Nutrition Interventions for Children with Special Health Care Needs

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Chapter 7 - Nutrition Interventions for Diarrhea Assessment Intervention Evaluation/Outcome Dietary Dietary triggers of diarrhea are identified and eliminated from food pattern. Use prepared glucose electrolyte solutions for rehydration if needed. High carbohydrate drinks are inappropriate. Rapid refeeding of usual diet is recommended. Obtain a diet history and compare with stool history to determine possible relationships between foods and diarrhea. If further information is needed, request a 3- to 7-day food record and a 3- to 7-day stool record. Food pattern provides adequate amounts of energy, protein, and vitamins and minerals. 88 Nutrition Interventions for Children With Special Health Care Needs *See Chapter 2
Table 7-3: Nutrition Interventions for Chronic Diarrhea Assessment Intervention Evaluation/ Outcome Anthropometric* Child maintains growth pattern. Adjust recommendations for energy intake based on growth data. Measure and plot on appropriate growth chart: • Height or length for age • Weight for age • Weight for height (or length) or BMI • Head circumference (under 3 years) Calculate rate of weight gain and linear and OFC growth (It is very important to know if there has been weight loss or slowing of weight gain.) Repeat height/length, weight and OFC measurements at every clinic visit. Section 2 - Problem-Based Nutrition Interventions Clinical Treatment for medical causes of chronic diarrhea is identified. Treatment of chronic diarrhea is dependent on the cause. Medical and dietary management is available for many of the disorders that cause chronic diarrhea. Obtain information about clinical history. Include child’s age, other diagnoses (prematurity, congenital disorders, prior surgery), medications, possible exposures through day care attendance, camping, or foreign travel. Food record is helpful to evaluate possible causes of diarrhea. Nutrition Interventions for Children With Special Health Care Needs 89 Obtain information about stool history, including duration of illness, stool frequency, consistency, and presence of blood or mucus. Specific emphasis should be placed on the characteristics of the stool and if there is a family history of gastrointestinal disorders. A careful review of systems must be done to see if other body systems are involved (e.g., respiratory tract symptoms might be the clue that cystic fibrosis is the cause of chronic diarrhea).
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Nutrition Interventions for Childre
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Kay Kopp, OTR/L Occupational Therap
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Appendices Appendix A Sample Screen
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ii Nutrition Interventions for Chil
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Population “Children with special
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vi Nutrition Interventions for Chil
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Chapter 1 - Nutrition Screening and
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Chapter 2 - Anthropometricss needs,
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Chapter 2 - Anthropometricss Statur
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Chapter 2 - Anthropometricss Techni
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Chapter 2 - Anthropometricss paraly
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Chapter 2 - Anthropometricss time a
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Chapter 2 - Anthropometricss measur
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Chapter 2 - Anthropometricss Mild m
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Chapter 2 - Anthropometricss 9. Re-
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Chapter 2 - Anthropometricss 5. Per
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Chapter 2 - Anthropometrics Table 2
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Chapter 2 - Anthropometricss Refere
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Chapter 2 - Anthropometricss 26. Kr
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Chapter 12 - Accommodating Special
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Chapter 13 - Nutrition Intervention
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Chapter 22 - Ketogenic Diet for Sei
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Appendix A Please list any other nu
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Appendix A Baby formula What kind o
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Appendix B Manufacturer Description
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Appendix C 282 Nutrition Interventi
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Appendix D 284 Nutrition Interventi
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Appendix E 292 Nutrition Interventi
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Appendix E Table 3: Parent-Specific
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Appendix F Percentiles of Upper Arm
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Appendix F 302 Nutrition Interventi
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Appendix G 304 Nutrition Interventi
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Appendix H 312 Nutrition Interventi
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Appendix I 320 Nutrition Interventi
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Appendix J 328 Nutrition Interventi
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Appendix K 336 Nutrition Interventi
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Appendix K 338 Nutrition Interventi
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Appendix L 340 Nutrition Interventi
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Appendix M 342 Nutrition Interventi
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Appendix M 344 Nutrition Interventi
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Appendix N Gastrostomy Tube Feeding
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Appendix N activities. When feeding
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Appendix N Feeding Sets/Extensions
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Appendix N Fluid and Electrolytes W
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Appendix N osmolality of full-stren
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Appendix N Modular Products Modular
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Appendix N his family, and the home
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Appendix N • The feeding tube may
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Appendix N equipment. The Special S
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Appendix N Table N-2: Common Compli
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Appendix N Complication Possible Ca
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Appendix N 368 Nutrition Interventi
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Appendix O Some conditions increase
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Appendix O Table O-3: Recommended P
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Appendix O 374 Nutrition Interventi
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Appendix P Diet Prescription for Me
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Appendix Q Goals Considerations for
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Appendix R Condition Description Nu
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Appendix R Condition Description Nu
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Appendix R References 1. Ekvall SW
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Appendix S Table S-1: Infant Formul
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Appendix S Comments Osmolality (mOs
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Appendix S Table S-2: Pediatric For
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Appendix S Table S-3: Modular Produ
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Appendix S Comments Energy (kcal) P
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Appendix S Contact Information Abbo
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Appendix T Powdered Formulas Accura
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Appendix T Table T-1: Liquid Concen
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Appendix T 402 Nutrition Interventi
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Appendix U Nutrition Strategies for
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Appendix U ADA Pocket Guide to Nutr
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Glossary Autism Spectrum Disorders
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Glossary Early intervention service
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Glossary Length (recumbent length)
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Glossary Stadiometer moveable headb
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Index specialist 98 target 108 Bink
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Index elemental formula 348 elimina
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Index I ICF. See International Clas
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Index risk indicators 4 screening 1
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Index suppositories 72, 77 Surmonti
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