Which of the following is NOT an indication for bolus type feedings?

When considering bolus type feedings, it's essential to understand that these feedings are typically used for patients who can process larger volumes of formula or food at once, which is often the case in conditions where a rapid intake can occur. Maximizing calorie intake is usually an objective in feeding strategies, but bolus feeding specifically may not be the primary recommendation for this purpose.

Dysphagia, anorexia, and supplementing oral intake are all conditions where bolus feedings can be beneficial. In patients with dysphagia, bolus feeding allows careful management of the feeding process to ensure safety and adequate nutritional intake. Anorexia may result in a need for concentrated caloric strategies, and bolus feedings can help deliver these calories more effectively. Similarly, when oral intake is insufficient, bolus feedings can supplement what a child is able to consume through traditional means, offering an efficient way to meet nutritional goals.

Thus, in the context of these feeding strategies, the goal of maximizing calorie intake does not align directly with the practice of using bolus feedings, making this option less relevant compared to the other indications provided.