Planning and Preparing forNutritional Needs of theSpecial Child
All children benefit from healthy eating andphysical activity. A balanced diet and beingphysically active help children: grow naturally learn to value health and nutrition build strong bones and muscles have energy for daily activities maintain a healthy weight avoid obesity/malnourish get plenty of vital nutrients feel good about themselves
When parents eat a variety of foods that are lowin fat and sugar and high in fiber, children learn tolike these foods as well. Try these tips in at home: Try using vegetables as rewards for adherence to positive behavior. Breakfast provides children with the energy they need to listen and learn in school. Offer the child a wide variety of foods, such as grains, vegetables and fruits, low-fat dairy products, and lean meat or beans. Talk with your health care provider if you are concerned about your childs eating habits or weight.
Diet Prescription Physicians Statement for Children with DisabilitiesThe physicians statement must identify:• the childs disability;• an explanation of why the disability restricts the childsdiet;• the major life activity affected by the disability;• the food/s to be omitted from the childs diet, and thefood or choice of foods that must be substituted.
Medical Statement for Children with SpecialDietary NeedsThe medical statement must include: • an identification of the medical or other special dietary condition which restricts the childs diet; • the food/s to be omitted from the childs diet; and • the food or choice of foods to be substituted.
The Role of School Food Service The school food service, like theother programs in the school, isresponsible for ensuring that itsbenefits (meals) are madeavailable to all children, includingchildren with disabilities.
• School food service staff must make foodsubstitutions or modifications for students withdisabilities.• Substitutions or modifications for children withdisabilities must be based on a prescription writtenby a licensed physician.• The school food service is encouraged, but notrequired, to provide food substitutions ormodifications for children without disabilities withmedically certified special dietary needs who areunable to eat regular meals as prepared.
Description of Selected Disabilities There are a number of disabilities or conditions that cause physical or mental impairment and may result in a nutritional problem, which requires a modification of the usual school breakfast or lunch.
Cerebral Palsy - is a disorder where there has been aninjury to the developing brain early in life.What to expect in the Diet Prescription:1. Increased calories2. Texture changes—could be chopped, pureed, or blended3. Special utensils for self-feeding4. Positioning (correct positioning often improves the child’schewing and swallowing ability)5. Thickened liquids
Epilepsy or Seizure Disorder -has multiple causes involving the brainWhat to expect in the Diet Prescription1. The child with epilepsy or seizures may have alow calorie diet order due to excessive weight gainprompted by an anticonvulsant medication. (Someseizure medications may cause weight loss.)2. A ketogenic diet (requires input from thedietitian following the child).3. Instructions to address feeding problems
Muscular Dystrophy They are referred to as a group of geneticdisorders characterized by progressive weakness anddegeneration of the skeletal muscles that controlmovement.What to expect in the Diet Prescription1. Feeding problems2. Need for special utensils3. Texture modification for chewing and swallowingproblems4. Increased calories
Cystic Fibrosis (CF)An inherited disorder of the exocrine glands, primarilythe pancreas, pulmonary system, and sweat glandscharacterized by abnormally thick luminal secretions.What to expect in the Diet Prescription• Need for increased nutrient intake;• May need increased calories• Decrease of nutrients related to pancreatic Insufficiency and chronic pulmonary infection.
ActivityWhat do you think is/are the altered energyneed/dietary needs for children with disabilities. Disabilities Altered Energy Need/Dietary needsLearning Disabilities -Dyscalculia -Dyslexia -DysgraphiaADHDMental RetardationHandicap