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22 Cards in this Set
- Front
- Back
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CP and nutritional problems
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Non-progressive, but permanent.
Very individualized: overweight underweight feeding difficulties feeding tubes |
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Kcal Needs for CP
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5-11 years mild/mod activity: 13.9 kcal/cm
5-11 years severe physical restriction: 11.1 kcal/cm |
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General rule kcal needs:
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10 kcal/cm
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Kcal needs for kids with athetoid CP
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up to 6000 kcal/day
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In children with DS, early weight issues are due to:
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congenital heart disease leading to poor weight gain b/c their body works really hard to pump blood.
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As children with DS age, there's an increased risk of:
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congenital hypothyroidism leading to increased risk of being overweight and diabetic.
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kcal needs for children with CP
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5-12 years old: 16.1 kcal/cm
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5% of children with DS have GI malformations. These include:
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celiac disease, which affects growth and development.
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By 12, __% of children with DS are overweight.
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50
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Pervasive Developmental Disorders include:
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autism, Asperger's, PDD-NOS, Rett's, social disorders with other impairments.
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In general, kids with PDD have __ lifespan and __ nutritional needs.
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normal
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Nutritional issues and PDD
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Sensory issues and oral aversion (don't like things coming near mouth)
Limit diets Special diets like GFCF (gluten free casing free) GI problems, food allergies, food sensitivities risk heightened. |
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Nutrition and Autism
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Healthy diet and multivitamin.
Eliminate unnatural ingredients Food allergies GI disturbances Special diets (GFCF) and SCD. High dose vitamins B6, Mg, treating inflammation Omega 3 |
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Inborn errors of metabolism
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Enzyme deficiency that leads to a build up of toxic substrate in the body.
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PKU
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Inability to break down phenylalanine, high levels of this can cause MR
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MR nutritional needs
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Normal nutritional needs
Focus mainly on life skills and making good decisions. |
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Reasons for being underweight or FTT
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Nature of disability (CP), inadequate kcal intake, self-feeding difficulties, elevated metabolic rate
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Causes of being overweight:
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limited mobility, limited cognitive ability, socioeconomic factors, poor food choices, low metabolic needs, poor parental limits
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GT- gastrostomy tube
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tube placed through the abdominal wall directly into the stomach
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PEG tube
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not ideal for kids b/c they can pull it out
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MIC-KEY button
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more ideal for kids b/c they can't pull it out.
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Common feeding problems leading to poor nutrition:
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difficulty chewing/swallowing
Oral aversion Food texture issues Long feeding times Oral losses Aspiration Food refusal and selectiveness Reflux/GI disturbances Poor dental health |
