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Peds Feeding
Age (months) | Eating/Feeding Performance |
---|---|
5-7mos | takes cereal or poured baby food from spoon |
6-8mos | Attempts to hold bottle |
6-9mos | holds/tries to eat crackers but sucks more than bites, ;consumes soft food that disolves in mouth;grabs at spoon but bangs it or sucks on either end |
9-13mos | Finger-feeds |
12-14mos | Dips spoon in food, spoon to mouth, inverts spoon prior to reaching mouth |
15-18mos | Scoops food w/spoon, brings to mouth |
24-30mos | Interest in fork, may stab at food, proficient at spoon use. |
Feeding Interventions: | position appropriately, correct caregiver hand positioning, lip/jaw closure facilitation, inhibit tongue thrust, facilitate swallow/chewing, integrate preventative measures, consider texture of food, consider development of feeding skills |
Position appropriately: | Neutral pelvic alignment, trunk stability, avoid head extension |
Hand positioning of caregiver: | index finger longitudinally under lip, middle finger under jaw, thumb on lateral end of mandible |
Facilitate lip closure: | apply slight upward pressure of index finger under childs lip |
Facilitate jaw closure: | Firm upper pressure of middle finger under jaw |
Inhibit tongue thrust | press bowl of spoon downward and hold on tongue |
Facilitate swallow: | use lip closure, slight downward pressure of spoon on middle aspect of tongue |
Facilitate chewing: | Place foods such as long soft cooked veggies, between gum/teeth |
Integrate preventative measures: | Provide firm downward pressure, w/spoon, in middle part of tongue in presence of tonic bite reflex. Prevent tongue retraction to avoid choking, decrease tactile sensitivity prior to feeding (rub tongue/gums/palate, firm pressure) |