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\n “headline”: “Carte de d\u00e9senbilisation orale : mode d’emploi pas \u00e0 pas pour bien d\u00e9marrer”,
\n “inLanguage”: “fr”,
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\n “name”: “Combien de temps par jour faut-il utiliser la carte ?”,
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\n “text”: “Quelques minutes suffisent, et c’est m\u00eame pr\u00e9f\u00e9rable. Trois \u00e0 cinq minutes chaque jour, toujours dans le m\u00eame cr\u00e9neau calme, produisent davantage qu’une longue s\u00e9ance hebdomadaire. La d\u00e9sensibilisation se nourrit de fr\u00e9quence, pas de dur\u00e9e : le cerveau consolide ce qui est r\u00e9p\u00e9t\u00e9 \u00e0 intervalles rapproch\u00e9s. Mieux vaut arr\u00eater la s\u00e9ance pendant que tout se passe bien, sur une note positive, que d’insister jusqu’\u00e0 la lassitude. Si la personne montre de la fatigue ou de l’agacement, on range la carte sans en faire un enjeu et l’on reprend le lendemain, au m\u00eame moment.”
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\n “name”: “\u00c0 partir de quel \u00e2ge peut-on utiliser cet outil ?”,
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\n “text”: “La carte s’adapte du jeune enfant, d\u00e8s qu’il comprend l’id\u00e9e d’une image et d’un jeton \u00e0 d\u00e9placer, jusqu’\u00e0 l’adulte et la personne \u00e2g\u00e9e en r\u00e9\u00e9ducation de l’oralit\u00e9. Ce qui change, ce n’est pas l’outil mais la fa\u00e7on de le pr\u00e9senter : un vocabulaire de jeu pour les plus petits, une logique d’autonomie pour les adolescents, une posture collaborative et respectueuse pour les adultes. Chez un tout-petit ou d\u00e8s qu’existe une difficult\u00e9 m\u00e9dicale d’alimentation, l’usage doit toujours \u00eatre encadr\u00e9 par le professionnel de sant\u00e9 qui suit l’enfant ou la personne concern\u00e9e.”
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\n “name”: “Que faire si aucun progr\u00e8s n’appara\u00eet apr\u00e8s plusieurs semaines ?”,
\n “acceptedAnswer”: {
\n “@type”: “Answer”,
\n “text”: “D’abord, ne pas conclure trop vite : une phase de plateau, o\u00f9 le jeton ne monte pas, fait partie du processus et ne signifie pas que rien ne se joue. V\u00e9rifiez les fondamentaux : le rythme est-il quotidien, les \u00e9chelons assez petits, l’ambiance sans pression ? Souvent, redescendre d’un cran et consolider relance la progression. Si l’absence de progr\u00e8s s’accompagne d’angoisse, de perte de poids ou d’un refus qui s’aggrave, ce n’est plus une question d’outil : adressez-vous au m\u00e9decin, \u00e0 l’orthophoniste ou \u00e0 l’ergoth\u00e9rapeute sp\u00e9cialis\u00e9 en oralit\u00e9 qui pourra r\u00e9\u00e9valuer la situation.”
\n }
\n },
\n {
\n “@type”: “Question”,
\n “name”: “La carte peut-elle remplacer le suivi d’un orthophoniste ?”,
\n “acceptedAnswer”: {
\n “@type”: “Answer”,
\n “text”: “Non, et ce n’est pas son r\u00f4le. La carte de d\u00e9senbilisation orale est un support d’accompagnement qui compl\u00e8te une prise en charge, elle ne s’y substitue jamais. Elle sert de fil conducteur entre les s\u00e9ances, de langage commun entre la famille et les professionnels, et de trace concr\u00e8te des progr\u00e8s. Le diagnostic, le choix des aliments et des textures, l’\u00e9valuation des difficult\u00e9s de d\u00e9glutition rel\u00e8vent exclusivement des professionnels de sant\u00e9. Bien utilis\u00e9e, la carte rend le suivi plus efficace en prolongeant, \u00e0 la maison, le travail engag\u00e9 en s\u00e9ance.”
\n }
\n },
\n {
\n “@type”: “Question”,
\n “name”: “Comment g\u00e9rer plusieurs aliments difficiles en m\u00eame temps ?”,
\n “acceptedAnswer”: {
\n “@type”: “Answer”,
\n “text”: “Le plus simple est d’utiliser une carte par aliment, rang\u00e9es ensemble dans une pochette, afin que chacun progresse \u00e0 son propre rythme sans se m\u00e9langer. Commencez toutefois par un seul aliment : le temps que la personne s’approprie la m\u00e9thode. Une fois la m\u00e9canique comprise sur une premi\u00e8re cible, l’ouverture d’une deuxi\u00e8me carte devient plus fluide, car la personne applique une d\u00e9marche qu’elle conna\u00eet d\u00e9j\u00e0. \u00c9vitez de travailler trop d’aliments \u00e0 la fois : mieux vaut deux ou trois suivis sereinement qu’une dizaine abandonn\u00e9s faute de temps et d’\u00e9nergie.”
\n }
\n }
\n ]
\n }
\n ]
\n}<\/p>\n