feeding-peds

things to consider for feeding

family cultural background, the child ages and devlopment, envorment, socioeconomic, and cargivers

oral motor milestone Newborn

• rooting reflex

• suck, swallow, breathe pattern- babies are able to do this automatically (usually)

• suckling

• Physiological function-pos out of the womb (fetal pos)

oral motor milestone: 1-3 months

• improvement of suck, swallow, breathe pattern, less reflexive, more intentional

• Physical flexion decreasing

oral motor milestone: 4-6 months

• true suck pattern emerges

• Chewing patterns develop

  • munching-up & down movement

  • lateral & diagonal jaw movement emerging

  • lateral tongue movement emerging

• can hold their own bottle

• Usually start solids

• sitting to drink from a cup (sippy/straw)

  • 6 months (2 oz of water a day)

oral motor milestone: 7-9 months

• tongue lateralization

• diagonal rotary movements

• circular rotary pattern developing

• drinking from an open cup (small silicone cup)

• finger feeding-self feeding (fine motor, sensory, occupation)

oral motor milestone: 12 months

• independent utensil use (MESSY)

• Rotary chewing

• tongue protrusion

• eats most table foods

• eating on fam schedule

Anatomical structure feeding issues: Jaw

• Jaw thrust

  • tone

• Tonic bite reflex

  • reflexive bite reflex

Anatomical structure feeding issues: Tongue

• thrust-high tone

  • tongue shoots out, hard to move around

• retraction

• Protrusion

  • tongue hanging out

• Tongue ties

  • under tongue line under tongue

Anatomical structure feeding issues: Lips

• retraction-high tone

• drooling-low tone

• lip ties

  • line in lip

• cleft lips or cleft palate

  • anomalies, gaps in the mouth

Self feeding

• head control

• trunk control

• control of reach, grasp, and release

• hand-eye coordination

Sensory mealtimes

• smell

  • do you want near food

• sight

  • what does food look like

• touch/texture

  • slimey, wet, bumpy, smooth

• taste

  • does it taste good to them

• sound

  • environment, cafeteria, at home

Causes of oral hypersensitivity

• Neg early experience

  • hospital stays, force feeding, reflux

• lack of oral experience

  • ng tube, OG tube, G-tube feedings

• Neurological impairments