31(6) Children and Weight: Providing Help, Preventing Harm Part 2 – Nutrition Intervention

Parents and caregivers receive many different messages about children, weight, and food, and it can be confusing for parents to navigate what is sound advice versus what is dangerous. How can health care providers help families and children without doing harm? These topics are discussed in this issue and the previous issue of the Nutrition Focus Newsletter:

  • Part 1 – Children and Weight: Providing Help, Preventing Harm – Nutrition Assessment
  • Part 2 – Children and Weight: Providing Help, Preventing Harm – Nutrition Intervention

This issue of Nutrition Focus examines intervention strategies,
with a focus on supporting a positive dynamic between
parent(s) and child(ren) around food.

Read more….
Children and Weight: Providing Help, Preventing Harm Part 2 – Nutrition Intervention

Subscription required to view the full newsletter

 

Posted in General Topics Related to CSHCN, Nutrition-related Issues | Tagged , , , , , , , , , | Comments Off on 31(6) Children and Weight: Providing Help, Preventing Harm Part 2 – Nutrition Intervention

31(5) Children and Weight: Providing Help, Preventing Harm Part 1 – Nutrition Assessment

Parents and caregivers receive so many different messages about children, weight, and food, and it can be difficult and confusing to navigate for families and health care providers alike. What is sound advice? What is dangerous? How can health care providers help families and their children to develop and sustain positive feeding and eating relationships? These topics are discussed in the next two issues of the Nutrition Focus Newsletter:

  • Part 1 – Children and Weight: Providing Help, Preventing Harm – Nutrition Assessment
  • Part 2 – Children and Weight: Providing Help, Preventing Harm – Nutrition Intervention

This issue of Nutrition Focus highlights the essential components of a comprehensive nutrition assessment with consideration of feeding and eating dynamics between parent and child. This newsletter will:

  • Review various growth patterns in children
  • Discuss causes of growth problems in children
  • Review the division of responsibility in feeding

Read more….
Children and Weight: Providing Help, Preventing Harm Part 1 – Nutrition Assessment

Subscription required to view the full newsletter

 

Posted in Uncategorized | Tagged , , , , , , , , , , | Comments Off on 31(5) Children and Weight: Providing Help, Preventing Harm Part 1 – Nutrition Assessment

31(4) A Look at Blended Tube Meals: Part 2 – The How-To’s

This issue of Nutrition Focus is the second in a two-part series about blended tube meals (BTMs). Part 1 updated a 2004 issue discussing homemade blended tube feedings. Interest has grown in the use of blended food in a tube feeding. Families are requesting advice and guidance from health care providers.

Part 1 of this topic suggested the name, blended tube meals, to acknowledge the use of blended food (blended at home or commercially), fed via the tube as a meal whether for an adult or child. Part 1 also reviewed the continuum of food choices for a tube feeding, why BTMs are popular, who is a candidate, the RDN’s role, and recent research on this topic. An extensive list of resources and references was included. The list of resources are also included in this issue, as well as the pertinent references.

In Part 2, the “how-to’s” of the actual process for BTMs is discussed including delivery method, food safety, and inclusion of all nutrients and appropriate fluids. Examples of foods that work from each food group are given. Two family stories illustrate the decision to move to BTM and the outcomes for their children.

Read more….
A Look at Blended Tube Meals: Part 2 – The How-To’s

Subscription required to view the full newsletter

 

Posted in Nutrition-related Issues | Tagged , , , , , , , , , | Comments Off on 31(4) A Look at Blended Tube Meals: Part 2 – The How-To’s

31(3) A Look at Blended Tube Meals: Part 1 – An Update

In 2004, Nutrition Focus ran an article entitled “Homemade Blended Tube Feeding,” by Ellen Duperret, RD, Jude Trautlein, RD, and Marsha Dunn Klein, OTR/L, MEd. The purpose of this article is to revisit this evolving conversation and share expanding professional and parent experiences. The current authors are experienced in the provision of these meals with children, so this article focuses on pediatric use. We recognize that many registered dietitian nutritionists (RDNs) working with adults are also recommending blended meals by tube.

Read more….
A Look at Blended Tube Meals: Part 1 – An Update

Subscription required to view the full newsletter

 

Posted in Nutrition-related Issues | Tagged , , , , , , , , , , | Comments Off on 31(3) A Look at Blended Tube Meals: Part 1 – An Update

31(2) Increasing Energy Concentration in Infant Feedings

Energy is required by each individual’s body to sustain functions including respiration, circulation, physical work, metabolism, and protein synthesis. In children, energy is also needed for overall growth. Energy needs depend on intake and expenditure. Energy requirements and expenditure are affected by age, gender, body composition, and physical activity levels. Health conditions can also affect energy requirements; this is often seen in children with special health care needs.

Infancy is a period of rapid growth that requires support with proportionately higher calorie (energy) intake than at any other life stage. At one month of age an infant’s energy cost for growth is 35% of their energy requirements. By 12 months of age the cost of growth drops to 3% of energy requirements and remains low until the adolescent growth spurt and an average increase to 4%.

While most infants are able to support their growth by drinking breast milk or standard infant formula, some require extra support due to individual feeding issues and/or special health care needs. This edition of Nutrition Focus will review indications for use of calorically dense breast milk and/or infant formula and discuss how to formulate a fortification recipe that is appropriate and safe for use in young infants.

Read more….
Increasing Energy Concentration in Infant Feedings

Subscription required to view the full newsletter

 

Posted in General Topics Related to CSHCN | Tagged , , , , , , , , | Comments Off on 31(2) Increasing Energy Concentration in Infant Feedings

27(6) Emergency Preparedness – Helping Families and Their Children with Special Nutrition Needs

A number of recent natural disasters have brought the importance of emergency preparedness to the public’s attention. As a result, many organizations have issued preparedness recommendations to assist individuals and families in becoming better prepared for an emergency. Despite a number of available preparedness recommendations, few exist to assist families caring for children with special nutrition needs. In addition, regardless of special health care needs and concerns related to emergencies, families remain unprepared for a disaster event.

Read more….
Emergency Preparedness – Helping Families and Their Children with Special Nutrition Needs

Subscription required to view the full newsletter

Posted in General Topics Related to CSHCN, Nutrition-related Issues | Tagged , , , , , , , , , , | Comments Off on 27(6) Emergency Preparedness – Helping Families and Their Children with Special Nutrition Needs

25(6) Supporting Breastfeeding for the Infant with Special Health Care Needs

The arrival of a new baby brings joys and challenges to all families. Feeding is a major focus in the early weeks after birth, as mother and baby work together to establish breastfeeding. For most breastfeeding dyads this occurs easily, or with minor difficulties. The mother of an infant with special health care needs faces additional challenges in meeting the goal of breastfeeding her infant. This article will provide dietitians and other health care providers information to assist them in supporting and protecting breastfeeding and the provision of breastmilk for the infant with special health care needs.



Subscription required to view the full newsletter

Posted in Nutrition-related Issues | Tagged , , , , | Comments Off on 25(6) Supporting Breastfeeding for the Infant with Special Health Care Needs

25(5) Nutrition Education for the Child with a Metabolic Disorder

This article describes the process of nutrition education for children with metabolic disorders using phenylketonuria (PKU) as a model. Although you may not work directly with this population of children, the article will assist you in recognizing what most pre-schoolers through adolescents understand about foods and nutrients, and children’s ability to choose items to eat. This knowledge may be helpful in your daily practice when counseling parents and their children about nutrition, especially if eating becomes an issue in the family.



Subscription required to view the full newsletter

Posted in General Topics Related to CSHCN | Tagged , , , , , , , | Comments Off on 25(5) Nutrition Education for the Child with a Metabolic Disorder

25(4) Nutrition Concerns of Children with Autism Spectrum Disorders

Autism Spectrum Disorders (ASD) include three of the five Pervasive Developmental Disorders (PDD). PDDs are a category of neurological disorders which include qualitative impairment in several areas of development including socialization and communication as well as behaviors, interests and/or activities which can have a restricted, repetitive, and/or stereotyped pattern.



Subscription required to view the full newsletter

Posted in Specific Conditions | Tagged , , , , , , , , , , , , , | Comments Off on 25(4) Nutrition Concerns of Children with Autism Spectrum Disorders

25(3) Nutrition and Constipation

Constipation is one of the most common concerns that parents/caregivers bring to health care professionals. For many parents, a child’s problems with constipation are quite obvious and can cause much worry. This edition of Nutrition Focus will discuss constipation and its specific problems in children with developmental disabilities. A ready to copy informational handout appropriate for use with families is available with both a version in English and one in Spanish. The information is intended for use with children age one year and older. New to this issue is a table listing laxatives, their action and how they work and increased information about encopresis.



Subscription required to view the full newsletter

Posted in Nutrition-related Issues | Tagged , , , , , , , | Comments Off on 25(3) Nutrition and Constipation