Nutrition Interventions for Children with Special Health Care Needs

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Chapter 3 - Physical Activity for CSHCN Table 3-1: Suggested Screening Questions About Physical Activity 1. What physical activities does your family currently participate in? 2. What are your child’s interests related to physical activity? 3. Does your child participate in physical activities at school? If so, which ones? How often? 4. What are your priorities for your child’s participation in a physical activity? (e.g. an activity other family members enjoy, for socialization, weight management) 5. How does your child’s health impairment limit his/her participation in physical activities? What type of activities should be avoided? 6. How does your child understand and follow instructions and rules? 7. Has your child had any experience participating in structured group physical activities, such as a gymnastics class, T-ball team, or group setting? 8. What modifications might be necessary for your child to participate in a physical activity? (e.g. adapted equipment, modification of rules, simplified instruction, protective equipment) 46 Nutrition Interventions for Children With Special Health Care Needs
Section 1 - Determination of Nutrition Status Table 3-2: Interventions to Promote Physical Activity in Children with Special Health Care Needs Screen/ Assessment Obtain current medical/ health information Assess nutritional status Review current medications Probe for current physical activity levels at home, school (i.e. sports, PE class) and community Probe for contraindications to physical activity Inquire if parents have any concerns around child’s motor skills and if child is receiving any occupational therapy (OT) or physical therapy (PT) services Intervention Evaluation/Outcome Review current medical/health information Develop a nutrition plan to include physical activity to promote growth and well-being Discuss with parents any side effects of medications (e.g. diarrhea, constipation, sleepiness) that may effect physical activity participation Refer to Table 3.1 Educate the family regarding community resources for physical/recreation opportunities for child Provide guidance re: limiting sedentary activities Discuss with parents and/or contact primary care provider to inquire re: contraindications to physical activities PCP or family member write a cautionary statement to provide to community organizations re: child’s limitations and/or contraindications Refer to pediatric OT or PT to evaluate motor status and determine if direct OT or PT services are needed to improve motor skills for participation in physical activities Child will participate in activities that are compatible with current health status Child will maximize their nutritional status and participate in appropriate physical activity Child will participate in activities that are compatible with medication side effects Child will participate in physical/ recreational activities geared towards his/ her interests and abilities Family will identify and participate in community physical activities with child School and community physical activity providers will have knowledge of child’s restrictions and/or adaptations regarding safe and appropriate physical participation Eliminate/minimize possibility of injury for child during physical activity Child will develop necessary motor skills to participate in selected physical activities Nutrition Interventions for Children With Special Health Care Needs 47
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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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Page 14 and 15: Population “Children with special
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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 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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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 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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