Feeding Flashcards
Why can an infant feed in a reclined position but it is unsafe for a child to eat reclined?
As the infant grows the neck elongates
Tongue is thinner
Cheeks not fatty
Elongated pharynx increase aspiration risk ;The pull of gravity accelerates the flow of liquid
Name 2 observations when assessing feeding skills
Postural control/ trunk stability
Oral sensitivity
Motor control of jaw lip tongue and cheek
Coordination and endurance
Anatomically what happens during swallowing of an infant
Larynx elevates
Epiglottis falls over it to protect the trachea n prevent aspiration
4 phases of swallowing
Oral prep
Oral
Pharyngeal
Esophageal
Why are premature infants below 35weeks gestation fed intravenously?
Insufficient strength and endurance for nipple feeding
An infants first sucking pattern is called
Suckling
Rotary chewing emerges at ?
Diagonal rotary emerges at?
12 months
6 months
What element is used in a video fluoroscopy swallow study
Barium
Name 1 medical condition affecting eating
CP- facial hypotonia, resting open mouth, drooling, decreased sensation
Hypertonia- tongue thrust, bite reflex
Congenital oral facial anomalies, cleft
Down syndrome- small oral cavity, hypotonia
environmental adaptions for eating
Recommend regularly scheduled meals n length of meal Consistent meal time Shorter or longer meal lengths Limit distractions Calming: dim lights soft music Order of presenting food n liquid
Positioning adaptions for eating
Trunk muscles affect Head n neck Which affect jaw movements Good jaw stability n freedom of movement influence tongue n lip control Infants supine, face to face
What is a rifton chair
Provides A firm base of support to trunk n feet during feeding
Tx for sensory problems with feeding
Teethers, vibrating toys, Songs n games Slow linear rocking b4 oral stimulation Gloved finger Warm washcloth Nuk brush Child toothbrush Apply firm pressure to gums Blow bubbles or whistling Gradually provide new textures Dip lollipop or teether into new flavor Provide consistent praise Cut food up
