Nutrition and Neurodisability

This handbook provides easily accessible information on the aetiology, assessment and management of nutritional disorders in children with neurodisability. Succinct review of current evidence and guidelines is used to inform best practice. Early chapters outline the normal anatomy and physiology of feeding before considering the assessment and management of disordered feeding, and impact on nutritional status. Subsequent chapters discuss nutritional assessment and management supported by clear illustration of anthropometry techniques. Further consideration of the consequences of under and over nutrition, and impact on bone health is included. Dedicated chapters on associated gastrointestinal problems, management of drooling and dental care consider related comorbidities commonly experienced by children with neurodisability. A dedicated chapter on the use of tube feeding considers specific nutritional requirements and psychological aspects of intervention. Clinical vignettes are used to illustrate key learning points throughout.

Author Appointments vii Foreword ix Preface xi 1 The Normal Development of Oral Motor Function: Anatomy and Physiology 1 Morag J Andrew 2 ‘When Things Go Wrong’: Causes and Assessment of Oral Sensorimotor Dysfunction 7 Diane Sellers 3 Oral Health and Sialorrhea 29 Amy Hughes, Isabelle Chase and Laurie Glader 4 Gastrointestinal Problems in Children with Neurodisability: Causes, Symptoms and Management 47 Ilse Broekaert 5 Consequences of Nutritional Impairment 69 Jessie M Hulst 6 Assessment of Nutritional State: Growth, Anthropometry and Body Composition 87 Jane Hardy and Hayley Kuter 7 Assessment of Nutritional State: Dietetic, Energy and Macronutrients 109 Jacqueline L Walker and Kristie L Bell 8 Assessment of Nutritional State: Micronutrient Deficiencies and Bone Health 131 Heidi H Kecskemethy and Steven J Bachrach 9 Feeding and Nutritional Management Strategies 149 Kristie L Bell, Katherine A Benfer and Kelly A Weir 10 Enteral Tube Feeding: Practical and Ethical Considerations 169 Peter B Sullivan Conclusion 183 Guro L Andersen Index 187