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Conditions in Childhood > Week 4- Feeding Intervention > Flashcards

Week 4- Feeding Intervention Flashcards

1
Q

Progression of Mealtime Participation:

Infant feeding involves:

A
  • Bonding
  • Warmth
  • Comfort
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2
Q

Independence in feeding occurs when:

A

7-24 months

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3
Q

Independence in feeding involves what:

A
  • Finger feed
  • Variety of foods
  • Sensory qualities of food
  • Communication
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4
Q

Define feeding:

A

the process of setting up, arranging and bringing the food from the plate to the mouth.

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5
Q

Define Eating:

A

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

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6
Q

Define swallowing

A

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

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7
Q

Progression of Mealtime Participation:
Toddlers:
When does it occur?
What does it involve?

A

-Independent 2+
-Full participant in mealtime
Feeding behaviors

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8
Q

What are the Phases of Swallowing?

A
  • Oral preparatory phase
  • Oral Phase
  • Pharyngeal Phase
  • Esophageal Phase
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9
Q

Describe the Oral preparatory phase

A
  • Under voluntary control
  • Oral manipulation that results in the formation of a bolus of food
  • Area of oral motor feeding intervention
  • Review Box 15-1 for cranial nerve function
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10
Q

Describe the oral phase

A
  • Under voluntary control

- Begins when the tongue moves the bolus posteriorly

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11
Q

Describe pharyngeal phase

A

Starts with the trigger of the swallow

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12
Q

Describe the esophageal phase

A
  • Involuntary

- It allows food to enter the stomach

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13
Q

What are the Oral Motor Development Associated with Eating Skills?

A
  • Coordination of sucking, swallowing, and breathing
  • Biting and chewing
  • Self-feeding
  • Drinking

-Review Tables 15-2 and 15-3 in addition to developmental chart provided during lab module 1

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14
Q

What are the Factors that Determine the
 Ability to Feed?

A
  • Sucking rhythm

- Type of suction

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15
Q

Describe factors involved in type of suction?

A
  • Compression and suction are required

- Seals lips around nipple and moves tongue back and forth (occurs by 36 weeks’ gestation)

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16
Q

Feeding with a Full-Term Infant
 (37–42 weeks)

A

Strong oral reflexes:
Rooting
Gag and cough

Amount of liquid is determined by:
Rate or speed of sucking
Force of suction or compression
Length of feeding time

17
Q

Describe True Sucking

A
  • Tongue moves up and down
  • Reduced wide jaw excursions
  • Less liquid loss
  • Nipple suction force increases
  • By 4 months, 20 or more sucks before pausing
18
Q 
What is the Progression of Self-feeding?
Takes cereal from spoon
Sucks on cracker
Finger feeds
Dips spoon in food
Scoops food
May stab with fork
A

Look in chart pg394

19
Q

What types of things are included in a feeding history

A

pg396

20
Q

Why does the OT want to know about mealtime preparation?

A

look in book

21
Q

Neuromotor Evaluation involves?

A
  • Observation of movement
  • Transition patterns
  • Muscle tone
  • Head/neck alignment
  • Postural control
22
Q

What oral structured need to be examined? (6)

A

Jaw, Larynx, Dentition, Hard and Soft Palates, Tongue

23
Q

What do you have to analyze when looking at oral structures?

A
  • Symmetry
  • Size
  • Range of motion
  • Structural appearance
24
Q

What is Videofluoroscopic Swallow Study (VFSS)?
What does it asses? What does it detect?
What does it identify?

A
  • Radiological procedure
  • Assesses oral, pharyngeal, and upper esophageal anatomy and stages of swallowing
  • Detects problems related to head and neck positioning
  • Helps identify compensatory techniques to minimize risk of aspiration.
25
Q

Medical Conditions Affecting Eating are?

A

-Cerebral palsy
-Hypotonia
-Oral-facial anomalies
-Gastroesophageal reflux
Aka GER
If more severe may lead to GERD

26
Q

Guiding Questions to Evaluate Contexts

for Feeding: Physical?

A
  • Is seating and positioning adequate? Does it provide stability?
  • Are head, neck, shoulders, and pelvis well aligned?
  • Is space adequate for eating activities?
  • Are noise and activity levels conducive to eating?
27
Q

Guiding Questions to Evaluate Contexts

for Feeding: Social?

A
  • Who feeds the child?
  • Who is present during the meal?
  • What is the nature of the social interaction among family members during the meal?
  • What communication/interaction occurs between the caregiver and child during feeding?
28
Q

Guiding Questions to Evaluate Contexts

for Feeding: Temporal?

A
  • Is sufficient time allotted and available for a relaxing meal?
  • How often is the child fed?
  • How long does feeding take?
29
Q

Guiding Questions to Evaluate Contexts

for Feeding: Cultural?

A
  • How do cultural beliefs and values influence mealtime?

- What foods does the family eat?

30
Q

Safety issues while feeding?

A
  • Aspiration
  • Nutritional status
  • Gloves during therapy
  • Choking risk

Conditions in Childhood (10 decks)

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