Nutrition Interventions for Children with Special Health Care Needs

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Chapter 16 - Nutrition Interventions for Respiratory Diseases TaBle 16-2: aSSeSSmeNT INTeRveNTIoN evaluaTIoN/ouTCome * † Anthropometric: Maintain established growth pattern for weight and length for age. Further assessment is required to determine potential causes of inadequate growth. Intervention may be a combination of dietary, feeding, behavioral and medical interventions. Measure and plot on appropriate growth chart using corrected age: Length for age • Weight for age • Weight for length (or height) or BMI • Head circumference (under 3 years) For infants and children with mild and moderate BPD these values should be obtained monthly for the first 4 months after hospital discharge and every 3 months thereafter for the first year of life, more often if weight gain is less than 15 g/day. For infants with severe BPD, measure length bimonthly, weight weekly (use incremental growth charts11 ), and head circumference monthly. 2 Infants relying on tube feeding should have frequent weight checks to adjust feeding rates with growth, initially every 1-2 weeks, then monthly. While some infants and young children with BPD will exhibit catch-up growth (growth that shows increasing percentiles on growth charts), those who were very small at birth and those who have moderate to severe illness may not show catch-up growth for several years. All infants and children with BPD should have at least a steady growth pattern that follows established growth percentiles. Fat and muscle stores within normal parameters for age, gender, and medical condition. Very inactive children and those dependent on steroids or mechanical ventilation may develop excessive fat stores and energy intake may need to be reduced. For older toddlers and children with moderate to severe BPD, especially those on corticosteroid therapy, assessment of midarm circumference, mid-arm muscle circumference, and triceps skinfold every 2 months can be useful to assess fat stores and protein status. 2,12 Triceps skinfold 85th percentile or arm muscle area
aSSeSSmeNT INTeRveNTIoN evaluaTIoN/ouTCome Excessively thin or wasted infants and children will require interventions as described in dietary section of this table. Several classification systems for describing poor growth and malnutrition have been developed. These have not been developed for VLBW infants with growth that is compromised with illness. However, these classifications may be useful in some clinical settings: Mild malnutrition - weight between 80-89% of expected weight for length or height Moderate malnutrition – weight between 70-79% of expected weight for length or height Severe malnutrition - weight
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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 8 - Oral-Motor Feeding Prob
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Chapter 9 - Behavior Issues Related
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Chapter 10 - Enteral Feeding Other
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Chapter 10 - Enteral Feeding Table
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Chapter 10 - Enteral Feeding Table
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Chapter 10 - Enteral Feeding Refere
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Chapter 11 - Community Monitoring o
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Chapter 20 - 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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