Feeding Flashcards

1
Q

Aspiration

A

Food or liquid entering airway before, during, or after swallow

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2
Q

GERD

A

gastroesophageal reflux disease

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3
Q

Swallowing phases

A

Oral preparatory, oral, pharyngeal, esophageal

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4
Q

MBSS

A

Upright modified barium swallow (Videofluroscopic swallow study) assesses oral, pharyngeal, and upper esophageal anatomy and function during feeding and swallowing

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5
Q

Feeding

A

(Self-feeding) the process of setting up, arranging, and bringing food from the table, plate, or cup to mouth

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6
Q

Eating

A

the ability to keep and manipulate food or fluid in mouth and swallow it

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7
Q

Swallowing

A

Complex act in which food, fluid, medication, or saliva is moved from the mouth through the pharynx and esophagus into the stomach

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8
Q

Oral preparatory phase

A

Oral manipulation of food occurs using jaw, lips, tongue, teeth, cheeks, and palate to form food bolus

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9
Q

Oral phase

A

The tongue elevates against the alveolar ridge of the hard palate, moving the bolus posteriorly, and ends with onset of pharyngeal swallow

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10
Q

Pharyngeal phase

A

(Primarily reflexive) swallowing is triggered at the anterior faucial arches. Hyoid and larynx move upward and anteriorly, and epiglottis retroflexes to project the opening of the airway. Opening of upper esophageal sphincter.

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11
Q

Esophageal phase

A

(Not voluntary) relaxation of cricopharyngeus muscle to open the upper esophageal sphincter and ends with relaxation of the lower esophageal sphincter at the distal end.

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12
Q

Laryngeal penetration

A

The flow of food or liquid underneath the epiglottis into the laryngeal vestibule, but not into the airway

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13
Q

GI endoscopy

A

Uses a flexible endoscope with a light and camera that is inserted into a nostril and down the throat. Child then chews and swallows. diagnose inflammation or structural abnormalities

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14
Q

Upper GI series

A

Fill with liquid barium, x-ray test used to define the anatomy of the upper digestive tract.

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15
Q

Esophageal pH probe

A

Probe inserted into esophagus through nose to monitor abnormal acid levels over 24 hours to discover presence or severity of GER

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16
Q

Dysphagia

A

Difficulty or discomfort swallowing

17
Q

FEES

A

Fiberoptic Endoscopic Evaluation of Swallowing.
Analyze the swallow mechanism, r/o aspiration, ID safe food and liquid consistencies, visualize anatomic structures during swallowing

18
Q

Environmental adaptations for feeding

A

Mealtime routines—location of meals, length of meal periods, sensory stimulation within the environment, changes to the order of mealtime activities (solid before liquid, preferred b/f nonpreffered)

19
Q

Positioning adaptations for feeding

A

Aims to provide stability in the trunk and support the child in a midline orientation with the head and neck aligned in neutral or slight flexion during oral feeding

20
Q

Oral reflexes: Sucking

A

8 to 10 months
Suckling (forward and backward movement of the tongue) - predominates up to 4 months
Sucking (upward and downward movement of the tongue)

21
Q

Oral reflexes: Phasic bite reflex

A

Automatic - 3 to 4 months
Munching - 6 to 9 months
jaw bites down-need to open up jaw to release whatever has been bit

22
Q

Oral reflexes: Gag

A

From stimulus to tongue

23
Q

Oral reflex: Cough

A

From stimulus to larynx

24
Q

Oral reflex: Swallowing

A

From bolus in pharynx