Nutrition Interventions for Children with Special Health Care Needs

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Chapter 19 - Nutrition Interventions for Chronic Renal Failure Assessment Intervention Evaluation/Outcome Child is gaining weight appropriately for age and condition (catch up weight gain if underweight; slowed weight gain if overweight). Protein: In general, provide: Child’s linear growth rate is appropriate for age (greater than normal if he is receiving growth hormone). • 1-1.4 times DRI for IBW (CKD stage 3) • 1-1.2 times DRI for IBW (CKD stage 4-5) • DRI+0.15-0.3 g/kg (ESRD peritoneal dialysis) • DRI+0.1 g/kg (ESRD hemodialysis) Serum albumin is within normal limits, and BUN is at least 10 times creatinine to indicate adequate protein intake. Serum sodium, potassium, calcium, and phosphorus are within normal limits to indicate adequate, but not excessive intakes of these nutrients. See clinical and biochemical sections for interventions regarding when to adjust sodium, potassium, calcium, or phosphorus intake. Assess food intake information for sodium, potassium, calcium and phosphorus intake, as indicated by lab values. *For reference data and guidelines for taking accurate measurements, see Chapter 2. †Height-age is the age at which the child’s current weight would be at the 50th percentile on the growth chart. ‡Weight-age is the age at which the child’s current weight would be at the 50th percentile of the growth chart. ∫Ideal weight for height is the weight that would place the child at the 50th percentile weight for height (or length). ◊Seattle Children’s Hospital Laboratory normal levels, 2009. 224 Nutrition Interventions for Children With Special Health Care Needs
References Section 3 - Condition-Specific Nutrition Interventions 1. National Kidney Foundation. KDOQI Clinical Practice Guidelines in Children with CKD: 2008 Update. Am J Kidney Dis. 2009; 53:S1-S214 (suppl 2). 2. Foster BJ, Leonard M. Measuring nutritional status in children with chronic kidney disease. Am J Clin Nutr. 2004; 80:801-814. 3. Lederman SE, Shaw V, Trompter RS. Long-term enteral nutrition in infants and young children with chronic renal failure. Pediatr Nephrol. 1999; 13:870-875. 4. Norman LJ, Macdonald IA, Watson AR.Optimizing nutrition in chronic renal insufficiency-growth. Pediatr Nephrol. 2004; 19:1245-1252. 5. Norman LJ, Coleman JE, Macdonald JA, Tomsett AM, Watson AR. Nutrition and growth in relation to severity of renal disease in children. Pediatr Nephrol. 2000; 15:259-265. 6. Rees L, Shaw V. Nutrition in children with CRF and on dialysis. Pediatr Nephrol. 2007; 22:1689-1702. 7. Chaturvedi S, Jones C. Protein restriction for children with chronic kidney disease. Cochrane Database of Systematic Reviews 2007, Issue 4. Art. No.: CD006863. DOI: 10.1002/14651858.CD006863 8. Rashid R, Neill E, Maxwell H, Ahmed SF. Growth and body composition in children with chronic kidney disease. Brit J of Nutr. 2007; 97:232-238. Nutrition Interventions for Children With Special Health Care Needs 225
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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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Chapter 13 - Nutrition Intervention
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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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