Occupational Therapy Feeding Evaluation
Occupational Therapy Feeding Evaluation
[YOUR COMPANY NAME]
Date: [INSERT DATE]
Introduction
This structured evaluation form will aid in assessing the feeding capabilities of the patients in the context of occupational therapy.
PURPOSE
The assessment evaluates critical feeding skills and development. It mandates the utilization of various performance metrics explained below.
Instructions
Please evaluate the following aspects of your home environment based on the provided criteria. Rate each criterion on a scale from 1 to 5.
Rating Scale: 1- Poor performance, 2- Below average performance, 3- Average performance, 4- Above average performance, 5- Excellent performance
Evaluation Criteria
|
Criteria |
Description |
Rating (1-5) |
|---|---|---|
|
Oral Motor Skills Assessment |
Evaluate the individual's oral motor skills. |
|
|
Sensory Processing Evaluation |
Assess the individual's sensory processing related to feeding. |
|
|
Swallowing Function Analysis |
Evaluate the individual's swallowing function. |
|
|
Mealtime Behavior Observation |
Assess the individual's behaviors during mealtime. |
|
|
Feeding Equipment Effectiveness |
Evaluate the effectiveness of feeding equipment. |
|
|
Family/Caregiver Involvement |
Assess the level of family/caregiver involvement. |
|
|
Hand-Mouth Coordination |
Assess the patient's ability for hand-mouth coordination. |
|
|
Swallowing Ability |
Evaluate the patient's ability to swallow effectively. |
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|
Chewing Competency |
Assess the patient's ability to chew food correctly. |
|
|
Adaptive Equipment Use |
Evaluate the patient's use of adaptive feeding equipment. |
Additional Comments and Notes
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Additional Notes and Comments |
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