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Dysphagia ND Feed
Feeding Characteristics with Normal Development
| Question | Answer |
|---|---|
| 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 |
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