Nutrition Interventions for Children with Special Health Care Needs

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Chapter 12 - Accommodating Special Dietary Needs in the School System • Conklin MT, Nettles MF. Costs Associated with Providing School Meals for Children with Special Food and Nutritional Needs. National Food Service Management Institute. 1994. Report discusses findings from case study research on food and labor costs associated with providing school meals for children with special needs. http://www.olemiss.edu/depts/nfsmi/Information/r12-94/r1294.htm • Horsley JW. Nutrition issues facing children with special health care needs in early intervention programs and at school. Nutrition Focus, 1994;9(3). Nutrition Focus Newsletter, CHDD, University of Washington, Box 357920, Seattle WA 98195- 7920 http://depts.washington.edu/chdd/ucedd/ctu_5/nutritionnews_5.html • Roberts, Diana, ed. Feeding Students in Educational Programs – Guidelines and Information on Safe Mealtime Practices for Special Students. http://dcvolunteers.org/ (go to Feeding Resources) • Wellman N, et al. Feeding for the Future: Exceptional Nutrition in the IEP Module, A guide to selffeeding for teachers, parents and caregivers of children with special needs. Florida International University, NET Project, 1993. A guide for school food service personnel with information about steps to self-feeding, food safety and sanitation, advice for dietary poblems, and parent/teacher “tip sheet.” Available in English and Spanish. English - http://www.fldoe.org/ese/pdf/grow5-x.pdf Spanish - http://www.fldoe.org/ese/pdf/grow5-xs.pdf • USDA. Food and Nutrition Service. Accommodating Children with Special Dietary Needs in the School Nutrition Programs. Provides definitions of disability and other special dietary needs, guidance on legal issues and liability, special situations and responses, and sample documentation. http://www.fns.usda.gov/cnd/Guidance/ special_dietary_needs.pdf 142 Nutrition Interventions for Children With Special Health Care Needs
Chapter 13 Section 3 - Condition-Specific Nutrition Interventions Nutrition Interventions for Overweight and Obesity Betty Lucas, MPH, RD, CD National surveys indicate that the prevalence of obesity in children in the United States has increased dramatically over the last four decades. About 17% of schoolage children and 12% of preschool children are obese, using body mass index (BMI) of >95th percentile (1). An equally high percentage of the pediatric population is also overweight, defined as BMI between the 85th-94th percentiles. These national studies also show a shift of the heaviest children being markedly heavier now than in the past. The increase in childhood obesity is influenced by environment and genes, but the contributing factors are very complex (2). The newer BMI percentiles and categories for children are (2): 95th obesity The most recent consensus recommendations for childhood obesity focus on prevention, thorough assessment, and intervention (2). For most children, weight for length/height at the 50th percentile is considered ideal, with an acceptable range of 10th to 90th percentile, depending on body composition and stability in the percentile over time. Although using the above criteria will identify most obese children, some children whose weight for height is at or above the 95th percentile may be highly muscular and not obese. Others with weight for height percentiles in the acceptable range could actually be “overfat”. For a child with cerebral palsy, the reduced muscle mass may result in a BMI of 10th-25th percentile, which may be appropriate considering the child’s altered body composition. In this example, BMI at the 50th percentile may reflect excess fat stores, and obesity should be assessed when BMI reaches the 75th percentile. On the other hand, for a preschool or school-age child with Prader-Willi syndrome, a stable weight for length or BMI within the 75th to 90th percentile range is considered clinically acceptable. Nutrition Interventions for Children With Special Health Care Needs 143
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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 6 - Nutrition Interventions
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Chapter 17 - 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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