Nutrition Interventions for Children with Special Health Care Needs

Assessment Intervention Evaluation/Outcome
Child tolerates feeding regimen and
formula well (no gastrointestinal
disturbances or other signs of formula
intolerance)
As necessary make changes in:
Once tube feeding has begun, monitor closely:
• Tolerance of tube feeding; maintain frequent
contact with family by phone or clinic visits;
check for vomiting, diarrhea, constipation, and
other adverse reactions
• Growth and indicators of fat and muscle stores,
every 1 - 2 months until weight gain has been
stable for 2 months
Weight gain is stable and adequate
• Type of formula
• Amount of formula
• Method of delivery
• Additional supplements
• Once child achieves appropriate weight
for height (or length), evaluate need for
reducing energy intake to compensate for
low energy needs due to immobility or
paralysis
Weight is appropriate for height (or length)
Make changes in formula and delivery method
as indicated by nutritional status.
Once weight gain has been stable for 2 months,
re-evaluate every 6 months (more often in periods
of rapid growth, such as infancy and adolescence):
Formula meets requirements for
energy, protein, vitamins, minerals, and
electrolytes
Section 2 - Problem-Based Nutrition Interventions
Fluid intake is adequate
• Growth and indicators of fat and muscle stores
• Nutrient adequacy of formula
• Method of formula delivery
• Tolerance of formula
*For more information, see Chapter 1 Nutrition Screening and Assessment.
†See Appendix N Technical Aspects of Enteral Feeding.
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