Nutrition Interventions for Children with Special Health Care Needs

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Appendix P Diet Prescription for Meals at School Section 504 of the Rehabilitation Act of 1973 assures handicapped students access to school meal service, even if special meals are needed because of their handicap. If special meals are needed and requested, certification from a medical doctor must: 1. Verify that special meals are needed because of a disability or medical condition 2. Prescribe the modified diet and/or textures allowed Name of student for whom special meals at school are requested: Disability or medical condition that requres the student to have a special diet: Foods Prescribed: Texture Consistency Required: Feeding Positioning and Assistance: Other Information Regarding Diet or Feeding (Please provide additional information on the back of this form or attach to this form.) I certify that the above named student requires special school meals prepared as described above because of the student’s disability or chronic medical condition. Physician/Recognized Medical Authority Signature Office Phone Number Date 376 Nutrition Interventions for Children With Special Health Care Needs
Appendix Q Appendix Q iep nutrition Related Goals and Objectives 1. To develop or refine self-feeding skills Goals Considerations for Writing • finger feeding • use of feeding utensils • use of a cup or glass 2. To improve oral-motor function related to eating • lip closure: on spoon/fork on cup/glass while chewing at rest • tongue movement (within and outside mouth) laterilization, elevation and depression • chewing pattern • suck through straw • bite off piece of food • oral reflexes, hyperactive gag, tongue thrust • oral sensitivity hyposensitive hypersensitive 3. To improve mealtime behaviors • inappropriate finger feeding • pace • rumination/regurgitation • food acceptance (textures, types or variety of foods) • neatness • feeding posture/position • self-abusive behavior • staying on task • staying at the table 4. To identify and communicate nutrition needs • hunger • thirst • food names • food groups • restricted foods • special nutrients (iron rich foods, etc.) Objectives • identify special feeding equipment and level of assistance needed for practicing skills • consider exercises to facilitate oral-motor function and specify frequency and dureation of the exercises • consider food texture and consistency changes to facilitate improved oral-motor function • identify positive reinforcement for successful attempts • identify supervision needed for monitoring mealtime behavior • identify presentation of new foods/textures and situations • identify the appropriate mealtime environment • identify positive reinforcement for appropriate behavior • identify special instruction or learning activities to teach nutritional needs • identify games/exercises for food or nutrient recognition • identify positive reinforcement for correct responses Nutrition Interventions for Children With Special Health Care Needs 377
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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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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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Page 342 and 343: Appendix I 326 Nutrition Interventi
Page 344 and 345: Appendix J 328 Nutrition Interventi
Page 352 and 353: Appendix K 336 Nutrition Interventi
Page 354 and 355: Appendix K 338 Nutrition Interventi
Page 356 and 357: Appendix L 340 Nutrition Interventi
Page 358 and 359: Appendix M 342 Nutrition Interventi
Page 360 and 361: Appendix M 344 Nutrition Interventi
Page 362 and 363: Appendix N Gastrostomy Tube Feeding
Page 364 and 365: Appendix N activities. When feeding
Page 366 and 367: Appendix N Feeding Sets/Extensions
Page 368 and 369: Appendix N Fluid and Electrolytes W
Page 370 and 371: Appendix N osmolality of full-stren
Page 372 and 373: Appendix N Modular Products Modular
Page 374 and 375: Appendix N his family, and the home
Page 376 and 377: Appendix N • The feeding tube may
Page 378 and 379: Appendix N equipment. The Special S
Page 380 and 381: Appendix N Table N-2: Common Compli
Page 382 and 383: Appendix N Complication Possible Ca
Page 384 and 385: Appendix N 368 Nutrition Interventi
Page 386 and 387: Appendix O Some conditions increase
Page 388 and 389: Appendix O Table O-3: Recommended P
Page 390 and 391: Appendix O 374 Nutrition Interventi
Page 394 and 395: Appendix Q Goals Considerations for
Page 396 and 397: Appendix R Condition Description Nu
Page 398 and 399: Appendix R Condition Description Nu
Page 400 and 401: Appendix R References 1. Ekvall SW
Page 402 and 403: Appendix S Table S-1: Infant Formul
Page 404 and 405: Appendix S Comments Osmolality (mOs
Page 406 and 407: Appendix S Table S-2: Pediatric For
Page 408 and 409: Appendix S Table S-3: Modular Produ
Page 410 and 411: Appendix S Comments Energy (kcal) P
Page 412 and 413: Appendix S Contact Information Abbo
Page 414 and 415: Appendix T Powdered Formulas Accura
Page 416 and 417: Appendix T Table T-1: Liquid Concen
Page 418 and 419: Appendix T 402 Nutrition Interventi
Page 420 and 421: Appendix U Nutrition Strategies for
Page 422 and 423: Appendix U ADA Pocket Guide to Nutr
Page 424 and 425: Glossary Autism Spectrum Disorders
Page 426 and 427: Glossary Early intervention service
Page 428 and 429: Glossary Length (recumbent length)
Page 430 and 431: Glossary Stadiometer moveable headb
Page 432 and 433: Index specialist 98 target 108 Bink
Page 434 and 435: Index elemental formula 348 elimina
Page 436 and 437: Index I ICF. See International Clas
Page 438 and 439: Index risk indicators 4 screening 1
Page 440 and 441: Index suppositories 72, 77 Surmonti
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