Clinical Paediatric Dietetics by Vanessa Shaw, Margaret Lawson

By Vanessa Shaw, Margaret Lawson

This usual paintings has been comprehensively revised and improved to satisfy the desires of the fashionable training and scholar dietitian.

In song with present traits, a better emphasis has been put on public wellbeing and fitness matters comparable to the remedy of early life dietary issues locally, together with weight problems and faltering development. The ebook now additionally encompasses a committed bankruptcy at the very important factor of hypersensitivity prevention.

* Edited via top specialists at nice Ormond highway and the Institute of kid Health

* formally supported via 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 imperative advisor for all these excited by the dietary therapy of youngsters.

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Some children receive their full nutritional requirements via a nasogastric, gastrostomy or jejunostomy tube, whereas others require nutritional support to supplement poor oral intake or to meet increased nutritional requirements. Enteral feeding may be short term but for many children it can be a long term or even life-long method of feeding. As a result, regimens need to be adaptable to ensure each child receives the vital nutrients they require for normal growth and development. Tube feeding of children requires the expert input of a paediatric dietitian who, along with a specialist multidisciplinary team, has the knowledge to use feeds and feeding equipment appropriate to the individual requirements and clinical condition of the patient.

Modular feeds). 27). Thickened feeds may be difficult to give as a bolus via a fine bore nasogastric tube, so syringe feeding or pump feeding may be necessary. It is also important to consider the energy contribution of some of the thickening agents. The thickeners based on modified starch given at a concentration of 3 g/100 mL may result in an increased energy content of more than 10%. observation of gastric contents is also considered ineffective. Radiology and testing of gastric aspirate with pH paper are the only acceptable methods of confiming nasogastric tube position [14].

To achieve thermal disinfection, the water in the dishwasher should reach a minimum temperature of 85°C for 2 minutes. g. hypochlorite) reduces levels of harmful bacteria to acceptable levels and is also satisfactory for small (non-metallic) equipment, provided recommendations are followed; heat sanitisation is the preferred method. Chemical disinfection will only be effective if: l The equipment is adequately cleaned; residual organic matter inactivates the chlorine content of the disinfectant.

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