Introducing
Your new presentation assistant.
Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.
Trending searches
Cue Based Feeding Teaching Presentation
36
The Bossy Baby Project
redefining oral feeding success in a Level III NICU
Dr Lindsay Meyer Turner, PhD, CCC-SLP
What is your definition of a SUCCESSFUL oral feeding?
Introduction & Literature Review
Current research shows that infant directed feeding programs are more successful and developmentally supportive for premature infants
Shorten's Length of Time to Attain Full Feedings
Fewer Adverse Events
Better Weight Gain
Changing our Mindset
The goal is NOT to complete a feeding, it is for the infant to have a good QUALITY feeding
Changing our Mindset
Remember: QUALITY > QUANTITY
INFANT DRIVEN > VOLUME DRIVEN
INTENSIVE care vs intensive CARE
Be mindful of your words...
- I can feed a rock.
- Let me try. I can get him to finish it.
- He didn't want to take it, but I got it in him.
- It wasn't a pretty feeding, but I got him to finish.
- She just PO'd at 0900. She will probably be too tired to PO again at 1200.
- He got sleepy after 10 minutes, but I got him to finish in 25 with some encouragement.
Instead let's say...
- If he's not sucking anymore, it could mean different things. Let's see if we can figure out what he's trying to tell us.
Instead let's say...
7 Mistakes NICUs Make with Oral Feedings Every Day
7 Mistakes NICUs Make with Oral Feedings Eve...
Elements of Cue Based Feeding
Cue based feeding: "nipple feedings are intiated in response to infant's behavioral cues and stopped when the infant demonstrates satiation" (Tosh & McGuire, 2007)
Readiness Scores (RS)
Quality Scores (QS)
Knowing When Baby is DONE
Learn to read and respond to disengagement cues
Knowing When Baby is DONE
- Apnea, bradycardia, desaturations
- Arching, straining, fussiness
- Emesis
Force Feeding & Feeding Aversion
- Difficulty feeding (e.g. transitioning to baby foods, cup and straw drinking) continues to be a significant issue that NICU graduates continue to deal with through the first year of life, according to parents (CITE)
- Stress during oral feedings can alter sensory-motor pathways in the brain that guide the infant away from feeding (Shaker, 2013)
Long Lasting Effects
- 54% of parents at one month PMA report a feeding problem (Thoyre, 2007)
- Oral motor dysfunction persists beyond infancy in 33% of very early births (25.6 weeks GA) and 25% have oral hypersensitivity and behavioral feeding problems at early school age (Samra et al., 2010)
Feeding Matters Video
Is the baby SURVIVING the feeding or ENJOYING the feeding?
Is the baby SURVIVING the feeding or ENJOYING t...
- By focusing on volume, we take away the nurturing aspect of oral feeding.
Is this acceptable?
Prolonged Feeding Tube Usage
25 wk; G-Tube
Parent Education and Involvement
Handouts and Verbal Education
Our Unit's Project
OUTLINE POLICY/PROCEDURE
Our Unit's Project
Data collection
- Gestational age (GA)
- Age at first feeding (AFF)
- Age at full oral feeding (AFOF)
- Parent Survey
- Nursing Survey