Exam 15: Feeding Intervention

Which pattern of behaviors reflects oral hypersensitivity?

During feeding, what is the function of the larynx?

Sara is a 4-year-old girl who has the diagnoses of prematurity, cerebral palsy, global developmental delay, chronic lung disease, and seizure disorder. She presents with low muscle tone in the trunk and increased muscle tone in all four extremities. She is unable to sit without support and uses a wheelchair that places her upright with hips at a 90-degree angle, and her head, neck, and trunk are well supported. Given her motor impairments, Sara primarily uses a suckle pattern with bottle-feeding and takes purées by spoon. She is dependent for self-feeding and is held by her mother for meals. She occasionally takes some higher textures such as soft dissolvables. An occupational therapy evaluation finds Sara functioning at an 18-month level for fine motor and cognition. Oral phase swallowing characteristics include an elevated and retracted tongue, slow bolus formation, and lack of tongue mobility. Sara loves to eat but vomits frequently. Her mother reports coughing and occasional choking during meals. There has been slow weight gain, and weight has now plateaued. -What is the best way to complete an oral motor/feeding evaluation?

Which intervention activity would be recommended for a child with poor oral sensory awareness?

What is it called when the infant's tongue moves back and forth and the jaw opens and closes, following the movement of the tongue?

Which consistency of liquid is the most difficult to control within the mouth?

Sara is a 4-year-old girl who has the diagnoses of prematurity, cerebral palsy, global developmental delay, chronic lung disease, and seizure disorder. She presents with low muscle tone in the trunk and increased muscle tone in all four extremities. She is unable to sit without support and uses a wheelchair that places her upright with hips at a 90-degree angle, and her head, neck, and trunk are well supported. Given her motor impairments, Sara primarily uses a suckle pattern with bottle-feeding and takes purées by spoon. She is dependent for self-feeding and is held by her mother for meals. She occasionally takes some higher textures such as soft dissolvables. An occupational therapy evaluation finds Sara functioning at an 18-month level for fine motor and cognition. Oral phase swallowing characteristics include an elevated and retracted tongue, slow bolus formation, and lack of tongue mobility. Sara loves to eat but vomits frequently. Her mother reports coughing and occasional choking during meals. There has been slow weight gain, and weight has now plateaued. -Which team member would you expect to have the least involvement in oral motor treatment at this time?

Sara is a 4-year-old girl who has the diagnoses of prematurity, cerebral palsy, global developmental delay, chronic lung disease, and seizure disorder. She presents with low muscle tone in the trunk and increased muscle tone in all four extremities. She is unable to sit without support and uses a wheelchair that places her upright with hips at a 90-degree angle, and her head, neck, and trunk are well supported. Given her motor impairments, Sara primarily uses a suckle pattern with bottle-feeding and takes purées by spoon. She is dependent for self-feeding and is held by her mother for meals. She occasionally takes some higher textures such as soft dissolvables. An occupational therapy evaluation finds Sara functioning at an 18-month level for fine motor and cognition. Oral phase swallowing characteristics include an elevated and retracted tongue, slow bolus formation, and lack of tongue mobility. Sara loves to eat but vomits frequently. Her mother reports coughing and occasional choking during meals. There has been slow weight gain, and weight has now plateaued. -Considering her cognitive and fine motor performance level, what would be the next developmental milestone to target in treatment?

Which sequence best describes the progression of food texture?

What is the first step in evaluating a child's feeding problems?

Sara is a 4-year-old girl who has the diagnoses of prematurity, cerebral palsy, global developmental delay, chronic lung disease, and seizure disorder. She presents with low muscle tone in the trunk and increased muscle tone in all four extremities. She is unable to sit without support and uses a wheelchair that places her upright with hips at a 90-degree angle, and her head, neck, and trunk are well supported. Given her motor impairments, Sara primarily uses a suckle pattern with bottle-feeding and takes purées by spoon. She is dependent for self-feeding and is held by her mother for meals. She occasionally takes some higher textures such as soft dissolvables. An occupational therapy evaluation finds Sara functioning at an 18-month level for fine motor and cognition. Oral phase swallowing characteristics include an elevated and retracted tongue, slow bolus formation, and lack of tongue mobility. Sara loves to eat but vomits frequently. Her mother reports coughing and occasional choking during meals. There has been slow weight gain, and weight has now plateaued. -To advance Sara's oral motor skills for improved tongue mobility and temporomandibular joint strength, the clinician would incorporate the following intervention techniques:

Sara is a 4-year-old girl who has the diagnoses of prematurity, cerebral palsy, global developmental delay, chronic lung disease, and seizure disorder. She presents with low muscle tone in the trunk and increased muscle tone in all four extremities. She is unable to sit without support and uses a wheelchair that places her upright with hips at a 90-degree angle, and her head, neck, and trunk are well supported. Given her motor impairments, Sara primarily uses a suckle pattern with bottle-feeding and takes purées by spoon. She is dependent for self-feeding and is held by her mother for meals. She occasionally takes some higher textures such as soft dissolvables. An occupational therapy evaluation finds Sara functioning at an 18-month level for fine motor and cognition. Oral phase swallowing characteristics include an elevated and retracted tongue, slow bolus formation, and lack of tongue mobility. Sara loves to eat but vomits frequently. Her mother reports coughing and occasional choking during meals. There has been slow weight gain, and weight has now plateaued. -If you are recommending a modified barium swallow study, what specific information would you provide the physician?

Robert is a 4-year-old boy with a limited diet. He does not like to try new foods. Which statement best reflects how the therapist should help Robert expand his diet?

Which sequence represents the correct phases of swallowing?

Byron is an 11-month-old child who is not feeding himself with his hands. He drinks from a bottle but does not actively hold the bottle. Byron gags when a cracker or cookie is introduced. He is able to swallow puréed cereal without coughing. Which statement best reflects the interpretation of these findings?