Recent comments

You may want to go back several years, I remember clearly when the research was done in the 90s.  Look for Fima Lifshitz articles/research.

You can also read a summary if you do a search for :  Welch's carbohydrate malabsorption (no, I am not promoting white grape juice, but I knew their site would have the reference).

Apple juice has been assoc. with chronic non-specific diarrhea.  If you get the original articles you will see the CHO/sugar composition of different juices and it will explain to you why some produce more osmotic diarrhea than others.  That's why pediatricians oftentimes place babies on apple juice when they are constipated (I am not advocating, just stating).

So, is there research?  Yes.  It is old, however, I don't know that this is too much of a "grey area".

Aida Miles

miles081@umn.edu

Beth,

the University of Arkansas KIDS FIRST produced an excellent resource for this age group that addresses overweight.  Contact Verna Baker (she is a PNPG member, you can search for her in our directory).

Good luck!

Aida Miles

miles081@umn.edu

We had a very similar situation a year ago.  Our GI docs said that apple juice is too acidic to be on the clear liquid diet and should be removed.  They use apple juice to calibrate their pH probe.  We discussed that all juices are very acidic...not just apple juice.  In fact, almost everything on our clear liquid menu was acidic (popsicles, flavored pedialyte, italian ice, ginger-ale, etc).  We tested everything with pH strips.  GI wanted it all removed from the clear liquid diet which basically only left us with water, plain pedialyte, herbal tea, plain ice, jello, and broth.  So we finally came to a comprimise and created a "Low Acid Clear Liquid Diet" for them.  Our regular Clear Liquid Diet has remained intact and they now have this Low Acid option if they would like to order it for their patient. 

Hope this helps!

We will have a discounted registration of $100 for the first twenty students who register for the PNS.  We do no have scholarships available.

Thanks for your interest and hope to see you there!

At Phoenix Children's Hospital we're using Schofield Equations for most critically ill children.  We don't add activity factors if they are paralyzed, but do add about 1.1 for activity factor if vented, but not paralyzed.  We add stress factors which we've compiled from several sources (listed at end).  For adult-sized adolescents, we use Ireton-Jones Equations.  White Equations may be more accurate for TBI.

Hi Nancy,

I work with pediatric BMT patients.  Nutrition issues that frequently come up with my patients are weight loss, decreased oral intake due high dose chemo and/or side effects of chemo (loss of appetite, nausea, vomiting, diarrea), difficulty chewing/swallowing due to mouth/throat sores or mucositis, loss of interest in food due to limited selection & prolonged hospitalization, chronic & acute GVHD.  We have room service so some food service issues that may come up include food not being the proper temperatute when it arrives or the child having to wait 45-60 minutes for their food to arrive.  I am not sure if this is the information you were looking for, but if you are able to provide some more details I may be able to give some more feedback.

Hope this helps!

Erin

Jill,

What a great question.  I looked into this last year and I could not find a reference.  The only guidelines I am aware of are from the Cystic Fibrosis foundation and I believe their ratio is 1 RD per 100-150 patients (but keep in mind this is patients per center, not inpatients).

Even with this recommendation, the CFF does not give funding to centers to staff for RDs, so institutions are on their own to try to meet this ration.

I hope you get some answers, although I would be surprised if there is something published on this.  Budgets are a funny thing, and we end up staffing according to the money we have, not necessarily according to the "need".

Aida

The Nutrition Care Process for Pediatrics will be a featured topic at the PNPG Pediatric Nutrition Symposium in Raleigh, NC - April 1-3, 2009. This should be an excellent presentation, targeting pediatrics.

Thank You for your interest in the Pediatric Nutrition Symposium!

Students are welcome and encouraged to attend.

Registration fees have not been determined yet. Keep checking the website for updates!

This is interesting.  Does anyone know if their facility uses these Silastic spring-loaded silo for their gastroschisis infants?