1. We would like the patient to:

We would like for MyaGrace to feed herself independently with utensils, drink from a cup independently and chew a greater variety of foods

2. Short term objectives that reflect the outcomes

Chew a greater variety of foods Drink from a cup independently Use a spoon to feed herself independently

3. Types of intervention selected and rationale for selection

Intervention: Developmental Rationale: MyaGrace needs experience and time

Intervention: Biomechanical Rationale: MyaGrace needs to gain control over movements

Intervention: Behavioral Rationale: MyaGrace needs to reduce interfering behaviors and increase functional behaviors

4. Specific intervention methods used under each type of intervention selected

Use graded textures of foods (smooth to lumpy, chewy, crunchy) Use an electric toothbrush for exploration and stimulation Increase the intensity of flavors and temperatures of foods (cold, spicy, tart) Facial awareness activities (mirror play, washing face) Stirring activities Assist serving into bowls Use a scoop or small spoon to play in sensory bins, sand, etc. Presentation of food: limit the amount to a few bites, use a rubber place mat instead of a plate, use a cup with a recessed lid or drinking straw