Nutrition Interventions for Children with Special Health Care Needs

Assessment Intervention Evaluation/Outcome
Fluid, energy, protein, and
micronutrients provided by
parenteral and enteral nutrition
meets child’s estimated needs
for growth and weight gain
As enteral intake approaches
30% of estimated energy
needs (and is absorbed),
begin decreasing energy
provided by PN solution. 7
Consider:
Once transition from parenteral to enteral nutrition is begun, assess adequacy of
PN and enteral intake: energy, protein, vitamins and minerals.
During transition, monitor weight closely.
• Reduce rate of PN
infusion by 1 mL for
every 1 mL tube feeding
rate increase
• Eliminate lipid infusion
when 50-60% energy
needs are met enterally
and weight is stable
• Reduce number of hours
of PN infusion
• Discontinue PN when
75-80% energy needs
met orally or enterally
and there is adequate
nutrient absorption
Section 2 - Problem-Based Nutrition Interventions
Nutrition Interventions for Children With Special Health Care Needs 133
*For reference data and guidelines for taking accurate measurements, see Chapter 2