1. Occupation: Feeding and Eating
1.1. STEPS
1.1.1. 1. Child is Seated in Chair
1.1.2. 2. Positive Interactions Occur Between Child and Their Caregiver
1.1.3. 3. Food is Placed in Front of Child
1.1.4. 4. Caregiver Scoops Food and Brings to Child's Mouth
1.1.5. 5. Child Opens Mouth
1.1.6. 6. Child Takes Food of Spoon
1.1.7. 7. Child Moves Through Stages of Eating
1.1.8. 8. Child Swallows
1.1.9. 9. Steps Repeated Until Child Initiates Fullness Signal
1.2. Progression of Food
1.2.1. 1. Breast Milk or Formula
1.2.2. 2. Purees
1.2.3. 3. Soft Foods
1.2.3.1. Mashed table foods
1.2.3.2. Meltable solids
1.2.4. 4. Easily Chewable Foods
1.2.4.1. soft meats
1.2.4.2. coarsely chopped table foods
1.2.5. 5. Non-Altered Table Foods
1.3. Ukrainian Culture Influences
1.3.1. mother plays a huge role in infant feeding
1.3.1.1. but mom is not in the picture -> impact on the child
1.3.2. traditions based around food - holiday related
1.3.3. extended period of breastfeeding
1.4. How are they being feed?
1.4.1. bottle feed
1.4.1.1. formula v. breastfeed
1.4.2. solids
1.4.3. tube feeding
2. Person
2.1. Age: 6 months old
2.1.1. Skills
2.1.1.1. Ability to Suck
2.1.1.2. Ability to Swallow
2.1.1.3. Decreased Gag Reflex
2.1.1.4. Tongue
2.1.1.4.1. control
2.1.1.4.2. movement
2.1.1.5. Opening Mouth
2.1.1.6. Chewing
2.1.1.6.1. biting up and down
2.1.1.6.2. up and down munching
2.1.1.7. Signaling
2.1.1.7.1. hunger
2.1.1.7.2. fulness
2.1.1.8. Ability to Sit
2.1.1.8.1. trunk control
2.1.1.8.2. in a seat
2.2. Failure to Thrive
2.2.1. difficulty to obtain normal growth
2.2.2. difficulty with
2.2.2.1. swallowing
2.2.2.2. chewing
2.2.2.3. sucking
2.2.3. sensitivity to textures
2.3. Ukrainian Family Background
2.3.1. tight-nit
2.3.2. tradition based
2.3.3. active-lifestyle
2.3.4. Emotional Individuals
2.3.4.1. express true emotions and do not cover them up
2.3.5. collectivism > individualism
3. Environment = ER
3.1. Social
3.1.1. who is at the hospital with them
3.1.1.1. Aunt = primary caregiver
3.1.2. are visitors allowed?
3.1.3. does the family have support
3.1.3.1. what is the role of mom and dad?
3.1.4. are they being exposed to multiple members of the medical staff
3.2. Where are they eating?
3.2.1. hospital
3.2.1.1. in the room
3.2.1.2. in kitchen
3.2.1.3. is there a highchair
3.3. cultural norms
3.3.1. impact on diagnosis
3.3.1.1. family-centered
3.3.2. impact on treatment
3.3.2.1. beliefs in folk/traditional medicine and "western" medicine
3.3.3. child care
3.3.3.1. grandparents help watch children
3.3.3.2. value well-care of children
3.3.3.2.1. impact of aunt taking care of the child
3.3.3.3. professional and tradition medicine practices
3.4. socioeconomic
3.4.1. parental SES status
3.4.1.1. lower income country
3.4.2. parent jobs