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FEEDING EVALUATION CASE HISTORY FORM2092 Gather Road, Suite 100 Rockville, Maryland 20850 301.424.5200 Fax 301.424.8063 TTY 301.424.5203 www.ttlc.orgThe following information will be read by the therapist
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How to fill out feeding evaluation case history

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How to fill out feeding evaluation case history

01
Start by collecting relevant information about the individual's feeding history, such as any past medical conditions, dietary restrictions, or feeding difficulties they may have experienced.
02
Gather information about the individual's current feeding behaviors and habits, including the types of food they eat, the amounts they consume, and any challenges they face during mealtime.
03
Interview the individual's caregivers or parents to gain insights into their feeding routine and practices at home.
04
Document any specific concerns or issues related to the individual's feeding, such as choking incidents, food refusal, or limited food variety.
05
Assess the individual's oral motor skills and sensory responses related to feeding, including observation of sucking, chewing, swallowing, and gag reflex.
06
Conduct a thorough physical examination to identify any physical abnormalities or medical conditions that may affect the individual's feeding abilities.
07
Consider conducting additional assessments, such as a nutritional evaluation or swallowing study, if necessary.
08
Based on the gathered information, formulate a comprehensive feeding evaluation case history report that includes detailed observations, findings, and recommendations.
09
Share the report with relevant healthcare professionals, such as occupational therapists or speech-language pathologists, who can use the information to develop appropriate feeding interventions or therapy plans.

Who needs feeding evaluation case history?

01
Feeding evaluation case history is needed for individuals who are experiencing difficulties or challenges related to feeding.
02
Infants or children who exhibit feeding problems, such as poor weight gain, food refusal, or difficulty transitioning to solid foods, may require a feeding evaluation case history.
03
Individuals with medical conditions that impact their oral motor skills, swallowing abilities, or sensory responses to food may also benefit from a feeding evaluation case history.
04
Feeding evaluation case history is often conducted by healthcare professionals, such as pediatricians, speech-language pathologists, occupational therapists, or dietitians, who specialize in pediatric feeding disorders or dysphagia.
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Feeding evaluation case history is a document that provides detailed information about a patient's feeding habits, history of feeding difficulties, and any previous interventions or treatments related to feeding.
Medical professionals such as doctors, nurses, or dietitians are required to file feeding evaluation case history for their patients.
Feeding evaluation case history can be filled out by documenting the patient's feeding habits, current feeding difficulties, any previous interventions, and treatment plans.
The purpose of feeding evaluation case history is to provide a comprehensive overview of the patient's feeding issues and assist in developing a tailored treatment plan.
Information such as the patient's feeding habits, any difficulties experienced during feeding, past interventions, and current treatment plans must be reported on feeding evaluation case history.
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