#3 condensed chat version

What is the primary goal of rehabilitative strategies in swallowing therapy?

To improve physiology over time.

What is the main purpose of compensatory strategies in swallowing therapy?

To ensure immediate safety during meals.

Give an example of a rehabilitative strategy.

Lingual strengthening exercises.

Give an example of a compensatory strategy.

Chin tuck or small sips.

What are poor candidates for compensatory strategies?

Individuals who cannot follow directions, have poor attention, or severe weakness.

What exercises target the oral stage of swallowing?

Exercises for lips, tongue, and jaw, such as bolus control.

What is the focus of exercises during the pharyngeal stage?

Airway protection, using techniques like effortful swallow and Mendelsohn maneuver.

What is the key principle regarding exercise implementation for swallowing?

Exercises must be effortful and involve swallowing muscles.

What does the SMART criteria stand for in writing goals?

Specific, Measurable, Achievable, Relevant, Time-bound.

What is the Frazier Free Water Protocol?

Allows thin water between meals to prevent dehydration.

What are the rules for the Frazier Free Water Protocol?

Clean oral cavity, wait 30 min after meals, remain upright at 90°, and water only.

What are the two main goals of swallowing therapy?

Safe swallowing to prevent aspiration and adequate nutrition/hydration.

What is the difference between enteral and parenteral nutrition?

Enteral is through the GI tract, while parenteral is through veins.

What is a PEG tube?

A tube placed directly into the stomach for long-term feeding.

What are common etiologies for pediatric feeding and dysphagia?

Prematurity, congenital conditions, craniofacial anomalies, and acquired injuries.

How does pediatric swallowing differ from adult swallowing?

Pediatric swallowing is reflex-driven, while adult swallowing is voluntary.

What signs indicate a child is ready for solids?

Sitting upright, good head control, reaching for food, and interest in eating.

What is the proper positioning for feeding?

Upright in a 90-90-90 position with feet supported.

What is the purpose of sensory-based feeding?

To encourage messy exploration and build oral motor skills and positive food experiences.

What types of foods are recommended for lateralization?

Soft foods like scrambled eggs, soft veggies, and soft meats.

When should an occupational therapy referral be considered?

For sensory issues or behavioral feeding problems.