Ponència Owen Hensey - Desordres a l'alimentació del pc
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Feeding disorders are common in children with cerebral palsy due to neurological impairments that can affect swallowing, gastrointestinal function, and oral motor skills. Some key factors that contribute to inadequate nutritional intake include inability to self-feed, prolonged feeding times, and inability to communicate. Left untreated, feeding disorders can lead to growth problems, functional immune deficiency, behavioral issues, and reduced quality of life. Treatment involves addressing any underlying medical issues like gastroesophageal reflux through positioning, thickened liquids, or medication. For severe cases, feeding tubes may be required to ensure adequate nutrition.
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Feeding disorder of infancy or early childhood 1
Feeding disorders of infancy and early childhood involve persistent failure to eat adequately or gain weight over at least one month. They feature maladaptive eating behaviors between caregiver and infant, such as food refusal, selectivity, avoidance or delayed self-feeding. Most cases have onset within the first year and respond well to interventions targeting the caregiver-infant interaction and feeding environment, though about 70% of persistent cases continue into childhood. Differential diagnosis requires ruling out underlying medical conditions, and treatment is individualized but often focuses on optimizing engagement during feeding.
NJOTA - Current Trends in Pediatric Feeding
Here are some potential chains using preferred foods as a starting point to introduce new flavors and textures:
- Yogurt -> Fruit yogurt -> Pudding -> Custard
- Applesauce -> Peaches -> Bananas -> Melon
- Mac and cheese -> Pasta with butter -> Pasta primavera -> Spaghetti
The key is going gradually, one small change at a time, based on the child's acceptance and preferences.
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This document presents the case of a 3 month old male infant referred to the Children's Emergency Room with complaints of vomiting since birth, swelling on the left forearm, fever, watery stools, and coughing/catarrh. On examination, the infant was found to be small for age but otherwise healthy. Initial workup revealed malaria parasites. The infant's condition improved with treatment, and further tests found no abnormalities. He was ultimately diagnosed with gastroesophageal reflux disease and discharged upon gaining weight and reducing vomiting with feeding adjustments. Follow up visits showed continued improvement.
Rumination disorder Presentation-2-2
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.
Gerd in children and its treatment
This document summarizes a seminar on approaching gastroesophageal reflux disease (GERD) in children. It discusses the anatomy and physiology of the esophagus and lower esophageal sphincter. It also covers the prevalence, pathophysiology, symptoms, diagnostic approaches including pH monitoring and endoscopy, and management including lifestyle changes, acid suppressants, prokinetics, and surgery for GERD in infants and children. The conclusion is that GERD is common in infants but usually resolves by 18 months, medical therapy with proton pump inhibitors is effective for treatment, and surgery is not generally recommended.
Git j club IEE 20 ys.
The document discusses eosinophilic esophagitis (EoE), including its rising prevalence, clinical presentation, histologic and endoscopic features, pathogenesis, treatment with proton pump inhibitors, diet therapy, and complications such as strictures. It notes that the most consistent predictor of esophageal stenosis in EoE is the duration of disease due to subepithelial remodeling over time. For a 33-year-old man interested in dietary therapy after partial response to PPIs, the document would recommend starting with the six food elimination diet to empirically remove the most common food allergens.
Lgg inchildren with functional abdominal pain
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Feeding disorder of infancy or early childhood 1
Feeding disorders of infancy and early childhood involve persistent failure to eat adequately or gain weight over at least one month. They feature maladaptive eating behaviors between caregiver and infant, such as food refusal, selectivity, avoidance or delayed self-feeding. Most cases have onset within the first year and respond well to interventions targeting the caregiver-infant interaction and feeding environment, though about 70% of persistent cases continue into childhood. Differential diagnosis requires ruling out underlying medical conditions, and treatment is individualized but often focuses on optimizing engagement during feeding.
NJOTA - Current Trends in Pediatric Feeding
Here are some potential chains using preferred foods as a starting point to introduce new flavors and textures:
- Yogurt -> Fruit yogurt -> Pudding -> Custard
- Applesauce -> Peaches -> Bananas -> Melon
- Mac and cheese -> Pasta with butter -> Pasta primavera -> Spaghetti
The key is going gradually, one small change at a time, based on the child's acceptance and preferences.
Anti emetics in gastroenteritis in children
An update on recent guidelines on antiemetic use in gastroenteritis in children.With some references to drugs for GERD
Gerd case presentation edited
This document presents the case of a 3 month old male infant referred to the Children's Emergency Room with complaints of vomiting since birth, swelling on the left forearm, fever, watery stools, and coughing/catarrh. On examination, the infant was found to be small for age but otherwise healthy. Initial workup revealed malaria parasites. The infant's condition improved with treatment, and further tests found no abnormalities. He was ultimately diagnosed with gastroesophageal reflux disease and discharged upon gaining weight and reducing vomiting with feeding adjustments. Follow up visits showed continued improvement.
Rumination disorder Presentation-2-2
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.
Gerd in children and its treatment
This document summarizes a seminar on approaching gastroesophageal reflux disease (GERD) in children. It discusses the anatomy and physiology of the esophagus and lower esophageal sphincter. It also covers the prevalence, pathophysiology, symptoms, diagnostic approaches including pH monitoring and endoscopy, and management including lifestyle changes, acid suppressants, prokinetics, and surgery for GERD in infants and children. The conclusion is that GERD is common in infants but usually resolves by 18 months, medical therapy with proton pump inhibitors is effective for treatment, and surgery is not generally recommended.
Git j club IEE 20 ys.
The document discusses eosinophilic esophagitis (EoE), including its rising prevalence, clinical presentation, histologic and endoscopic features, pathogenesis, treatment with proton pump inhibitors, diet therapy, and complications such as strictures. It notes that the most consistent predictor of esophageal stenosis in EoE is the duration of disease due to subepithelial remodeling over time. For a 33-year-old man interested in dietary therapy after partial response to PPIs, the document would recommend starting with the six food elimination diet to empirically remove the most common food allergens.
Lgg inchildren with functional abdominal pain
In this randomized 8 week trial Lactobacillus GG ameliorated pain significantly among pediatric IBS / functional abdominal pain patients.
(Jurnal Rett Syndrome LN) Growth and nutrition in rett syndrome
This document summarizes a study on growth and nutrition in Rett syndrome. It discusses how feeding difficulties and growth failure commonly occur in Rett syndrome due to both nutritional and non-nutritional factors. The document reviews literature on feeding problems at different stages of swallowing that can lead to dysphagia. Data from a specialized Rett syndrome clinic shows that over 80% of patients experienced feeding issues. While growth failure is well documented, the specific mechanisms remain poorly understood and clinical management is not evidence-based.
Feeding and eating disorders in infancy
This document discusses feeding and eating disorders that can occur in infancy and early childhood. It describes disorders such as pica, rumination disorder, and feeding disorder of infancy. Pica involves recurrent ingestion of non-nutritive substances. Rumination disorder involves regurgitation and rechewing of food. Feeding disorder of infancy is a persistent failure to eat adequately resulting in failure to gain weight. The document provides diagnostic criteria and discusses epidemiology, etiology, treatment and differential diagnosis of these disorders.
Encopresis (Soiling) In Pediatrics
Encopresis is involuntary fecal soiling beyond the age of 4 years. It can be caused by developmental, behavioral, or anatomical factors like lack of toilet facilities, harsh training, abuse, or diseases like Hirschsprung's. Diagnosis involves a bowel history and physical exam including growth, neurologic reflexes, abdomen, and rectal exam. Tests may include radiograph, manometry, or biopsy to check for retained stool or Hirschsprung's. Treatment focuses on removing retained stool through enemas or laxatives, use of mineral oil or stool softeners, bowel training on the toilet, and dietary changes.
Diagnosis and management of gastroesophageal reflux disease (gerd) jan 2013
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Nursing Research Poster
This document summarizes evidence from multiple studies on the effects of allowing oral intake during labor compared to maintaining nothing by mouth (NPO) status. The studies found no significant differences in primary outcomes like C-section rates or Apgar scores between the groups. Fasting during labor may lead to fatigue and increased protein breakdown. Eating extended labor by 3.5 hours on average in one study. The document recommends informing women of risks and benefits and allowing low-risk women to choose oral intake during labor.
Causes of Constipation in Children
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.
American Academy of Pediatrics Conference Poster
This randomized clinical trial compared initiating oral feedings earlier at 30 weeks postmenstrual age (PMA) versus later at 33 weeks PMA in very premature infants born before 29 weeks gestation. The study aimed to determine if earlier initiation led to earlier attainment of full oral feedings and earlier hospital discharge. A total of 47 infants were randomly assigned to the earlier or later feeding groups. The results found no significant differences between the groups in attaining full oral feedings or hospital discharge. While starting oral feeds earlier appeared safe, it did not accelerate these outcomes. Larger studies may be needed to fully assess potential benefits of earlier feeding initiation.
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Failure to thrive (FTT) refers to inadequate growth in infants and children. It is defined as weight below the 3rd percentile on a growth chart or a significant drop off from a previously established growth curve. FTT can be organic, resulting from medical causes like prematurity or malnutrition, or inorganic, caused by non-medical factors like poor parenting or neglect. Evaluation involves a thorough history, physical exam, and basic lab tests. Treatment focuses on identifying and addressing the underlying cause while ensuring adequate calorie intake through increased feeding or supplementation. Early diagnosis and intervention are important to prevent long term developmental and health impacts of prolonged malnutrition.
Failure to thrive (FTT)
This document discusses failure to thrive in children. It defines failure to thrive as inadequate growth or inability to maintain growth in early childhood. It notes that failure to thrive can be organic or non-organic. Two common organic causes discussed are celiac disease and pyloric stenosis. Celiac disease causes malabsorption due to damage to the small intestine from gluten. Pyloric stenosis causes failure to thrive due to a narrowing of the pylorus which prevents food from exiting the stomach.
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this presentation talks about the basic difficulties a mother faces for feeding a child .
its more about the feeder and the food
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There are three major types of eating disorders: anorexia nervosa characterized by starvation due to weight concerns, bulimia nervosa involving binge eating and purging due to weight concerns, and binge-eating disorder defined by overeating to discomfort while feeling out of control. Eating disorders affect both women and men of various weights and ages, though young women are often impacted. Treatment typically involves a combination of therapy, nutrition counseling, and sometimes medication to address the underlying psychological conditions linked to food-related symptoms.
GERD in children
This document discusses gastroesophageal reflux disease (GERD) in infants and children. It defines GERD as reflux episodes associated with complications, in contrast to uncomplicated gastroesophageal reflux (GER) which is normal physiological process. GER is common in infants but usually resolves by 18 months. Symptoms of GERD vary by age and may include regurgitation, respiratory symptoms, poor weight gain or failure to thrive. Management involves lifestyle changes, dietary modifications, pharmacotherapy with acid suppressants or prokinetics, and potentially surgery for refractory cases or those with complications.
Eating Problems and Intervention
This document discusses feeding problems in children and eating disorders. It defines feeding problems as difficulties consuming food due to physical, behavioral, or both issues. Feeding problems are classified as oral-motor, positioning, self-feeding, or behavioral. The document also lists common pediatric conditions associated with feeding problems. It provides examples of ways to modify foods and positioning to address different feeding problems in school settings. The document then defines eating disorders and describes the three most common types: anorexia nervosa, bulimia nervosa, and binge eating disorder. Finally, it discusses potential biological, psychological, and environmental causes of eating disorders.
Continuous vs bolus tube feeding: metabolic and circadian consequences
This talk discusses the metabolic effects of continuous vs bolus tube feeding among critically ill patients.
pediatrics.Rap.(dr.adnan)
RAP, or recurrent abdominal pain, affects about 10% of school-aged children and is characterized by recurring midline abdominal pain that interrupts normal activities on a monthly basis for at least 3 months. While an organic cause can be found in about 10% of cases, the majority are considered functional pain. The evaluation process aims to rule out potential organic causes through history, physical exam, and selective testing before establishing a diagnosis of functional pain. Reassurance and a return to normal activities are key to treatment, while medications are generally not helpful for functional recurrent abdominal pain.
Autism rugby 2013
This document summarizes a presentation on autism and special diets. It discusses the potential ways diet could help individuals with autism, including directly impacting neurotransmitters and brain structure, and indirectly by reducing pain/discomfort. It reviews evidence on gastrointestinal issues in autism and the need for increased celiac screening. It also summarizes recent studies on gluten-free/milk-free diets, probiotics, fish oils, vitamins/minerals, and enzymes, with some finding benefits but inconclusive results overall.
History and physical examination in pediatrics; illustrated book of pediatrics
The document provides guidance on conducting a thorough history and physical examination for children. It outlines key areas of inquiry for history taking, including general health, development, medications, family history and social factors. For the physical exam, it describes assessing various body systems like respiratory (listening for wheezes, crackles, stridor), cardiovascular (pulse, murmurs), abdominal (hepatosplenomegaly), neurological (gait, tone, reflexes), eyes, and ENT. Close observation is emphasized to detect signs of acute/chronic illness, congenital issues, developmental delays or behavioral problems.
Aung myo zaw(nutrition in preterm and congenital hypotrophy)
The document discusses nutrition for preterm and congenitally small infants. It notes that preterm infants have high nutritional needs for optimal growth. Early minimal enteral feeding can provide advantages like faster weight gain and shorter hospital stays compared to parenteral nutrition alone. Breast milk is preferable to preterm formula due to beneficial components, though formula provides more calories, proteins and minerals. The study assessed the effectiveness of different nutrition methods in 30 preterm and small infants, finding that a combination of preterm formula and breast milk was most effective for growth.
Ponència Karen Horridge - Principis bàsics neccps
The document outlines core principles for services for children and young people with cerebral palsy in Northern England. The principles state that the views of children and families should be listened to in all decisions about care. Goals of interventions should focus on quality of life and participation rather than just physical ability. All practitioners should work to provide high quality, holistic services according to individual needs. Children and families should expect competent practitioners across different specialties to provide holistic management and regular reviews tailored to individual needs.
Conclusiones annita loring
1. The document summarizes the conclusions of a seminar held in Barcelona in 2011 between parents and professionals on working together for children with special needs, particularly cerebral palsy.
2. It discusses ensuring these children are considered complete human beings and not just a collection of parts. Facts presented focused on quality of life, communication, pain management, feeding issues, risk, transition to adulthood, and the role of parents and professionals.
3. The conclusions determined that parents are the primary experts on their children but need support from professionals. While allowing independence and risk-taking, the most important roles are as a family. The best interests of children are upholding their dignity and rights.
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(Jurnal Rett Syndrome LN) Growth and nutrition in rett syndrome
This document summarizes a study on growth and nutrition in Rett syndrome. It discusses how feeding difficulties and growth failure commonly occur in Rett syndrome due to both nutritional and non-nutritional factors. The document reviews literature on feeding problems at different stages of swallowing that can lead to dysphagia. Data from a specialized Rett syndrome clinic shows that over 80% of patients experienced feeding issues. While growth failure is well documented, the specific mechanisms remain poorly understood and clinical management is not evidence-based.
Feeding and eating disorders in infancy
This document discusses feeding and eating disorders that can occur in infancy and early childhood. It describes disorders such as pica, rumination disorder, and feeding disorder of infancy. Pica involves recurrent ingestion of non-nutritive substances. Rumination disorder involves regurgitation and rechewing of food. Feeding disorder of infancy is a persistent failure to eat adequately resulting in failure to gain weight. The document provides diagnostic criteria and discusses epidemiology, etiology, treatment and differential diagnosis of these disorders.
Encopresis (Soiling) In Pediatrics
Encopresis is involuntary fecal soiling beyond the age of 4 years. It can be caused by developmental, behavioral, or anatomical factors like lack of toilet facilities, harsh training, abuse, or diseases like Hirschsprung's. Diagnosis involves a bowel history and physical exam including growth, neurologic reflexes, abdomen, and rectal exam. Tests may include radiograph, manometry, or biopsy to check for retained stool or Hirschsprung's. Treatment focuses on removing retained stool through enemas or laxatives, use of mineral oil or stool softeners, bowel training on the toilet, and dietary changes.
Diagnosis and management of gastroesophageal reflux disease (gerd) jan 2013
This document discusses the diagnosis and management of gastroesophageal reflux disease (GERD) from an Indian perspective. It finds that while regurgitation is common in infants and usually resolves by age 1, GERD prevalence increases with age, similar to adults by adolescence. For infants, the Orenstein questionnaire or Rome III criteria can help differentiate physiological GER from GERD. For older children and adolescents, an empirical trial of proton pump inhibitors for 4 weeks is justified for those with classical GERD symptoms. Investigations like pH studies and endoscopy are recommended for complicated cases or when symptoms are atypical. Proton pump inhibitors are the mainstay of medical management for GERD.
Nursing Research Poster
This document summarizes evidence from multiple studies on the effects of allowing oral intake during labor compared to maintaining nothing by mouth (NPO) status. The studies found no significant differences in primary outcomes like C-section rates or Apgar scores between the groups. Fasting during labor may lead to fatigue and increased protein breakdown. Eating extended labor by 3.5 hours on average in one study. The document recommends informing women of risks and benefits and allowing low-risk women to choose oral intake during labor.
Causes of Constipation in Children
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.
American Academy of Pediatrics Conference Poster
This randomized clinical trial compared initiating oral feedings earlier at 30 weeks postmenstrual age (PMA) versus later at 33 weeks PMA in very premature infants born before 29 weeks gestation. The study aimed to determine if earlier initiation led to earlier attainment of full oral feedings and earlier hospital discharge. A total of 47 infants were randomly assigned to the earlier or later feeding groups. The results found no significant differences between the groups in attaining full oral feedings or hospital discharge. While starting oral feeds earlier appeared safe, it did not accelerate these outcomes. Larger studies may be needed to fully assess potential benefits of earlier feeding initiation.
Failure to thrive (nidz)
Failure to thrive (FTT) refers to inadequate growth in infants and children. It is defined as weight below the 3rd percentile on a growth chart or a significant drop off from a previously established growth curve. FTT can be organic, resulting from medical causes like prematurity or malnutrition, or inorganic, caused by non-medical factors like poor parenting or neglect. Evaluation involves a thorough history, physical exam, and basic lab tests. Treatment focuses on identifying and addressing the underlying cause while ensuring adequate calorie intake through increased feeding or supplementation. Early diagnosis and intervention are important to prevent long term developmental and health impacts of prolonged malnutrition.
Failure to thrive (FTT)
This document discusses failure to thrive in children. It defines failure to thrive as inadequate growth or inability to maintain growth in early childhood. It notes that failure to thrive can be organic or non-organic. Two common organic causes discussed are celiac disease and pyloric stenosis. Celiac disease causes malabsorption due to damage to the small intestine from gluten. Pyloric stenosis causes failure to thrive due to a narrowing of the pylorus which prevents food from exiting the stomach.
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We give an assortment of the best, inventive, and research-based methodologies and projects that consider
all parts of wellbeing and working; connected sensibly that best addresses the issues of every patient.
Thesis Meet
This study aims to evaluate the efficacy of vestibular stimulation using an Indian hammock (Thooli) and music therapy in the prevention and management of infantile colic in term infants. 435 newborns will be randomly assigned to receive the hammock, music, or standard care (control). Parents will record crying times and the interventions will occur from birth to 4 months. The primary outcome is the incidence of colic in each group based on standard criteria. Secondary outcomes include cultural practices for colic, breastfeeding rates, and crying durations. Recruitment is complete and follow-up is ongoing to assess outcomes and determine if hammock or music therapy can effectively address infantile colic.
Understanding Food and Feeding difficulties
this presentation talks about the basic difficulties a mother faces for feeding a child .
its more about the feeder and the food
Understanding Eating Disorders, By Dr. David Garner of River Centre Clinic
There are three major types of eating disorders: anorexia nervosa characterized by starvation due to weight concerns, bulimia nervosa involving binge eating and purging due to weight concerns, and binge-eating disorder defined by overeating to discomfort while feeling out of control. Eating disorders affect both women and men of various weights and ages, though young women are often impacted. Treatment typically involves a combination of therapy, nutrition counseling, and sometimes medication to address the underlying psychological conditions linked to food-related symptoms.
GERD in children
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Eating Problems and Intervention
This document discusses feeding problems in children and eating disorders. It defines feeding problems as difficulties consuming food due to physical, behavioral, or both issues. Feeding problems are classified as oral-motor, positioning, self-feeding, or behavioral. The document also lists common pediatric conditions associated with feeding problems. It provides examples of ways to modify foods and positioning to address different feeding problems in school settings. The document then defines eating disorders and describes the three most common types: anorexia nervosa, bulimia nervosa, and binge eating disorder. Finally, it discusses potential biological, psychological, and environmental causes of eating disorders.
Continuous vs bolus tube feeding: metabolic and circadian consequences
This talk discusses the metabolic effects of continuous vs bolus tube feeding among critically ill patients.
pediatrics.Rap.(dr.adnan)
RAP, or recurrent abdominal pain, affects about 10% of school-aged children and is characterized by recurring midline abdominal pain that interrupts normal activities on a monthly basis for at least 3 months. While an organic cause can be found in about 10% of cases, the majority are considered functional pain. The evaluation process aims to rule out potential organic causes through history, physical exam, and selective testing before establishing a diagnosis of functional pain. Reassurance and a return to normal activities are key to treatment, while medications are generally not helpful for functional recurrent abdominal pain.
Autism rugby 2013
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History and physical examination in pediatrics; illustrated book of pediatrics
The document provides guidance on conducting a thorough history and physical examination for children. It outlines key areas of inquiry for history taking, including general health, development, medications, family history and social factors. For the physical exam, it describes assessing various body systems like respiratory (listening for wheezes, crackles, stridor), cardiovascular (pulse, murmurs), abdominal (hepatosplenomegaly), neurological (gait, tone, reflexes), eyes, and ENT. Close observation is emphasized to detect signs of acute/chronic illness, congenital issues, developmental delays or behavioral problems.
Aung myo zaw(nutrition in preterm and congenital hypotrophy)
The document discusses nutrition for preterm and congenitally small infants. It notes that preterm infants have high nutritional needs for optimal growth. Early minimal enteral feeding can provide advantages like faster weight gain and shorter hospital stays compared to parenteral nutrition alone. Breast milk is preferable to preterm formula due to beneficial components, though formula provides more calories, proteins and minerals. The study assessed the effectiveness of different nutrition methods in 30 preterm and small infants, finding that a combination of preterm formula and breast milk was most effective for growth.
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1. The document summarizes the conclusions of a seminar held in Barcelona in 2011 between parents and professionals on working together for children with special needs, particularly cerebral palsy.
2. It discusses ensuring these children are considered complete human beings and not just a collection of parts. Facts presented focused on quality of life, communication, pain management, feeding issues, risk, transition to adulthood, and the role of parents and professionals.
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- As Beth grew older, her parents realized the need to improve her communication tools and support. They advocated for her needs and exposed her to other children with disabilities, helping to shape high expectations for her future.
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This document discusses medical and nutritional management of feeding disorders. It provides an overview of digestion and common issues like gastroesophageal reflux. Evaluation may include medical history, tests like barium swallows, and objective assessments. Treatments include conservative measures, pharmacotherapy, and sometimes surgery. Nutritional management involves screening, assessing nutritional needs, and addressing issues like malnutrition. Alternative feeding routes like tubes are described when oral feeding is not possible.
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GERD (gastroesophageal reflux disease) in children
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Orthop[Edic And Surgical Approach In Pws
This document summarizes orthopedic and surgical approaches for patients with Prader-Willi syndrome. It discusses common musculoskeletal issues like scoliosis and osteoporosis. It also reviews anesthesia considerations for these patients given risks like obesity, altered pain response, and temperature instability. While several bariatric surgeries have been attempted, long-term success has been limited due to non-compliance and medical issues. A multidisciplinary approach is needed to manage the various health problems associated with this syndrome.
3. nutrition support
The document discusses nutrition support and the conditions that require specialized nutrition through enteral or parenteral means. It covers the indications, contraindications, advantages, and disadvantages of enteral nutrition support through various tube feeding routes and administration methods. The roles and responsibilities of nutrition support dietitians in implementing individualized nutrition care plans are also outlined.
Constipation
Constipation is a common condition in children that can have significant impacts on quality of life. It is usually functional and caused by behavioral, psychological, or dietary factors. The main symptoms are infrequent bowel movements occurring less than every 2-3 days and hard stools that are difficult or painful to pass. Treatment involves disimpaction followed by maintenance therapy using laxatives like polyethylene glycol or lactulose, along with behavioral modifications and dietary changes like increased fiber intake. Treatment may need to be continued for 6 months to a year to prevent recurrence of symptoms.
Pyloric Stenosis.pptx
Hypertrophic pyloric stenosis occurs when the pyloric sphincter muscle thickens, narrowing the stomach outlet. It typically affects young infants, especially firstborn males. Projectile vomiting after feeding is the main symptom. Diagnosis involves abdominal x-ray or ultrasound showing thickening of the pylorus. Surgical pyloromyotomy is the standard treatment and relieves the obstruction by cutting the thickened muscle. Nursing care focuses on maintaining nutrition, hydration and family support until surgery can be performed.
Nutrition in surgery
This document provides an overview of nutrition in surgical patients. It discusses the basics of nutrition including caloric and protein requirements. The importance of nutrition for surgical patients is described along with the complications of malnutrition like infection and poor wound healing. Methods of nutritional assessment involving history, exams, and labs are outlined. Both enteral and parenteral nutrition are covered, including indications, contraindications, administration methods, and potential complications. The take home messages emphasize the importance of meeting caloric needs to avoid complications, using enteral nutrition when possible, and closely monitoring patients on nutrition support.
Gerd presentation
This document discusses gastroesophageal reflux disease (GERD) in infants and children. It defines GERD as the backflow of acidic stomach contents into the esophagus, which can irritate and damage the esophagus. In infants, GERD is common and causes frequent spitting up after feedings due to the immaturity of the upper digestive tract. Symptoms in infants may include vomiting, gas, and abdominal pain. Diagnostic tests include barium swallows, pH probes, and endoscopy. Treatment focuses on positioning, feeding changes, thickeners, and medications to reduce acid and improve coordination.
Hyperemesis Gravidarum And Preterm Labor
Hyperemesis Gravidarum and Premature Labor are conditions that can occur during pregnancy. Hyperemesis Gravidarum causes severe nausea and vomiting and can lead to dehydration, weight loss, and electrolyte imbalances. Premature labor involves contractions before 37 weeks of gestation that can threaten the health of the premature baby. Treatments may include IV fluids, antiemetics, bed rest, tocolytic drugs to stop contractions, corticosteroids to aid fetal lung development, and monitoring for signs of distress. Nurses help manage symptoms, educate patients, and address anxieties over fetal and maternal health risks.
Gastro Esophageal Reflux Disease (GERD) in children
GERD is the most common esophageal disorder in children. Symptoms vary depending on a child's age, and can include regurgitation, irritability, coughing, and poor appetite. Diagnosis involves ruling out other potential causes through history and examination. Tests like barium swallows, pH monitoring, and endoscopy may then be used to confirm and assess complications of GERD like esophagitis. Managing GERD is important as it can impact a child's eating, sleeping, school and social activities if not properly treated.
Gastroesophageal reflux disease (GERD)
The passage of gastric contents into the esophagus (GER) is a normal physiologic process that occurs in healthy infants, children. Most episodes are brief and do not cause symptoms, esophageal injury, or result in other complications. In contrast, gastroesophageal reflux disease (GERD) occurs when the reflux episodes are associated with complications such as esophagitis or poor weight gain.
GERD.pptx
This document provides information on gastroesophageal reflux disease (GERD) in infants and children. It discusses the pathophysiology, clinical manifestations, diagnostic evaluation, and management of GERD. Key points include:
- GERD is caused by involuntary passage of gastric contents into the esophagus due to incompetence of the antireflux barriers. It can lead to complications like failure to thrive, respiratory issues, or apparent life-threatening events.
- Diagnostic evaluations include upper gastrointestinal imaging, 24-hour pH probe monitoring, and endoscopy. Medical management involves positioning, feeding changes, and acid suppression medications. Surgical options are considered for severe cases or those that do not respond to medical therapy
Nutrition in surgery
This document discusses nutrition in surgical patients. It begins with the basics of nutrition including definitions of malnutrition and nutritional requirements. The importance of proper nutrition for surgical patients is described along with methods for nutritional assessment. Both enteral and parenteral nutrition are covered, including indications, contraindications, administration methods, and potential complications. The document emphasizes the importance of a multidisciplinary approach and initiating nutrition support early to optimize surgical outcomes.
Persistent diarrhoea and chronic diarrhoea in children.7thsem 2017
This document discusses persistent diarrhea and chronic diarrhea. It defines persistent diarrhea as diarrhea lasting more than 14 days, while chronic diarrhea has a non-infectious etiology. The main causes of persistent diarrhea are damage to the small and large intestines from persistent colonization by microbes, dietary allergies, and carbohydrate intolerance. Management involves oral rehydration, nutritional management with dietary changes and supplements, and treating specific infections. Monitoring involves checking weight gain, food intake, stool frequency, and temperature.
Child with consipation
This document discusses constipation in children. It begins with an introduction noting that constipation is common in children, affecting 5-30%. It then covers the physiology of defecation and normal bowel habits for different age groups. Constipation is defined as hard stool passed less than 3 times per week for over 2 weeks. Causes include both functional issues like diet and organic issues like Hirschsprung's disease. Evaluation involves history, exam, and potential tests like abdominal x-rays. Treatment focuses on counseling, disimpaction if needed, maintenance therapy with laxatives and diet, and behavioral interventions with scheduling and rewards. Surgical intervention is only considered for specific organic causes.
Vomiting in children
Vomiting in Children By Prof. Dr. Sushmita Bhatnagar.
For info log on to www.healthlibrary.com.
Constipation in Childrens
this presentation is all about the constipation in children, how we evaluate history and what steps should be taken for treatment.
Abdominal Pain in Children By Prof. Dr. Sushmita Bhatnagar
For info log on to www.healthlibrary.com. Abdominal Pain in Children By Prof. Dr. Sushmita Bhatnagar
Abdominal Pain in children occurs commonly. Sometimes it is nothing to do worry about but sometimes it can be life threatening. To identify and treat early is necessary in all children.
feeding problem in the frist year of life.pptx
This document provides an overview of feeding problems in infants in the first year of life. It discusses normal feeding development stages, phases of normal feeding, essential nutrients, clinical manifestations of feeding disorders, and potential causes. Causes can include maternal factors, infant factors, functional/anatomical issues, and other associated conditions. The document outlines various maternal issues, infant diseases, anatomical abnormalities, neurological and muscular disorders, gastrointestinal issues, and infections that may contribute to feeding problems. It notes potential consequences like dehydration, aspiration, failure to thrive, and delayed development. The document concludes with discussing nutritional assessment approaches.
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GERD (gastroesophageal reflux disease) in children
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- 1. Feeding disorders in the Child with Cerebral Palsy Dr Owen Hensey Central Remedial Clinic Dublin
- 2. Environment Behaviour Physical Factors influencing feeding
- 3. Normal swallow Trachea Epiglottis Pharynx Bolus Epiglottis
- 4. Normal swallow Trachea Epiglottis Pharynx Bolus Epiglottis
- 6. Normal Gastrointestinal Tract Anatomy
- 13. Normal Stomach
- 14. Gastro-oesophageal reflux acid reflux diaphragm oesophagus lower oesophageal sphincter stomach
- 19. Bronchiectasis
- 22. Barium Swallow
- 25. pH studies Normal Severe reflux (pH<4)
- 31. Medical management of feeding disorders
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- 48. Improved survival Respiratory care Gastrostomy feeding Epilepsy control Improved nutrition Immunization Improved social and living standards