A pediatric feeding disorder involving oral motor dysfunction, food refusal, texture aversion, or dysphagia that limits nutritional intake and mealtime participation across developmental stages.
| Goal | |
|---|---|
| Patient will accept 3 novel pureed foods presented on a spoon without gagging or oral refusal behaviors across 3 consecutive sessions. |
| Goal | |
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| Patient will lateralize a soft-mechanical bolus to the molar surface for chewing in 4/5 trials given tactile cues. |
| Goal | |
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| Patient will drink 4 oz of thin liquid from an open cup with no more than 2 instances of anterior spillage per session. |
| Goal | |
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| Patient will tolerate 5 novel food textures placed on lips and tongue tip without aversive reactions given a desensitization protocol. |
| Goal | |
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| Patient will chew a dissolvable solid using a rotary chew pattern for 10 consecutive bites given verbal and visual modeling. |
| Goal | |
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| Patient will remain seated at the table for a 15-minute mealtime without leaving the chair, throwing food, or crying given a visual timer and first-then board. |
| Goal | |
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| Patient will use a controlled bite pattern on a resistive food (cracker, pretzel) with lip closure during chewing in 80% of opportunities. |
| Goal | |
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| Patient will swallow a puree bolus with no overt signs of aspiration (coughing, wet vocal quality, watery eyes) across 10 consecutive trials. |
| Goal | |
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| Patient will transition from Stage 2 purees to mashed table foods within 8 weeks as demonstrated by acceptance of 5 mashed food items. |
| Goal | |
|---|---|
| Patient will use a straw to drink 2 oz of thickened liquid with adequate lip seal and no fluid loss given hand-over-hand assist fading to independent. |
Use the SOAP note templates on this page: build the Subjective, Objective, Assessment, and Plan sections from the ready-made feeding/swallowing disorder phrases. Each uses skilled-service, insurance-defensible language — document the patient's performance plus the skilled intervention you provided, then review and individualize before signing.
The feeding/swallowing disorder goal bank on this page provides SMART, measurable goals with a clear condition, target behavior, and mastery criteria. Copy a goal and adjust the specifics to your patient and setting (school/IEP or medical).
They are written with the skilled-service and medical-necessity language payers look for. The licensed clinician must always review and individualize each note before submitting it for reimbursement.
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