1) Autism spectrum disorders are developmental disorders that affect communication and social skills. Extreme picky eating is common, such as only eating foods of a particular color or texture.
2) While specialized diets are sometimes used to treat autism, there is little scientific evidence that they are effective. Exclusion diets may cause nutritional deficiencies if not carefully planned.
3) Occupational therapists, speech therapists, and dietitians can help with strategies like visual schedules, motivation techniques, and addressing underlying medical issues to make mealtimes easier.
This document provides an overview of pharmacology topics for nurses, including the nursing process in pharmacology, drug names, pharmacology basics, educating patients, drug interactions, routes of administration, considerations across the life span, and schedules of controlled substances. It discusses assessing, analyzing, planning, implementing, and evaluating the nursing care related to drug administration and monitoring therapeutic and adverse effects. Key aspects of pharmacokinetics, pharmacodynamics, and pharmacotherapeutics are defined. The importance of patient education on drugs is emphasized.
Picky eater - Eating behavioral disorder during early childhoodAzad Haleem
The document defines eating behavioral disorders during early childhood and provides criteria for diagnosis. It notes that terminology includes conditions like picky eating, limited diets, and food aversions. The definition requires loss of interest in food, neophobia, or strong preferences limiting intake. Risk factors include genetic predisposition and improper feeding practices. Management involves dietary changes, behavioral therapy, and supplements based on severity. The conclusion emphasizes detailed history and examination, classification by severity, and treatment with nutrition education, therapy, and supplements if needed.
Iron deficiency anemia is a major health issue affecting many children and mothers in Hooper Bay, Alaska. Rates of anemia in Hooper Bay are over 35%, compared to national averages of 14% in children and 9% in women. Risk factors for anemia in Hooper Bay include environmental challenges like the remote location and harsh climate, as well as cultural and economic factors like traditional diets and poverty. A public health intervention is proposed to educate mothers and children on nutrition, focusing on increasing iron intake through foods like meat and vitamin C to enhance iron absorption and prevent anemia.
This document discusses iron deficiency anemia (IDA) in children. It defines IDA as a decrease in circulating red blood cells and hemoglobin, impairing oxygen transport. Common causes of IDA in children include premature birth, cow's milk before age 1, and chronic infections. Symptoms include pale skin, fatigue, slow growth, and behavioral problems. The document examines prevalence of IDA based on socioeconomic status, medical history, and anthropometric measures. It provides recommendations to prevent IDA, such as iron supplements and including iron-rich foods in the diet. The conclusion states IDA disproportionately affects young, growth-retarded children and those in food insecure areas.
Eating behavioral disorder during early childhoodAzad Haleem
This document defines and discusses eating behavioral disorders during early childhood. It begins by introducing various terminology used, including picky eating, limited diets, and food aversion. It then defines eating behavioral disorders as conditions that impose short-term eating behaviors on children with potential long-term health risks. Prevalence varies from 13-50% depending on definitions and age. Risk factors include genetic predisposition and improper early feeding practices. Diagnosis involves ruling out underlying diseases and identifying growth issues or nutrient deficiencies. Management involves dietary changes, behavioral therapy, and supplements tailored to the severity of each case.
This document provides an update on type 1 diabetes in children and adolescents. It discusses the increasing prevalence of type 1 diabetes worldwide, especially in younger age groups. Type 1 diabetes results from autoimmune destruction of insulin-producing beta cells in the pancreas and usually onset occurs in childhood. The goals of treatment are to maintain near-normal blood glucose levels, avoid short-term crises, minimize long-term complications, and improve quality of life. Treatment involves education, nutrition therapy, insulin administration, glucose monitoring, exercise, and screening for complications. New technologies like continuous glucose monitors and insulin pumps have improved diabetes management.
Nutrease powder- A natural plant based nutritional shake helps to supports in...SriramNagarajan16
Supplementation of Nutrease powder is essential for proactive prevention and also for the best outcome therapy in Diabetes.
Supplementing essential and conditionally essential nutrients like Nutrease powder to support essential metabolic pathways
is required for immune defense and repair, neuro-hormone balance as well as digestive and detox competencies.
Impaired antioxidant status has been shown to have a definite role in the development of insulin resistance and type 2
diabetes. Overproduction of oxidants (reactive oxygen species and reactive nitrogen species) in the human body is
responsible for the pathogenesis of some diseases. The scavenging of these oxidants is thought to be an effective measure to
depress the level of oxidative stress of organisms. It has been reported that intake of Nutrease powder is inversely associated
with the risk of many chronic diseases, and antioxidant phytochemicals in Nutrease powder are considered to be responsible
for these health benefits. Antioxidant phytochemicals found in Nutrease powder plays an important role in the prevention
and treatment of chronic diseases caused by oxidative stress. They often possess strong antioxidant and free radical
scavenging abilities, which are also the basis of other bioactivities and health benefits, such as diabetes mellitus.
Phytonutrients in Nutrease powder play a positive role by maintaining and modulating immune function to prevent specific
diseases. Being natural products, they hold a great promise in clinical therapy. Phytonutrients are the plant nutrients with
specific biological activities that support human health. Some of the important bioactive phytonutrients include polyphenols,
terpenoids, resveratrol, flavonoids, isoflavonoids, carotenoids, limonoids, glucosinolates, phytoestrogens, phytosterols,
anthocyanins, and probiotics. They play specific pharmacological effects in human health. This article reviews the current
available scientific literature regarding the effect of Nutrease powder as an effective supplementation for a daily energy
need in life style disorders like diabetes.
1) Autism spectrum disorders are developmental disorders that affect communication and social skills. Extreme picky eating is common, such as only eating foods of a particular color or texture.
2) While specialized diets are sometimes used to treat autism, there is little scientific evidence that they are effective. Exclusion diets may cause nutritional deficiencies if not carefully planned.
3) Occupational therapists, speech therapists, and dietitians can help with strategies like visual schedules, motivation techniques, and addressing underlying medical issues to make mealtimes easier.
This document provides an overview of pharmacology topics for nurses, including the nursing process in pharmacology, drug names, pharmacology basics, educating patients, drug interactions, routes of administration, considerations across the life span, and schedules of controlled substances. It discusses assessing, analyzing, planning, implementing, and evaluating the nursing care related to drug administration and monitoring therapeutic and adverse effects. Key aspects of pharmacokinetics, pharmacodynamics, and pharmacotherapeutics are defined. The importance of patient education on drugs is emphasized.
Picky eater - Eating behavioral disorder during early childhoodAzad Haleem
The document defines eating behavioral disorders during early childhood and provides criteria for diagnosis. It notes that terminology includes conditions like picky eating, limited diets, and food aversions. The definition requires loss of interest in food, neophobia, or strong preferences limiting intake. Risk factors include genetic predisposition and improper feeding practices. Management involves dietary changes, behavioral therapy, and supplements based on severity. The conclusion emphasizes detailed history and examination, classification by severity, and treatment with nutrition education, therapy, and supplements if needed.
Iron deficiency anemia is a major health issue affecting many children and mothers in Hooper Bay, Alaska. Rates of anemia in Hooper Bay are over 35%, compared to national averages of 14% in children and 9% in women. Risk factors for anemia in Hooper Bay include environmental challenges like the remote location and harsh climate, as well as cultural and economic factors like traditional diets and poverty. A public health intervention is proposed to educate mothers and children on nutrition, focusing on increasing iron intake through foods like meat and vitamin C to enhance iron absorption and prevent anemia.
This document discusses iron deficiency anemia (IDA) in children. It defines IDA as a decrease in circulating red blood cells and hemoglobin, impairing oxygen transport. Common causes of IDA in children include premature birth, cow's milk before age 1, and chronic infections. Symptoms include pale skin, fatigue, slow growth, and behavioral problems. The document examines prevalence of IDA based on socioeconomic status, medical history, and anthropometric measures. It provides recommendations to prevent IDA, such as iron supplements and including iron-rich foods in the diet. The conclusion states IDA disproportionately affects young, growth-retarded children and those in food insecure areas.
Eating behavioral disorder during early childhoodAzad Haleem
This document defines and discusses eating behavioral disorders during early childhood. It begins by introducing various terminology used, including picky eating, limited diets, and food aversion. It then defines eating behavioral disorders as conditions that impose short-term eating behaviors on children with potential long-term health risks. Prevalence varies from 13-50% depending on definitions and age. Risk factors include genetic predisposition and improper early feeding practices. Diagnosis involves ruling out underlying diseases and identifying growth issues or nutrient deficiencies. Management involves dietary changes, behavioral therapy, and supplements tailored to the severity of each case.
This document provides an update on type 1 diabetes in children and adolescents. It discusses the increasing prevalence of type 1 diabetes worldwide, especially in younger age groups. Type 1 diabetes results from autoimmune destruction of insulin-producing beta cells in the pancreas and usually onset occurs in childhood. The goals of treatment are to maintain near-normal blood glucose levels, avoid short-term crises, minimize long-term complications, and improve quality of life. Treatment involves education, nutrition therapy, insulin administration, glucose monitoring, exercise, and screening for complications. New technologies like continuous glucose monitors and insulin pumps have improved diabetes management.
Nutrease powder- A natural plant based nutritional shake helps to supports in...SriramNagarajan16
Supplementation of Nutrease powder is essential for proactive prevention and also for the best outcome therapy in Diabetes.
Supplementing essential and conditionally essential nutrients like Nutrease powder to support essential metabolic pathways
is required for immune defense and repair, neuro-hormone balance as well as digestive and detox competencies.
Impaired antioxidant status has been shown to have a definite role in the development of insulin resistance and type 2
diabetes. Overproduction of oxidants (reactive oxygen species and reactive nitrogen species) in the human body is
responsible for the pathogenesis of some diseases. The scavenging of these oxidants is thought to be an effective measure to
depress the level of oxidative stress of organisms. It has been reported that intake of Nutrease powder is inversely associated
with the risk of many chronic diseases, and antioxidant phytochemicals in Nutrease powder are considered to be responsible
for these health benefits. Antioxidant phytochemicals found in Nutrease powder plays an important role in the prevention
and treatment of chronic diseases caused by oxidative stress. They often possess strong antioxidant and free radical
scavenging abilities, which are also the basis of other bioactivities and health benefits, such as diabetes mellitus.
Phytonutrients in Nutrease powder play a positive role by maintaining and modulating immune function to prevent specific
diseases. Being natural products, they hold a great promise in clinical therapy. Phytonutrients are the plant nutrients with
specific biological activities that support human health. Some of the important bioactive phytonutrients include polyphenols,
terpenoids, resveratrol, flavonoids, isoflavonoids, carotenoids, limonoids, glucosinolates, phytoestrogens, phytosterols,
anthocyanins, and probiotics. They play specific pharmacological effects in human health. This article reviews the current
available scientific literature regarding the effect of Nutrease powder as an effective supplementation for a daily energy
need in life style disorders like diabetes.
Special situations in children and adolescents with type (1) DMMohamad Othman
This document discusses special situations that can affect blood glucose management in children with type 1 diabetes, including acute illnesses, medical procedures, travel, and school/daycare. During illnesses, blood glucose should be closely monitored and insulin doses adjusted based on glucose levels and food intake. For procedures, insulin regimens may need adjustments depending on fasting times. Travel can be managed by adjusting long-acting insulin doses to the new time zone. Schools require trained staff, flexibility for diabetes care, and supplies for treating hypoglycemia. Parental involvement is important for safely managing these complex situations.
Diabetes education aims to promote self-management through behavior change and understanding how lifestyle factors impact blood glucose levels. The document discusses the role of diabetes educators in facilitating learning to manage diabetes. It also outlines some key challenges for educators, such as availability of education programs, perceptions of diabetes as non-serious, and the cost of education. Strategies to address these challenges include lobbying governments to increase funding and recognition of diabetes as a serious disease.
This document discusses childhood diabetes mellitus. It is authored by Prof. Dr. Saad S Al- Ani, a pediatric consultant and head of the pediatric department at Khorfakkan Hospital in Sharjah, UAE. The document discusses that rates of both type 1 and type 2 diabetes are rising in children. It outlines symptoms of childhood diabetes like thirst, tiredness, weight loss, frequent urination, and behavioral issues. It also discusses treatment which primarily involves insulin therapy. Good glucose control and lifestyle changes are important for managing the condition. The prevalence of both type 1 and type 2 diabetes increased significantly in children over the last 5 years.
The patient is a 34-year-old Hispanic female undergoing chemotherapy and radiation treatment for stage T3N2c squamous cell carcinoma of the tongue. She is experiencing significant side effects including pain, nausea, vomiting and dry mouth that are preventing adequate calorie and fluid intake. The intervention plan is to address nausea and oral issues, educate on nutrition and hydration, and establish home enteral feeding goals of 6 cans per day to meet calorie and protein needs for recovery. Long-term goals include increased nutrition to support cancer treatment, exercise for health and spirits, and monitoring intake, symptoms and emotional well-being.
Type 2 DM in children & adolescents management overviewAbdulmoein AlAgha
The document discusses the management of type 2 diabetes in children and adolescents. It notes that obesity prevalence has increased type 2 diabetes in young people. Lifestyle modifications are the primary treatment, focusing on dietary changes, physical activity, and behavioral counseling. Pharmacological options include metformin, insulin, and GLP-1 receptor agonists. In rare cases, bariatric surgery may be considered for children with severe obesity if conservative measures fail. The goals of management are to achieve near-normal blood glucose control, improve insulin sensitivity, and prevent diabetes complications through lifestyle and medical treatment.
This document discusses tools and strategies for teaching patients with diabetes. It notes that over 25 million Americans have diabetes and many face challenges like low health literacy. Effective teaching requires assessing the patient's existing knowledge, using visual aids and demonstrations, and addressing different learning styles through verbal, written, and hands-on methods. Teaching should also utilize online resources and social support networks to help patients manage their condition.
Improving the lives of those suffering from psychiatric and behavioral disorders is what we strive to achieve at the CNS Center of Arizona. Our psychiatrists specialize in severe and dual neuropsychiatric disorders. They understand and care for the patient medically, emotionally, socially, and spiritually. They teach what they know to patients and their families. This approach, we have found, helps empower patients to manage their lives, over time, and achieve the best outcome possible. Our approach at CNS Center of Arizona is a collaborative model of care involving other professionals and therapists. We expect patients who are currently in therapy to maintain contact with their primary therapist. CNS Center AZ
http://www.cnscenteraz.com
This document provides guidelines for the management of diabetes in childhood and adolescence developed by the International Society for Pediatric and Adolescent Diabetes (ISPAD) and the International Diabetes Federation (IDF). It covers topics such as the definition, classification, and epidemiology of diabetes in children and adolescents; phases of type 1 diabetes; types of diabetes including type 1, type 2, and monogenic diabetes; diabetes education; structures and processes for ambulatory diabetes care; assessment and monitoring of glycemic control; insulin treatment; assessment and monitoring of hypoglycemia; sick day management; exercise; management of children requiring surgery; psychological care; diabetes in adolescence; microvascular and macrovascular complications; and other complications and associated
Here are a few thoughts on combining Feeding and Eating Disorders:
- It makes sense to group them together as they are both disorders involving food/nutrition. Looking at them together provides a more holistic perspective.
- Feeding disorders often occur in infants/children while eating disorders usually emerge later, but there is overlap in symptoms, behaviors and treatments. Combining the categories acknowledges the relationships and developmental trajectories.
- An integrated approach may help identify issues earlier on before they escalate into more serious disorders. It also promotes considering the biological, psychological and social aspects of each.
- Parents/practitioners may find it less confusing than separate categories. It provides a unified framework for assessment, diagnosis and intervention across
This document discusses rumination disorder in a 16-year-old female patient. Rumination disorder involves repeatedly regurgitating and rechewing or reswallowing food after eating. It is considered a learned behavior rather than a medical condition. Treatment involves behavioral therapy like relaxation techniques and diaphragmatic breathing. For severe cases with weight loss, enteral nutrition may be needed. Multidisciplinary teams including nutrition, psychology, and gastroenterology have been shown to help patients learn to stop the rumination behavior through programs that focus on eating skills.
Dietitians provide food and nutrition information, and support people to improve their health. They provide advice on nutrition-related matters. Dietitians can also change diets to help manage conditions such as: diabetes
Functional GI disorder is common in children. Rome IV criteria are helpful in differentiating organic causes from functional disorders. this presentation shows the difference between Rome III and IV criteria.
Gestational Diabetes Mallets that is metabolic diseases in pregnancy pptsonal patel
This document discusses metabolic diseases in pregnancy, focusing on gestational diabetes mellitus (GDM). It defines GDM as carbohydrate intolerance that develops during pregnancy. Risk factors include family history of diabetes, being overweight, previous GDM, and age over 30. GDM is caused by insulin resistance emerging in the second trimester due to pregnancy hormones. It is screened for using an oral glucose tolerance test and managed through diet, exercise, glucose monitoring, and possibly medications like insulin or oral hypoglycemic agents. Both mothers and babies face risks if GDM is not well-controlled.
The document discusses intermittent fasting, which involves consciously skipping meals or restricting eating to specific time windows. It describes several intermittent fasting protocols, such as 16/8 where eating is restricted to an 8-hour window daily. The document then discusses the history of intermittent fasting and how modern lifestyles differ from when our genes evolved. Intermittent fasting is said to help regulate metabolism, increase resistance to stress, convert white fat to brown fat, improve brain function, protect against diseases, and reduce cardiovascular disease risk factors.
1) Complementary and alternative medicine (CAM) includes natural products like herbs, vitamins, probiotics, and mind-body practices like yoga and acupuncture. CAM use is common, with 65% of patients using herbal preparations.
2) Milk thistle extract, which contains silybin, is used for liver support. Studies on its effectiveness for hepatitis have shown mixed results, with some studies finding lower liver enzymes but no impact on viral levels. Larger and higher quality studies are still needed.
3) Adulterants in herbal supplements and traditional Chinese medicines have been found to cause liver injury. Herbalife supplements were linked to 12 and 10 cases of liver injury in Israel and Switzerland
The document discusses using a family approach model to treat diabetes in adolescents and improve clinical outcomes. It describes assessing two sisters ages 14 and 17 who have poorly managed type 1 diabetes, with HbA1c levels over 10% for the past 3 years. Treatment involved reframing non-compliance as misbehavior, getting both parents involved, and weekly family review sessions to improve communication and management. Positive results included improved HbA1c levels below 8%, better family relationships, and diabetes becoming integrated into daily life rather than the family focus.
This chapter discusses nutrition intervention and diet-drug interactions. It covers implementing nutrition care plans, dietary modifications like modified diets and nothing by mouth orders. It also discusses foodservice, improving food intake in hospitals, and potential interactions between drugs and nutrients. The chapter concludes by examining complementary and alternative medical therapies and potential issues with herbal remedies and dietary supplements.
Dr. Jay Schwartz owns and operates Collin County Pediatrics in Frisco, Texas. Dr. Jay Schwartz comes to his work with an in-depth knowledge of common childhood health issues, including constipation.
The journey of low birth weight infant Khaled Saad
Previously known as ‘failure to thrive’ (FTT), also known as weight faltering
Infant or children whose current weight or rate of weight gain is significantly below that expected of similar children of the same age, sex and ethnicity
Can occur in both infants (< 1 year of age) and in children (> 1 year of age)
A 9-month-old male infant presented with gastroenteritis and dehydration. He was experiencing vomiting, diarrhea, and weight loss. Initial assessments found tachycardia, poor skin turgor, and signs of dehydration. Lab work showed anemia and elevated white blood cell count, indicating infection. The infant was admitted and started on IV fluids and antibiotics to treat the infection and rehydrate him. Nursing care focused on monitoring fluid intake and output, vital signs, and symptoms to manage the diarrhea and prevent further dehydration.
This document discusses drug therapy in children and outlines several key points. It notes that pediatric pharmacokinetics differ from adults due to immature organ systems. Absorption, distribution, metabolism and excretion of drugs is often slower or less developed in children. The document also discusses different pediatric dosage forms and challenges in drug administration for children due to palatability, dosing accuracy and safety concerns. Alternative treatment options are sometimes used but can compromise drug efficacy and safety.
Special situations in children and adolescents with type (1) DMMohamad Othman
This document discusses special situations that can affect blood glucose management in children with type 1 diabetes, including acute illnesses, medical procedures, travel, and school/daycare. During illnesses, blood glucose should be closely monitored and insulin doses adjusted based on glucose levels and food intake. For procedures, insulin regimens may need adjustments depending on fasting times. Travel can be managed by adjusting long-acting insulin doses to the new time zone. Schools require trained staff, flexibility for diabetes care, and supplies for treating hypoglycemia. Parental involvement is important for safely managing these complex situations.
Diabetes education aims to promote self-management through behavior change and understanding how lifestyle factors impact blood glucose levels. The document discusses the role of diabetes educators in facilitating learning to manage diabetes. It also outlines some key challenges for educators, such as availability of education programs, perceptions of diabetes as non-serious, and the cost of education. Strategies to address these challenges include lobbying governments to increase funding and recognition of diabetes as a serious disease.
This document discusses childhood diabetes mellitus. It is authored by Prof. Dr. Saad S Al- Ani, a pediatric consultant and head of the pediatric department at Khorfakkan Hospital in Sharjah, UAE. The document discusses that rates of both type 1 and type 2 diabetes are rising in children. It outlines symptoms of childhood diabetes like thirst, tiredness, weight loss, frequent urination, and behavioral issues. It also discusses treatment which primarily involves insulin therapy. Good glucose control and lifestyle changes are important for managing the condition. The prevalence of both type 1 and type 2 diabetes increased significantly in children over the last 5 years.
The patient is a 34-year-old Hispanic female undergoing chemotherapy and radiation treatment for stage T3N2c squamous cell carcinoma of the tongue. She is experiencing significant side effects including pain, nausea, vomiting and dry mouth that are preventing adequate calorie and fluid intake. The intervention plan is to address nausea and oral issues, educate on nutrition and hydration, and establish home enteral feeding goals of 6 cans per day to meet calorie and protein needs for recovery. Long-term goals include increased nutrition to support cancer treatment, exercise for health and spirits, and monitoring intake, symptoms and emotional well-being.
Type 2 DM in children & adolescents management overviewAbdulmoein AlAgha
The document discusses the management of type 2 diabetes in children and adolescents. It notes that obesity prevalence has increased type 2 diabetes in young people. Lifestyle modifications are the primary treatment, focusing on dietary changes, physical activity, and behavioral counseling. Pharmacological options include metformin, insulin, and GLP-1 receptor agonists. In rare cases, bariatric surgery may be considered for children with severe obesity if conservative measures fail. The goals of management are to achieve near-normal blood glucose control, improve insulin sensitivity, and prevent diabetes complications through lifestyle and medical treatment.
This document discusses tools and strategies for teaching patients with diabetes. It notes that over 25 million Americans have diabetes and many face challenges like low health literacy. Effective teaching requires assessing the patient's existing knowledge, using visual aids and demonstrations, and addressing different learning styles through verbal, written, and hands-on methods. Teaching should also utilize online resources and social support networks to help patients manage their condition.
Improving the lives of those suffering from psychiatric and behavioral disorders is what we strive to achieve at the CNS Center of Arizona. Our psychiatrists specialize in severe and dual neuropsychiatric disorders. They understand and care for the patient medically, emotionally, socially, and spiritually. They teach what they know to patients and their families. This approach, we have found, helps empower patients to manage their lives, over time, and achieve the best outcome possible. Our approach at CNS Center of Arizona is a collaborative model of care involving other professionals and therapists. We expect patients who are currently in therapy to maintain contact with their primary therapist. CNS Center AZ
http://www.cnscenteraz.com
This document provides guidelines for the management of diabetes in childhood and adolescence developed by the International Society for Pediatric and Adolescent Diabetes (ISPAD) and the International Diabetes Federation (IDF). It covers topics such as the definition, classification, and epidemiology of diabetes in children and adolescents; phases of type 1 diabetes; types of diabetes including type 1, type 2, and monogenic diabetes; diabetes education; structures and processes for ambulatory diabetes care; assessment and monitoring of glycemic control; insulin treatment; assessment and monitoring of hypoglycemia; sick day management; exercise; management of children requiring surgery; psychological care; diabetes in adolescence; microvascular and macrovascular complications; and other complications and associated
Here are a few thoughts on combining Feeding and Eating Disorders:
- It makes sense to group them together as they are both disorders involving food/nutrition. Looking at them together provides a more holistic perspective.
- Feeding disorders often occur in infants/children while eating disorders usually emerge later, but there is overlap in symptoms, behaviors and treatments. Combining the categories acknowledges the relationships and developmental trajectories.
- An integrated approach may help identify issues earlier on before they escalate into more serious disorders. It also promotes considering the biological, psychological and social aspects of each.
- Parents/practitioners may find it less confusing than separate categories. It provides a unified framework for assessment, diagnosis and intervention across
This document discusses rumination disorder in a 16-year-old female patient. Rumination disorder involves repeatedly regurgitating and rechewing or reswallowing food after eating. It is considered a learned behavior rather than a medical condition. Treatment involves behavioral therapy like relaxation techniques and diaphragmatic breathing. For severe cases with weight loss, enteral nutrition may be needed. Multidisciplinary teams including nutrition, psychology, and gastroenterology have been shown to help patients learn to stop the rumination behavior through programs that focus on eating skills.
Dietitians provide food and nutrition information, and support people to improve their health. They provide advice on nutrition-related matters. Dietitians can also change diets to help manage conditions such as: diabetes
Functional GI disorder is common in children. Rome IV criteria are helpful in differentiating organic causes from functional disorders. this presentation shows the difference between Rome III and IV criteria.
Gestational Diabetes Mallets that is metabolic diseases in pregnancy pptsonal patel
This document discusses metabolic diseases in pregnancy, focusing on gestational diabetes mellitus (GDM). It defines GDM as carbohydrate intolerance that develops during pregnancy. Risk factors include family history of diabetes, being overweight, previous GDM, and age over 30. GDM is caused by insulin resistance emerging in the second trimester due to pregnancy hormones. It is screened for using an oral glucose tolerance test and managed through diet, exercise, glucose monitoring, and possibly medications like insulin or oral hypoglycemic agents. Both mothers and babies face risks if GDM is not well-controlled.
The document discusses intermittent fasting, which involves consciously skipping meals or restricting eating to specific time windows. It describes several intermittent fasting protocols, such as 16/8 where eating is restricted to an 8-hour window daily. The document then discusses the history of intermittent fasting and how modern lifestyles differ from when our genes evolved. Intermittent fasting is said to help regulate metabolism, increase resistance to stress, convert white fat to brown fat, improve brain function, protect against diseases, and reduce cardiovascular disease risk factors.
1) Complementary and alternative medicine (CAM) includes natural products like herbs, vitamins, probiotics, and mind-body practices like yoga and acupuncture. CAM use is common, with 65% of patients using herbal preparations.
2) Milk thistle extract, which contains silybin, is used for liver support. Studies on its effectiveness for hepatitis have shown mixed results, with some studies finding lower liver enzymes but no impact on viral levels. Larger and higher quality studies are still needed.
3) Adulterants in herbal supplements and traditional Chinese medicines have been found to cause liver injury. Herbalife supplements were linked to 12 and 10 cases of liver injury in Israel and Switzerland
The document discusses using a family approach model to treat diabetes in adolescents and improve clinical outcomes. It describes assessing two sisters ages 14 and 17 who have poorly managed type 1 diabetes, with HbA1c levels over 10% for the past 3 years. Treatment involved reframing non-compliance as misbehavior, getting both parents involved, and weekly family review sessions to improve communication and management. Positive results included improved HbA1c levels below 8%, better family relationships, and diabetes becoming integrated into daily life rather than the family focus.
This chapter discusses nutrition intervention and diet-drug interactions. It covers implementing nutrition care plans, dietary modifications like modified diets and nothing by mouth orders. It also discusses foodservice, improving food intake in hospitals, and potential interactions between drugs and nutrients. The chapter concludes by examining complementary and alternative medical therapies and potential issues with herbal remedies and dietary supplements.
Dr. Jay Schwartz owns and operates Collin County Pediatrics in Frisco, Texas. Dr. Jay Schwartz comes to his work with an in-depth knowledge of common childhood health issues, including constipation.
The journey of low birth weight infant Khaled Saad
Previously known as ‘failure to thrive’ (FTT), also known as weight faltering
Infant or children whose current weight or rate of weight gain is significantly below that expected of similar children of the same age, sex and ethnicity
Can occur in both infants (< 1 year of age) and in children (> 1 year of age)
A 9-month-old male infant presented with gastroenteritis and dehydration. He was experiencing vomiting, diarrhea, and weight loss. Initial assessments found tachycardia, poor skin turgor, and signs of dehydration. Lab work showed anemia and elevated white blood cell count, indicating infection. The infant was admitted and started on IV fluids and antibiotics to treat the infection and rehydrate him. Nursing care focused on monitoring fluid intake and output, vital signs, and symptoms to manage the diarrhea and prevent further dehydration.
This document discusses drug therapy in children and outlines several key points. It notes that pediatric pharmacokinetics differ from adults due to immature organ systems. Absorption, distribution, metabolism and excretion of drugs is often slower or less developed in children. The document also discusses different pediatric dosage forms and challenges in drug administration for children due to palatability, dosing accuracy and safety concerns. Alternative treatment options are sometimes used but can compromise drug efficacy and safety.
Diabetes is caused by the body's inability to produce or effectively use insulin. Insulin is a hormone produced in the pancreas that helps glucose enter cells to produce energy. In diabetes, beta cells in the pancreas do not produce enough insulin or cells do not respond properly to insulin, causing glucose to build up in the bloodstream instead of being used for energy. The main types of diabetes are type 1, an autoimmune disease where the immune system destroys beta cells, and type 2 where the body can no longer produce sufficient insulin to regulate blood glucose levels. Genetic and environmental factors both contribute to diabetes risk.
The document provides an overview of diabetes mellitus, including the different types (Type 1, Type 2, gestational), signs and symptoms, causes, and statistical data on prevalence worldwide and in the Philippines. It then discusses a case study of a 71-year old Filipino man diagnosed with diabetes. It outlines his medical history, including a family history of diabetes, and analyzes factors affecting his nutrition and eating patterns such as his beliefs about food, personal preferences for oily and sweet foods, sedentary lifestyle, and lack of religious dietary restrictions.
1) Pediatric patients have unique considerations for drug therapy due to ongoing development processes. Their organ systems, especially liver and kidney function, are still maturing and may metabolize and eliminate drugs differently than adults.
2) Some infamous past drug disasters in pediatrics, like the teratogenic effects of thalidomide, helped establish modern drug regulations requiring demonstrated safety and efficacy for pediatric populations.
3) Key pharmacokinetic processes like absorption, distribution, metabolism and elimination vary substantially between pediatric age groups from neonates to adolescents due to developmental differences, necessitating careful study of appropriate dosing.
Global Medical Cures™ | Gastroesphageal Reflux in Infants
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Please respond to two post regarding their differential diagnosis.docx4934bk
This document contains two responses to peers' posts regarding a differential diagnosis for a 3-day old infant presenting with poor feeding, lethargy, and other concerning symptoms.
Response 1 discusses the differential diagnoses of Maple Syrup Urine Disease (MSUD) and Neonatal Diabetes Mellitus. The treatment plan recommends hospitalizing the infant for evaluation and treatment including a protein-restricted diet and supplements. It also provides resources for the family.
Response 2 lists pertinent positive and negative findings from the case. The differential diagnosis includes MSUD and Failure to Thrive. The treatment plan is to transfer the infant to the emergency room for testing and treatment including expressed breastmilk analysis, specialized formula, IV fluids
Please respond to two post regarding their differential diagnosis.docx4934bk
This document contains two responses to peers' posts regarding a differential diagnosis for a 3-day old infant presenting with poor feeding, lethargy, and other concerning symptoms.
Response 1 discusses the differential diagnoses of Maple Syrup Urine Disease (MSUD) and Neonatal Diabetes Mellitus. The treatment plan recommends hospitalizing the infant for evaluation and treatment including a protein-restricted diet and supplements. It also provides resources for the family.
Response 2 lists pertinent positive and negative findings from the case. The differential diagnosis includes MSUD and Failure to Thrive. The treatment plan is to transfer the infant to the emergency room for testing and treatment including expressed breastmilk analysis, specialized formula, IV fluids
This document discusses diabetes mellitus (DM), specifically in children. It defines DM as a chronic metabolic disorder characterized by hyperglycemia resulting from defects in insulin secretion or action. Type 1 DM is described as an autoimmune disease resulting in absolute insulin deficiency, while Type 2 DM is associated with insulin resistance. Signs and symptoms, classification, incidence rates, diagnosis, treatment involving insulin therapy, nutrition management, and exercise are covered. Nursing care focuses on education, emotional support, and ensuring safety.
This document discusses the natural history of disease and fetal origins of adult disease. It provides background on how diseases progress over time without treatment and the importance of understanding this progression. It then discusses the theory that nutritional deprivation of the fetus during critical periods of development can force adaptations that become maladaptive when faced with different postnatal nutritional circumstances, potentially leading to adult health disorders. Factors like low birth weight, infant growth, and prenatal exposures are associated with increased risk of adult obesity, cardiovascular disease, and other issues. The document emphasizes that fetal development can permanently affect body structure and function in ways that manifest as disease later in life.
This document provides information about diabetes, including the different types, symptoms, causes, treatment, and complications. It discusses how diabetes occurs when the body does not produce enough insulin or the cells do not respond properly to insulin. The main types are type 1, type 2, and gestational diabetes. Treatment focuses on diet, exercise, weight control, and insulin as needed. Complications can include eye, foot, heart and kidney problems if diabetes is not well managed. Ways to support diabetes prevention and management in schools are also outlined.
This document provides information about diabetes, including:
- The different types of diabetes (type 1, type 2, gestational) and their causes and symptoms.
- How diabetes is diagnosed through blood tests.
- Treatment focuses on diet, exercise, and medication/insulin as needed.
- Risk factors include family history, age, weight, and lifestyle factors like diet and exercise.
- Complications if diabetes is poorly controlled can include eye, foot, heart, and kidney problems.
- Schools can help by providing education on healthy eating/lifestyles and controlling food options.
This document provides information about diabetes, including:
- The different types of diabetes (type 1, type 2, gestational) and their causes and symptoms.
- How diabetes is diagnosed through blood tests.
- Treatment focuses on diet, exercise, and medication/insulin as needed.
- Complications if diabetes is poorly controlled can include eye, foot, heart and kidney problems.
- Schools can help by providing education on healthy eating/exercise and controlling food in cafeterias.
- Various myths about what people with diabetes can and cannot eat are addressed.
C14 idf diabetes in childhood and adolescence 2013Diabetes for all
This document provides guidelines for managing diabetes in children and adolescents in under-resourced countries. It summarizes key information from other comprehensive guidelines, adapting them to focus on practical management with limited resources. The guidelines cover diagnosing diabetes, treating diabetic ketoacidosis, administering insulin therapy, managing hypoglycemia, sick day care, blood glucose monitoring, nutrition, physical activity, education, ongoing care, and complications screening. The goal is to optimize clinical practice given each center's expertise and refer elsewhere when needed.
Our aim is to alleviate human suffering related to diabetes and its complications among those least able to withstand the burden of the disease. From 2002 to March 2017, the World Diabetes Foundation provided USD 130 million in funding to 511 projects in 115 countries. For every dollar spent, the Foundation raises approximately 2 dollars in cash or as in-kind donations from other sources. The total value of the WDF project portfolio reached USD 377 million, excluding WDF’s own advocacy and strategic platforms.
This document discusses polycystic ovary syndrome (PCOS), including its causes, symptoms, diagnosis, and treatment. The author conducted research on PCOS to better understand their own condition. PCOS is a common endocrine disorder that affects 5-10% of women. It is characterized by ovarian cysts seen on ultrasound and can cause issues with fertility, irregular periods, excess hair growth, and insulin resistance. Diagnosis involves physical exams, blood tests of hormone levels, and ultrasound imaging. Treatment focuses on lifestyle changes like diet and exercise to manage symptoms and prevent diabetes and heart disease.
This document discusses diabetes, including the different types of diabetes, causes, symptoms, diagnosis and treatment. It provides details on type 1 and type 2 diabetes, gestational diabetes, and impaired glucose tolerance. Prevention methods like diet, exercise and weight control are covered. The document also discusses diagnosis, drug treatments, hospitals for diabetes treatment in India, World Diabetes Day, and myths about the disease.
Assignment 1 Gastrointestinal Tract Disorders of MotilityJ.docxfelicitytaft14745
Assignment 1: Gastrointestinal Tract: Disorders of Motility
Jamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned.
Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms. This same issue also arises with adults—adults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis.
To Prepare
· Review this week’s media presentation on the gastrointestinal system.
· Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.
· Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.
· Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.
· Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis. Consider the epidemiology and clinical presentat.
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