Chapter 10 Flashcards
Development of Oral Structures
Oral cavity
Pharynx
Larynx
Trachea
Esophagus
Cranial Nerves
CN V — trigeminal
CN VII — facial
CN XII — hypoglossal
Phases of Swallowing
Oral preparatory
Oral
Pharyngeal
Esophageal
Comprehensive Evaluation of Feeding and Swallowing Skills
Initial interview and chart review
Structured observation
Assessment tools
Additional diagnostic evaluations
Evaluation involves
Feeding problems: an overview
Neuromotor evaluation
Examination of oral structures and oral motor patterns
Videofluoroscopic Swallow Study (VFSS)
Medical conditions affecting eating
Contextual factors
Intervention Strategies of feeding
Environmental adaptations
Positioning adaptations
Adaptive equipment
Self-feeding
Modifications to food consistencies
Modifications to liquids
Dysphagia
Sensory processing disorders
Behavioral
Food refusal or selectivity
Delayed transition to texture foods
Delayed transition from bottle to cup
Neuromuscular interventions
Transition from non-oral to oral feedings
Cleft lip and palate
Other structural anomalies
Intervention: Global Considerations
Multiple underlying factors.
If persists, may result in new problems.
Occur multiple times a day and in a variety of environments.
Must consider medical and nutritional problems.
Increase caregiver time and effort.
Family routines should be preserved.