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Dysphagia ND Feed

Feeding Characteristics with Normal Development

Circulatory jaw rotations 24-36
Lip closure with chewing 24-36
One handed cup holding with open cup 24-36
Fills spoon with use of fingers 24-36
Solids 24-36
Total self-feeding (uses fork) 24-36
No tongue protrusion noted with any consistency or utensil 24-36
Mature chewing and drinking skills 24-36
Swallows with lip closure 15-18
Self-feeding predominates although immature 15-18
Swallows chewable foods with no loss of food or saliva – no tongue protrusion 15-18
Rotary chewing with solids 15-18
No loss of saliva or food 15-18
Independent food intake with mature chewing and drinking skills with immature self feeding 15-18
Coarsely chopped table foods 15-18
Lip, tongue, and jaw movements are independent of 
one another 12-15
Controlled bite is present on a hard cookie/cracker 12-15
Rotary chew develops with lateral and vertical 
jaw movements 12-15
Chewing occurs with mouth open 12-15
All textures taken 12-15
Straw drinking 12-15
Tastes/preferences for food are developing 12-15
Cup drinking is well controlled with no choking or pausing 12-15
Whole milk can be given at 12-15
Child begins to self feed 12-15
An increase in ability to eat mixed textures (spaghetti, finely ground meat, and fruit yogurts) closer to 15 months of age 12-15
Both lips are active in removal of food from spoon 9-12
Cup drinking occurs with successive swallows (no pause) with some liquid loss 9-12
Self finger feeding (takes ground, mashed, or chopped foods with small lumps) 9-12
Controlled sustained bite on soft cookie 9-12
Tongue tip elevates and emerging lateral tongue movements are separate from jaw movements 9-12
Emerging lateral and diagonal jaw movements 9-12
Drinking from a cup with less liquid loss but still may occasionally cough if liquid flows to fast 9-12
Chews with up and down and diagonal rotary movements 9-12
Weaning from nipple as cup drinking skills increase 9-12
Continue with formula or breast milk, cheese/yogurt, grains, fruit, vegetables, meats offered 9-12
Begins to ingest a variety smooth pureed to lumpy pureed consistencies 6-9
Upper lip helps to remove food from the spoon 6-9
Tongue can collect food and place on gums for chewing 6-9
Coordinated lip, tongue, and jaw movements in all positions 6-9
Chewing reflexes begin 6-9
Cup drinking has suck and suckling patterns but still immature 6-9
Gag reflex becomes protective 6-9
Mouth used for investigation of environment 6-9
Lips begin to show active movement 4-6
Suckling disappears and active suck appears 4-6
No liquid is lost from sucking 4-6
Tongue movement accompanies jaw movement and shows an extension-retraction pattern 4-6
Intake is 6-8 oz. per feeding every 4-6 hours 4-6
Pureed foods are introduced at 6 months 4-6
Gags on new textures 4-6
Introduce cup drinking at 6 months (much of liquid is lost though and majority of liquid intake is still by bottle) 4-6
Wide jaw excursions are noted with cup drinking introduction 4-6
Increased active oral exploration 4-6
Rooting reflex and automatic bite reflex are gone 4-6
Tongue protrusion reflex is integrated 4-6
Rhythmical suckle/sucking on nipple (suckling is the extension and retraction movement of the tongue and sucking is characterized by the tongue raising and lowering in the mouth for a stronger pumping motion) 0-3
Nasal respiration's 0-3
Rooting reflex present 0-3
Incomplete lip closure 0-3
Anterior-posterior movement of tongue 0-3
Active lip movement with sucking 0-3
Only taking breast milk or formula for nutrition 0-3
Mature suck pattern of good coordination between breathing, swallowing, and sucking 0-3
See burst of 20-30 sucks before pausing (pausing is typically secondary to interaction with caregiver, burping etc. vs. pausing to breathe) 0-3
Tongue protrusion is apparent if pureed food given 0-3
Will take 2-8 ounces per feeding depending on weight and age 0-3
Created by: utd



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