By Vanessa Shaw, Margaret Lawson
This typical paintings has been comprehensively revised and improved to fulfill the wishes of the fashionable practicing and scholar dietitian.
In music with present tendencies, a better emphasis has been put on public health and wellbeing matters akin to the remedy of formative years dietary problems locally, together with weight problems and faltering progress. The publication now additionally includes a committed bankruptcy at the very important factor of hypersensitive reaction prevention.
* Edited via best specialists at nice Ormond road and the Institute of kid Health
* formally supported by means of the British Dietetic Association
* Written for dietitians, by way of dietitians
With labored examples of nutritional administration given all through, medical Paediatric Dietetics is an critical advisor for all these taken with the dietary remedy of youngsters.
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Extra info for Clinical Paediatric Dietetics
26). Paediatric enteral feeds. 1 CPDC03 02/04/2007 04:23PM Page 36 36 Clinical Paediatric Dietetics Children over 12 years (>45 kg body weight) The requirements of children over 12 years of age may still be met by a paediatric feed designed for 7–12-year-olds; individual assessment is necessary. 5 kcal (6 kJ)/mL, with and without fibre. Some adult feeds have a protein content of 6 g/100 mL or more, so care should be taken when using such feeds for children, even if they are over 12 years of age, as they may provide excessively high amounts of protein.
2 35 ranges are formulated either with or without added fibre. Constipation is common in exclusively tube fed children, particularly those with neurological impairment . A normal diet contains fibre and with an improved knowledge of the role of dietary fibre it is now common practice for children to receive a fibre-containing feed as the standard. Studies have shown the use of fibre-enriched feeds reduces the incidence of constipation and laxative use [9,10]. Children with neurological impairment form the largest single diagnostic group who have long term enteral feeding at home .
Nasogastric feeding is a lifeline for many children, but it is not without its complications. Some of the more serious complications are related to dislodgement, poor placement and migration of tubes. Following a number of deaths, the National Patient Safety Agency published a report suggesting conventional methods to check tube placement were inaccurate. The common method to aspirate the tube and test with blue litmus paper is not sensitive enough to distinguish between gastric and bronchial secretions; auscultation of air or CPDC03 02/04/2007 04:23PM Page 38 38 Clinical Paediatric Dietetics Gastrostomy tubes and buttons require less frequent changes than nasogastric tubes.