Nutrition Interventions for Children with Special Health Care Needs

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Chapter 9 - Behavior Issues Related to Feeding Resources The Association for Applied Behavior Analysis International (ABAI), 550 W. Centre Ave., Portage, MI 49024-5364; Phone: (269)492-9310, FAX (269)492-9316; email: mail@abainternational.org; http://www.abainternational.org The Association for Applied Behavior Analysis International can provide a list of colleges and universities that have strong behavioral programs as well as information on locating a behaviorist in specific areas. The Association of Professional Behavior Analysts is another potential resource, http://www.apbahome.net. As with any profession, the quality of services provided by those performing behavior analysis, certified or uncertified, varies greatly. O’Neil SM, Pipes PL. Managing mealtime behaviors. In: Trahms CM, Pipes, eds. Nutrition in Infancy and Childhood, 6th ed. Dubuque, IA: WCB/McGraw-Hill; 1997. 120 Nutrition Interventions for Children With Special Health Care Needs
Chapter 10 Section 2 - Problem-Based Nutrition Interventions enteral Feeding (tube Feeding) Annette Pederson, MS, RD, CD Enteral tube feeding is used for infants and children who have a functioning gastrointestinal tract but are unable to meet their nutrition needs orally. Conditions that may require enteral feeding are numerous: • Gastrointestinal disorders, such as disorders of absorption, digestion, utilization, secretion, and storage of nutrients; and including anatomic disruptions such as tracheoesophageal fistula • Inability to meet nutrition needs orally or safely by mouth, including neuromuscular disorders, such as muscular dystrophy, spinal cord defects, and cerebral palsy or damage to the central nervous system that can cause oralmotor problems • Increased energy/nutrition needs due to cardiopulmonary disorders and other conditions, such as cystic fibrosis, burns, cancer, prematurity, chronic lung disease, catch up growth, and failure to thrive Enteral feeding can play a role in both short-term rehabilitation and long-term nutrition management. The extent of its use ranges from supportive therapy, in which the tube delivers a portion of the needed nutrients, to primary therapy, in which the tube delivers all the necessary nutrients. Most children who receive tube feedings can continue to receive oral feedings to fulfill the pleasurable and social aspects of eating. All infants and young children require oral-motor stimulation for developmental reasons. Tube feeding benefits the child by improving growth and nutritional status and frequently improves the primary condition. By ensuring that the child’s nutrient needs are being met, tube feeding can free the family from anxiety and therefore improve quality of life. Additional benefits can include improved hydration, improved bowel function, and consistent medication dosage. Tube feeding is an important therapy for the child who cannot orally feed safely and needs to be fed by enteral tube to protect his airways and prevent or decrease the risk of aspiration. Tube feeding is a safer and less expensive alternative to oral feeding than total parental nutrition (1). There are disadvantages to enteral feedings. If a child has gastroesophageal reflux, aggressive enteral feeding may increase his risk of aspiration or vomiting. Nutrition Interventions for Children With Special Health Care Needs 121
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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 3 - Physical Activity for C
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Chapter 4 - Breastfeeding recommend
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Chapter 4 - Breastfeeding Table 4-1
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Chapter 4 - Breastfeeding Assessmen
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Chapter 4 - Breastfeeding 58 Nutrit
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Chapter 5 - Medication-Nutrient Int
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Chapter 15 - 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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Nutrition Interventions for Children with Special Health Care Needs

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