NS335 NURTRITION
name teacher NS335 Nutrition for Special Populations 5/14/2024 Risk factors Associated with Pressure Ulcers Development. Pressure ulcers (pressure sores or bed sores) are areas of damage to your skin and the tissue underneath (Website, 2023). Cindy was already at risk for ulcer development due cerebral palsy, bedridden and incontinence. Drooling and incontinence can lead to excess moisture that causes localized skin rashes and irritation. Poor mobility can lead to pressure sores from beds, wheelchairs, and other assistive devices (Cerebral Palsy Guidance, 2024). In addition, many tube-fed patients can develop diarrhea from tube feeding that potentially can increase the risk of pressure ulcer (Gozalo, 2012). Cindy’s Egg Allergy Status Symptoms of an egg allergy often appear minutes to hours after consuming eggs or eggcontaining meals. Skin rashes, hives, nasal congestion, vomiting, anaphylaxis, and other digestive issues are some of the mild to severe signs and symptoms. With the new home health company administering nocturnal tube feedings with a formula that contained egg as one of the sources of protein for several months, Cindy displayed no symptoms outside of an upset stomach. Estimated Protein and Calories The term cerebral palsy (CP) refers to a collection of long-term abnormalities of posture and movement development that limit an individual’s activities. These abnormalities are thought to be caused by nonprogressive disruptions in the growing fetus or newborn brain. Children with CP, malnutrition has been shown to increase the severity of gastroesophageal reflux, and nutritional rehabilitation has been shown to lessen the symptoms associated with gastroesophageal reflux. Malnutrition impairs wound healing and immunity, which increases the risk of postoperative complications following surgery for fundoplication and scoliosis frepair (Kuperminc & Stevenson, 2008). A person suffering from malnourishment experiences diminished fatty tissue, less resistant skin, oedema, and other potentially problematic conditions that impede the healing process because the body is not getting enough nutrients to create, maintain, and repair tissue. Furthermore, impaired collagen synthesis, immunological function, and wound tensile strength can all be consequences of inadequate nutrition. To repair injured tissue, the body produces new tissue. More energy and certain nutrients, such protein, are needed for this reaction. The body releases stress hormones and changes metabolism during the catabolic phase, prioritizing giving the affected region the nourishment it needs to repair. Should the organism not have adequate nourishment, or this stage be prolonged. Cindy estimated protein and calories. Caluculating the calories and protein need for catch up weight consist of: Estimated Needs per kg Energy: 64 kcal/kg Protein: 0.95 g/kg Fluid: 76 mL/kg Daily Estimated Needs Energy: 1,219 kcal Protein: 18.05 g Fluid: 1,450 mL (48.33oz) Tube Feeding An appropriate tube feeding formula brand that I would recommend is supplied is called Kate farms pediatric standard 1.2. It is a complete plant-based, organic formula. Made for tolerance to help kids grow and thrive. Sole-source nutrition formula for oral or tube feeding use and for children 1-13 years of age. Made without common allergens such as milk, eggs, fish, shellfish, tree nuts, peanuts, wheat, soybeans, or sesame. Gluten-Free. USDA Organic. Non-GMO Project Verified. Available in great-tasting vanilla and chocolate flavors (Kate Farms Pediatric Formulas, n.d. Resources Website, N. (2023, July 18). Pressure ulcers (pressure sores). nhs.uk. https://www.nhs.uk/conditions/pressuresores/#:~:text=Causes%20of%20pressure%20ulcers,skin%2C%20which%20can%20damage%2 0it. Cerebral Palsy Guidance. (2024, January 6). Cerebral Palsy skin Conditions | Cerebral Palsy Guidance. Cerebral Palsy Guidance. https://www.cerebralpalsyguidance.com/cerebral-palsy/associateddisorders/skinconditions/#:~:text=There%20are%20several%20reasons%20a,wheelchairs%2C%20and%20oth er%20assistive%20devices. Gozalo, P. (2012). Feeding tubes and the prevention or healing of pressure ulcers. Archives of Internal Medicine, 172(9), 697. https://doi.org/10.1001/archinternmed.2012.1200 Nutrition Calculator for Children — Knowing Nutrition. (n.d.). Knowing Nutrition. https://www.knowingnutritionhub.com/children-3-18
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