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NUTR 2050 (75)
Chapter 11

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University of Guelph
NUTR 2050
Jess Haines

Chapter 11 (pages 300-303) Feeding Problems  Children with special health care needs have many of the same developmental feedings issues as other children, such as using food to control their parents’ behavior at mealtime and going on food jags  Some feeding problems during the toddler years are typical in children who are later diagnosed with a chronic condition including gastroesophagel reflux, asthma, developmental delay, cerebral palsy, ADHD, and autism  As toddlers these children tend to display feeding problems such as low interest in eating, long mealtimes, preferring liquids over solids, and food refusals  Offering the child food textures that he or she can eat successfully within a monotonous diet, or continuing to offer a bottle, may be appropriate choices in these situations  The soft textures and mild tastes of preferred foods characterize a child closer to 1 year of age  The foods the child dislikes require higher oral skills Behavioral Feeding Problems  Behavioural disorders that affect nutritional status are autism and attention- focusing problems, such as attention deficit hyperactivity disorder (ADHD)  ADHD may be suspected during the preschool years, but it is primarily treated during school years  Autism affects feeding habits in the following was: child refuses to eat many foods and is rigid in what he will eat; does not respond to feeling hungry; when not given food they like may have temper tantrums and refuse to eat at all; prefers to drink rather than eat Excessive Fluid Intake  Many young children prefer to drink rather than eat solid foods especially when they are not feeling well  The American Academy of Pediatrics recommends to limit juice intake to 4-6 fluid ounces per day for ages 1-6 years  Calcium fortified juices may be appropriate if other sources of calcium are limited  In a child who already has gastrointestinal problems, it may not be clear if problems are caused by excessive juice intake  Excess juice resulting in a pattern of low milk intake has been documented to result in smaller stature and lower bone density Feeding Problems and Food Safety  Toddlers and preschoolers with chronic conditions are at greater risk for food- contamination problems  Some feedings problems result in prolonged need for soft, easy-to-eat food textures well past the age when baby foods are eaten  Fork-mashing or blending foods may invite bacterial contamination or spoilage overtime  Complete nutritional supplements and formulas are subject to contamination in the tubing used to give them Feedings Problems from Disabilities Involving Neuromuscular Control  Children who have feeding problems related to muscle control of swallowing or control of the mouth or upper body may choke or cough while eating or refuse foods that require chewing  Thes
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