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Feeding resource-Ped

Competency - Feeding Resource Tool (FENNS)

QuestionAnswer
What does FENNS standing for? • Family • Environment • Neuro behavior • Neuromotor • Sensory
FAMILY considerations includes: • Breastfeeding history, goals and progress • Feeding experience and history • Competence • Confidence • Anticipatory guidance • Availability
ENVIRONMENT considerations includes: • Interventions (modification, response to environment) • Equipment (nipple/bottle/breastfeeding equipment) • Respiratory support/equipment/settings • Lights • Sound • Positioning • Swaddling
NEUROBEHAVIOR considerations includes- part 1: •Interventions (preparatory touch, handling, time-out, discontinue feeding) • Pre-Feeding • Readiness for feeding-autonomic/motor/state • During Feeding
NEUROBEHAVIOR considerations includes- part 2: • Autonomic stability/stress signs • Motor stability/stress signs • State stability/stress signs • Self-regulation • Attention/interaction • Post-Feeding • Quality of feeding-autonomic/motor/state
NEUROMOTOR considerations includes: • Interventions (swaddle, handling, position, pacing) • Pre/During/Post Feeding • Posture/tone • Musculoskeletal (oral/facial) • Movements (head/neck, oral, extremities, trunk) • Reflexes (rooting, sucking, grasp) • Coordination
SENSORY considerations Includes: • Interventions (NNS, gentle approach, handling, environment) • Tactile (hypo/hyper) • Vestibular (transfers, handling, burping) • Olfactory • Gustatory • Auditory • Visual
Applying the framework helps in your • observation • assessment • planning • education • documentation.
Created by: mwashburn
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