Feeding Children with Development Difficulties course for Paediatricians
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This session explores the difficulty children with neurological disabilities commonly encounter with feeding, together with associated problems that can result in growth failure and malnutrition-related multi-system complications. It covers assessment and management, which often involves a range of professionals including a dietitian, occupational therapist, speech and language therapist, paediatrician and GP.
Learning Objectives
By the end of this session you will be able to:
- Identify the types of problems children with developmental difficulties may have with feeding and how this in turn may adversely affect nutritional status
- Describe the commonly used interventions to address feeding problems, and the role of tube feeding
- Explain some of the practical aspects of gastrostomy insertion and management
Nutritional problems are very common in children with developmental delay and neurological disability for a variety of different reasons. Maintaining good nutrition can help children to feel well and maximise their potential.
Prerequisites
Before commencing this session you should complete:
- Completed session: 08 Growth and Nutrition/08_09 Faltering Growth
Dr John Puntis qualified from the University of Southampton medical school in 1977 and then trained in Birmingham as a paediatrician before taking up a consultant post in Leeds as Director of Neonatal Services in 1990. With a research interest in clinical nutrition, he developed a regional gastroenterology service and now works full time in this specialty. Together with nursing, dietetic and pharmacy colleagues within a multidisciplinary nutrition support team (NST), his work involves managing children with a variety of congenital or acquired gastrointestinal diseases. The NST provides advice and support throughout the Leeds Children’s Hospital for patients with a wide range of nutritional problems, including those needing long-term enteral tube feeding and parenteral nutrition, as inpatients or at home.
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