{"id":11440,"date":"2018-04-24T07:05:12","date_gmt":"2018-04-24T14:05:12","guid":{"rendered":"https:\/\/www.speechbuddy.com\/blog\/?p=11440"},"modified":"2023-11-08T10:29:14","modified_gmt":"2023-11-08T18:29:14","slug":"pediatric-feeding-evaluations","status":"publish","type":"post","link":"https:\/\/www.speechbuddy.com\/blog\/parents-corner\/pediatric-feeding-evaluations\/","title":{"rendered":"Pediatric Feeding Evaluations, What to Expect"},"content":{"rendered":"<p>Many people believe that the role of a speech-language pathologist\u2019s (SLP) is limited to speech and language, however, we have a list of responsibilities including pediatric feeding evaluations. SLPs are experts in the oral mechanism all the way down to the esophagus, allowing them to support individuals with <a href=\"https:\/\/www.speechbuddy.com\/blog\/speech-disorders\/swallowing-and-feeding-disorders\/\">feeding and swallowing<\/a> difficulties. Feeding involves all the steps it takes to get food off the plate and into your mouth, while swallowing includes chewing, moving the food down the throat, and protecting the airway that leads into the lungs. A swallowing disorder is known as dysphagia. If your child has any aversion to certain foods or has trouble swallowing without coughing, your pediatrician may suggest you visit a speech-language pathologist. In order to assess your child\u2019s feeding and swallowing abilities, the SLP will conduct a natural feeding evaluation. If this is recommended, here\u2019s what you can expect\u2026<\/p>\n<h2><b>Your Pediatric Feeding Evaluation, Step by Step<\/b><\/h2>\n<p><img decoding=\"async\" class=\"alignleft size-medium wp-image-11452 lazyload\" data-src=\"https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2018\/04\/picnic-2659207_960_720-300x200.jpg\" alt=\"Baby feeding and swallowing problems\" width=\"300\" height=\"200\" data-srcset=\"https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2018\/04\/picnic-2659207_960_720-300x200.jpg 300w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2018\/04\/picnic-2659207_960_720-768x512.jpg 768w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2018\/04\/picnic-2659207_960_720-784x523.jpg 784w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2018\/04\/picnic-2659207_960_720-470x313.jpg 470w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2018\/04\/picnic-2659207_960_720-350x233.jpg 350w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2018\/04\/picnic-2659207_960_720.jpg 960w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/200;\" \/>First, the therapist will conduct an initial interview. They will ask you questions about your child\u2019s developmental history, family background, your family\u2019s daily routine, feeding preferences, and wishes for therapy.<\/p>\n<p>After the SLP and child become acquainted, she will complete an oral mechanism exam. From a parent\u2019s perspective, this procedure may appear like your average snack time. However, the SLP is observing everything your child does to determine what needs to be done next. For young children, speech therapists often disguise this examination with play activities. Modeling and asking the child to make funny faces, the SLP will observe the child\u2019s ability to move their oral structures (lips, tongue, cheeks, ect.) and any asymmetry or weakness is noted.<\/p>\n<p><span style=\"font-weight: 400;\">Next, the therapist will begin to offer the child different foods and textures. In order to create the most natural feeding possible, the SLP may request that you bring in some of your child&#8217;s favorite foods or utensils from home. Food and drinks of different consistencies will be presented in order to identify your child\u2019s strengths and weaknesses. As the therapist and child enjoy the different foods, the therapist will observe the child\u2019s ability to hold the food in their mouth, chew, and swallow without leaving residue behind. The evaluation may be video recorded for later analysis and the therapist will take notes throughout. A checklist such as The <\/span><i><span style=\"font-weight: 400;\">Developmental Pre-Feeding Checklist: A Sequential Approach <\/span><\/i><span style=\"font-weight: 400;\">(1987) may also be used to make a thorough diagnosis. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Once the evaluation is complete, the SLP will be able to make recommendations for therapy. If further evaluation or intervention is needed, the therapist may refer you next to other professionals such as an occupational therapist or a physical therapist. For more information on pediatric dysphagia and feeding assessment, please visit <\/span><a href=\"https:\/\/www.asha.org\/PRPSpecificTopic.aspx?folderid=8589934965&amp;section=Assessment\"><span style=\"font-weight: 400;\">ASHA\u2019<\/span><\/a><span style=\"font-weight: 400;\">s website.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>References: <\/strong><\/p>\n<p><a href=\"https:\/\/www.asha.org\/PRPSpecificTopic.aspx?folderid=8589934965&amp;section=Assessment\"><span style=\"font-weight: 400;\">https:\/\/www.asha.org\/PRPSpecificTopic.aspx?folderid=8589934965&amp;section=Assessment<\/span><\/a><\/p>\n<p>http:\/\/72.29.72.224\/~ohsnapor\/wp-content\/uploads\/2017\/02\/FeedingChecklist.pdf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Many people believe that the role of a speech-language pathologist\u2019s (SLP) is limited to speech and language, however, we have a list of responsibilities including pediatric feeding evaluations. SLPs are experts in the oral mechanism all the way down to the esophagus, allowing them to support individuals with feeding and swallowing difficulties. Feeding involves all [&hellip;]<\/p>\n","protected":false},"author":1096,"featured_media":11441,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1734,1632,1323],"tags":[],"class_list":["post-11440","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-expert-corner","category-normal-speech-milestones","category-parents-corner"],"jetpack_featured_media_url":"https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2018\/04\/baby-eating-cookie.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/posts\/11440","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/users\/1096"}],"replies":[{"embeddable":true,"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/comments?post=11440"}],"version-history":[{"count":11,"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/posts\/11440\/revisions"}],"predecessor-version":[{"id":12345,"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/posts\/11440\/revisions\/12345"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/media\/11441"}],"wp:attachment":[{"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/media?parent=11440"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/categories?post=11440"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/tags?post=11440"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}