feeding

Question 1

what are oral reflexes?

Answer 1

rooting
biting
gag
suck/swallow

Question 2

when does the fetus seek oral stim?

Answer 2

12 weeks gestation

Question 3

what does pressure and movement within oral cavity provide? (in gestation)

Answer 3

awareness of mouth boundaries

Question 4

where does oral fx begin in mouth?

Answer 4

front and center gradually to lateral and posterior

Question 5

what are the 3 stages of swallowing?

Answer 5

1. oral: chewing
2. pharynx: swallowing
3. esophageal

Question 6

what causes dysphagia?

Answer 6

difficulty passing food from mouth to stomach
lack pharyngeal sensation
swallowing inadequacies

Question 7

how do you tx dysphagia?

Answer 7

thicken fluid
jaw control
flexible endoscopic eval of swallowing/sense test (FEESST)
video xray

Question 8

what to observe in feeding eval?

Answer 8

tone
facial expression
positioning
strength/endurance
oral cavity
oral sensitivity

Question 9

what is the prioritized order for feeding intervention?

Answer 9

coordination for gross motor
coordination for fine motor
head, neck, trunk
jaws, tongue, lips, cheeks

Question 10

what leads to abnormal patterns?

Answer 10

too much mobility or stability

Question 11

what position promotes breathing?

Answer 11

flexion/chin tuck

Question 12

what does jaw closure achieve?

Answer 12

lip closure
mature tongue
normal swallow
matured primitive patterns

Question 13

how do you tx oral hypersensitivity?

Answer 13

gradual intervention
eye contact during
better tolerated–>least tolerated outer mouth–>inner
rub face, lips, cheeks with textures

Question 14

how do you tx oral hyposensitivity?

Answer 14

face–>inside mouth
sensory stim
look in mirror after eating