PSA - Pediatric Nutrition

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.