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Wheelchairs and Cookies: A Parenting Approach to Nutrition by Richard Kahn, M.S., Registered Dietitian, Brooklyn LettersRuedo ten?a una condici?n muscular que lo dejaba con muy poco control muscular debajo del cuello. Pod?a guiar su silla de ruedas moviendo un joystick entre su pulgar e ?ndice derechos. Estaba claro que ten?a un uso muy limitado de sus manos. Sin embargo, por encima de sus hombros, todo funcionaba bien. Despu?s de acomodarse y arreglarse, ?l y mi madre se sentaron junto a mi escritorio.

Mom said Ruedo barely ate was picky, and refused most foods. It was no surprise he was underweight. Mom began to cry. After a few minutes she wiped her eyes. I waited until she composed herself. We went back to the task at hand. I see he has many challenges, I said, but, tell me, can he get a cookie out of you She began smile so I smiled. Then she laughed. Yes! she said grinning. I knew now we could make some headway. Mom had moved from the world of worry to the world of possibility. She recognized Ruedo s strengths.

Children, delayed or not, know how to manipulate their parents when it comes to treats. It is a sign of mental health and a way into the eating problem. The response to the ploy is up to the parents. Some parents may think, Why not give them what they want The child is already suffering. He hardly eats anything. Certainly, the child will suffer as they grow to understand themselves in relation to others. In the moment of worming cookies out of parents, the child is not suffering. The child is doing what all little children do once they have figured out the weak points of their parents. The fundamental issue that worried mom was the usual concern of parents when they lose control of the daily meals and snacks. Instead of thinking about healthy foods and they focus on the some aspect of the delay.

A Parenting Approach to Nutrition

Una vez que mam? y yo acordamos t?citamente que est?bamos hablando sobre un problema de crianza, hablamos sobre la relaci?n de alimentaci?n, un enfoque de crianza para la nutrici?n. La regla que rige las relaciones de alimentaci?n es bastante simple: El padre proporciona; El ni?o decide. In Ruedo s case, no one addressed Ruedo s hard-wired drive to self feed. Mom understood the rule but it would take time to work out a way to solve his particular needs. The better therapists address the parenting process along with remediation. The parenting job includes the basics such as modeling at the table, eliminating the baby bottle, helping the child use a cup to the extent possible, the judicious use of no and yes for treats. When children learn that parents provide, and that they decide, mealtimes go smoother. Pickiness and refusals can abate. Sometimes, sensory delays will weaken. It can be complicated to apply the feeding rule in the presence of delays but not impossible. The reasons to try it are practical and emotional.

Sameroff, a psychologist, finds parents of delayed children need the three R s: Remediaci?n, Redefinici?n y Reeducaci?n. Remediation refers to optimal remediation of the delay. Redefinition describes the change in thinking that allows parenting strengths to come into play by minimizing any overwhelming aspects of the disability. He finds that parents attitudes can affect the child's ability to overcome. In the case of nutrition, it means minimizing struggles. Otherwise, the emotional fallout of routinely distressing meals grows unchecked. Love gets buried. Lastly, parents have to learn about what s behind the struggles. Learning about hunger, readiness and satiety cues is essential. Parents who see standard emotional behaviors catch their deeper meaning. It becomes easier to apply basic parenting skills. We love our children and calm, mealtimes support that love.

 

"> Richard Kahn, PhD, RD, es una nutricionista pedi?trica de Nueva York en pr?ctica privada especializada en las necesidades de ni?os peque?os. Llegar a ?l en richard@brooklynletters.com o RichardKahnNutrition.com.

BLOGS Sillas de ruedas y galletas, Compensar el tiempo perdido y el peso perdido, Obtener una 'D' por exceso de suplementación y Nutrici?n Infantil y Infantil

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