Pediatric Feeding Therapy Team

Blueprint Nutrition is excited to share that we have teamed up with Donna Legge-Nevett, Pediatric Occupational Therapy Services, to provide a community-based clinic to help your child achieve his or her eating/feeding goals. 

 

Mission and vision:

We strive to provide efficient and effective family-centered care, to save on multiple trips to multiple providers and to support your child’s own unique eating and feeding needs within a collaborative multidisciplinary team approach.

 

What services do we offer?

We are happy to help with any concern that you may have for your child as it relates to eating or feeding. Some examples include:

  • Infant latch/feeding issues
  • Questions and concerns around breast-feeding and/or formula feeding
  • Picky eating
  • Food aversions
  • Oral motor delays
  • Sensory processing issues related to eating
  • Nutritional and/or growth concerns related to eating
  • Children with special needs around eating

 

Who’s on the team?

Donna Legge-Nevett, Occupational Therapist (OT):

Donna Legge-Nevett is the Occupational Therapist, and Team Lead. She brings extensive knowledge and experience to the clinic, having worked in pediatrics for over 15 years. Donna is available to assess whether your child would benefit from the team’s services and screens all referrals. As an OT, she conducts the feeding assessment, provides recommendations to improve efficiency and may suggest how to carefully transition to a more appropriate method of eating or different food textures.

Rosanne Robinson, Registered Dietitian (RD):

Rosanne Robinson is the Registered Dietitian on the team. She brings over five years of experience working with pediatric patients from newborn to 18 years of age. She will help to assess your child’s current energy (calorie), vitamin, mineral and fluid intake and assess whether your child requires any adjustments to his or her current schedule to increase or decrease any of these nutrients. She will also assess growth. Rosanne takes a food-based approach to nutrition but may recommend supplements if deficiencies are suspected. She may also ask permission to liaise with your family physician in the case that some additional blood work is required. Rosanne has experience with tube-feeding and can help to adjust and monitor established tube feeds.

Upon team collaboration, if the OT or RD determines that further needs exist outside of this clinic, they are well connected to other allied health professionals that can guide and support next steps for treatment.

 

Where is the clinic located?

Most of our services and team assessments will be held at Optimum Integrative Health Services, Fergus Ontario. Home-based visits may also be suggested so that we can assess the feeding difficulties within the child’s natural home environment. Depending on which service(s) are required, follow-up appointments may be available in Waterloo and/or New Hamburg as well.

 

What will happen at the first appointment?

  • The first appointment is typically one hour and your child will be assessed by both Donna and Rosanne, unless it is previously evaluated that both are not necessary
  • We will review the history and all aspects of your child’s feeding difficulties
  • We may invite you to bring food along and feed your child there so that the OT (Donna) can watch the process and assess the current difficulties
  • We will make a customized plan to address your child’s unique needs around feeding.
  • We will work with you to develop a plan and approach that addresses your concerns, while keeping your wishes and your child’s needs at the forefront.

 

Do I need a referral?

  • No referral is necessary, you can call or e-mail us directly.
  • Physicians or allied health care practitioners can refer clients via e-mail or fax to the attention of Donna Legge-Nevett at Optimum Integrative Health Services:
    • Email: donna@ontariohealth.org
    • Phone: 519-787-4100
  • All referrals and calls will be reviewed and prioritized by Donna.

 

What should I bring along to the first appointment?

  • A list of medications, supplements, vitamins or minerals that your child takes and doses
  • Any medically relevant reports to date, if applicable
  • 1-3 days of food records listing all foods and fluids eaten
  • Any special eating utensils, cups, bottles, nipples etc.
  • Food for a feeding assessment, if pre-arranged; bring 2-3 preferred foods and 2-3 non-preferred foods

 

More questions?! No problem! Feel free to contact Rosanne or Donna and we can talk through your unique situation!