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PSA - Pediatric Nutrition

Donovan Coraggio

Created on November 18, 2023

Group Project - Nurs254

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Transcript

Pediatric Nutrition

History Taking

Assessment

Patient Assessment and Food Insecurity

Climate Change

Development

Resources

References

  • Baer, M. T., & Harris, A. B. (n.d.). Pediatric nutrition assessment - journal of the American dietetic ... Eat Right. https://www.jandonline.org/article/S0002-8223(97)00741-4/fulltext
  • Hockenberry, M. J., Wilson, D., Rodgers, C. C., Sonney, J., Wong, D. L. (2022). Wong’s essentials of pediatric nursing (11th ed.). Elsevier.
  • Seattle Children’s Hospital. (n.d.). Child wellness clinic - seattle children’s. Seattle Children’s Hospital. https://www.seattlechildrens.org/clinics/child-wellness/
  • Pedchrome. (2023, January 7). Diet assessment in pediatrics: History taking skill. Epomedicine. https://epomedicine.com/clinical-medicine/diet-assessment-in-pediatrics-history-taking-skill/ M
  • Malnutrition. (2021, August 8). Johns Hopkins Medicine. Retrieved from https://www.hopkinsmedicine.org/health/conditions-and-diseases/malnutrition.
  • Malnutrition in children under the age of 5 years in a primary health care setting. (2021, September 7). South African Family Practice. Retrieved from Malnutrition in children under the age of 5 years in a primary health care setting - PMC (nih.gov) AM
  • Seattle Children’s Hospital. (n.d.). Child wellness clinic - seattle children’s. Seattle Children’s Hospital. https://www.seattlechildrens.org/clinics/child-wellness/
  • Smith, A. (2021, October 1). How climate change is adding to historically high food prices. RTE.ie. https://www.rte.ie/brainstorm/2021/1001/1249892-climate-change-high-food-prices/

Pediatric Nutritional Assessment

  • Anthropometric Measurements
    • Height / Length
    • Weight
    • Head Circumference
    • Growth Charts
  • Physical Assessment - Signs of Nutrient Deficiency
    • Pallor, dryness, eczema, edema, goiter
  • Hydration Status
    • Vitals, skin turgor, urine output, fontanelles, mucous membranes
  • Feeding Behavior
    • Breastfeeding, chewing, swallowing, self-feeding, anorexia, bullimia, binging.

Academy of Nutrition and Dietetics - Nutrition Screening Tools

Nutritional History Taking

  • Assessment
    • Appetite: What is the child eating? How much? How often?
    • Dietary restrictions or food aversions?
    • Supplemental vitamins and minerals?
  • Diet History/Assessment
    • 24 Hr Recall
    • Food Record
    • Diet History
    • Food Frequency Questionnaire
  • Assessing Barriers to Nutrition
    • Lack of Education: Does the parent understand nutrition?
    • Lack of Resources: Food Insecurity
  • Hunger Vital Sign™

Effects on Growth and Development

  • What is malnutrition?
  • Larger picture.
  • Real life example.

Community Resources

  • Apply for SNAP benefits
  • You don't need to be a citizen of the U.S. to receive SNAP in WA state
  • You can get a WIC referral through your provider for formula, diapers, and some foods
  • Other community resources in King County are Salvation Army, and Living Well in Kent
  • They can provide more specialized items like highchairs and strollers upon request
  • BE PERSISTENT in pursuing these organizations - they can be very hard to get a hold of!

Climate Change

Effects on food insecurity
  • Excesssive heatwaves, coldsnaps and floods ruin farmers' crops.
  • Climate disasters such as hurricanes can disrupt agricultrural supply lines, interfering with delivery and preservation of harvested produce.
  • Extreme weather impairs agricultural workers' production.
    • Collectively, these changes negatively impact food supply, increasing food costs for consumers.
  • Increasing food costs increase the number of food insecure households.