Only $35.99/year

Feeding and Swallowing Final

Terms in this set (70)

a. Bottle/breast: birth-6 months
b. Cup drinking: 7-12 months (about 1 month after spoon feeding begins)
i. 1-2 months after spoon
ii. Wide-lipped, open cup
iii. Spout cup not desirable
iv. Single sip at first
v. Thicker liquids initially
vi. Straw introduced gradually
c. Straw drinking: 12 months
d. Spoon feeding: 4-6 months
i. Readiness 4-6 months developmental skills
ii. Upright position, head control
iii. Flat spoon
iv. Child should open mouth independently
v. Spoon at mid-tongue, slight downward pressure
vi. No scraping mouth after every bite
e. Munching/chewing: 6-7 months
f. Controlled, sustained biting: 12+ months
g. Rotary chewing: 12-15 months
h. Feeding development
i. 7-9 months
1. Gag reflex becomes protective
2. Mouth used to investigate environment
3. Coordinated lip, tongue, jaw movements
4. Drooling only with teething
5. Cup drinking, lower lip as stabilizer at 9 mos.
6. Mouth closure around cup rim
7. Moving lateral tongue to touch solids while upper lip cleans off spoon
ii. 10-12 months
1. Self finger-feeding
2. Increasing coordinated jaw, tongue, lip movements in all positions
3. Weaning from bottle as cup drinking continues
4. Closes lip on spoon and uses lips to remove food from spoon
iii. 13-18 months
1. All textures taken
2. Finger foods
3. Scoops food to mouth
4. Well-coordinated phonating, swallowing, and breathing
5. Lateral tongue motion
6. Straw drinking
iv. 19-24 months
1. Swallows with lip closure
2. Up-down tongue movements precise
3. Self-feeding predominates
4. Chewable foods
5. Rotary chewing
6. Independent food intake
v. 24-36 months
1. Lip closure while chewing
2. Circular jaw rotations
3. One-handed cup holding and open cup drinking without spillage
4. Fills spoon with use of fingers
5. Takes wide range of solid foods
6. Total self-feeding; uses fork
a. Treating Problems with Swallowing/feeding processes
i. facilitating a normal sucking pattern
ii. facilitating mature oral movements during spoon feeding of soft foods
iii. facilitating mature oral movements during cup drinking
iv. facilitating a mature swallowing pattern
v. facilitating normal controlled biting and mature chewing
vi. drooling
b. Facilitating a Normal Sucking Pattern
i. place child in prone
ii. maintain tongue in mouth with chin/jaw support; firm pressure to base of tongue
iii. use music and rhythm (1 beat/sec)
iv. establish suckle of liquids from fingertip and spoon
v. massage body of tongue rhythmically with upward-downward motion 1x/sec
vi. provide cheek support while introducing thicker consistencies
c. Facilitating Mature Oral Movements During Spoon Feedings of Soft Foods
i. teach that the mouth can be "quiet" and ready as the spoon approaches
ii. use gentle pressure on the tongue with the spoon
iii. allow food to remain on the child's lower lip
d. Facilitating Mature Oral Movements During Cup Drinking
i. teach that the mouth can be "quiet" and ready as the cup approaches
ii. maintain stable degree of jaw opening
iii. maintain constant contact of cup and lower lip
iv. encourage child to hold onto the edge of cup with teeth
v. thicken liquids
e. Facilitating a Mature Swallowing Pattern
i. explore positioning during VFSS
ii. explore compensatory strategies
iii. explore different food placements
f. Facilitating Normal Controlled Biting and Mature Chewing
i. teach that the mouth can be "quiet" and ready before food enters for biting and chewing
ii. hold cookie between teeth and break off outside piece
iii. ensure stable jaw opening and closing
iv. thicken and add lumpy soft foods
v. increase awareness of teeth through rhythmical biting
vi. wrap food in gauze and tie it to a string