Nutrition Interventions for Children with Special Health Care Needs

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Chapter 17 - Nutrition Interventions for Cystic Fibrosis Table 17-1: Nutrition Interventions for Cystic Fibrosis Assessment Intervention Evaluation/Outcome Anthropometric* Measure and plot on appropriate growth chart: Child gains and grows to genetic potential, follows curve of growth chart. Adjust recommendations for energy intake, based on growth. • Height or length for age • Weight for age • Weight for height (or length) or BMI • Head circumference (under 3 years) Determine height-age,† weight-age, and ideal weight for height (IBW).‡ Compare current weight to ideal weight for height. CF standards for malnutrition 5 The CF Foundation has set standards for all patients with CF to have a Wt/Ht or BMI at the 50th percentile or greater. • 10th-50th percentile BMI or Wt/Ht=at risk • 5-10th percentile BMI or Wt/Ht=malnourished •
Assessment Intervention Evaluation/Outcome Indicators of fat and muscle stores within normal limits. Adjust recommendations for energy and protein intake based on measurements. Measure: • Triceps skinfold • Midupper arm circumference Calculate: • Arm muscle circumference • Arm fat area Repeat measurements 1-4 times per year. Obtain all available previous measurements. Section 3 - Condition-Specific Nutrition Interventions Normal serum vitamins A, E, and prothrombin time. Recommend supplemental vitamins A, E, and K, as appropriate. Compare all current measurements to reference data for chronological age and to previous measurements. Biochemical The following are yearly labs for patients with CF ordered by the CF center following the patient: 4 Liver function tests, hemoglobin A1C, glucose tolerance within are normal limits. • complete blood count with differential • serum vitamin A • serum vitamin E • serum vitamin D • liver function tests • casual glucose (random) • oral glucose tolerance test (>10 years of age) Nutrition Interventions for Children With Special Health Care Needs 195 Adjust recommendations for other nutrients, as appropriate. • urinalysis Fecal fat, prothrombin time, albumin levels are within normal limits. Bone mineralization and glucose tolerance are normal. Adjust recommendations for nutrient intake (fat, fat-soluble vitamins, protein, calcium, etc.), as indicated by labs. Other labs, which may be ordered based on clinical symptoms: • 72-hour fecal fat test • Fecal elastase (on all newborns) with positive CF newborn screens • prothrombin time • albumin • bone mineralization status • oral glucose tolerance test (
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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 12 - Accommodating Special
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Page 160 and 161: Chapter 13 - Nutrition Intervention
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Chapter 21 - 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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