid such as Cheetos and cheerios
Hard munchable such as beef jerky or carrot stick
Mechanical such as bread
Thin liquid such as apple juice
Thick liquid such as smoothie
2. Feeding Equipment
Spoons
Nuk brush
Cut out cups
Straws
Dycem
Dixie cups
2. Computer and projector for powerpoint presentation
4. Handouts (powerpoint slides, sample feeding evaluation)

Lesson Outline

1. Opener (5 minutes)

Cartoon on projector

Introduce the topic and generally talk about lesson objectives.

Briefly discuss how it is difficult to progress towards other
therapeutic goals if a basic need, such as eating, is not being
addressed.

2. Video: Feeding Skills (1 min 30 sec)

https://www.youtube.com/watch?v=R7GTRbj2_Oc
Video shows a child eating birthday cake on their 1st birthdayevery
parents dream.

3. Powerpoint with Active Learning Activities (30 minutes)

o Slide 11 activity: Have participants eat piece of bread
without moving their tongue as an example of how difficulty
it is to process bread without tongue lateralization
o Slide 12 activity: Imagine youre absolute least favorite food.
Think about how it looks, smells, feels, tastes.now imagine
someone forcing you to eat it. What is your reaction?
o Slide 16 activity: Have them take a drink of apple juice, pay
attention to what mouth does
o Slide 19 activities:
Eat yogurt from spoon for lip closure
Eat cheetos to demo munching
Eat bread to understand tongue lateralization
Eat carrot stick to demo rotary chew
Drink from straw or eat yogurt from spoon to
understand lip closure

3. 5-minute stretch and bathroom break

4. Resume Lecture with Active Learning Activities (30 minutes)

Have participants pair up prior to beginning discussion on
interventions
Powerpoint with corresponding practice of techniques with
partner, Slides 29-40
o Slide 30 activity: Try to swallow with you neck extended;
then practice chin tuck
o Slide 31 activity: Practice 3-finger jaw support
o Slide 32 activity: Practice stimulating tongue lateralization
and placement of food on molar ridges; practice facilitating
lip closure with downward pressure on lip and jaw support;
practice downward pressure with spoon on anterior portion
of tongue
o Slide 34 activity: Practice oral massage
Allow pairs 10 minutes to continue to practice techniques. I would
walk around to provide feedback and answer any questions.

5. Case Study (20 minutes)

Pairs merge into groups of 4 to complete and discuss
Spend last 5
6. Wrap-up (5 minutes)
Return to slide with lesson objectives and review the objectives
Answer any questions
Remind students of upcoming due dates