![]() Homemade Blended Formulas for Infants and Children with Tube Feedings for Swallowing and Feeding Aversion Problems. HOMEMADE BLENDED FORMULAS: A NUTRITIONAL OPTION FOR TUBE- FED CHILDREN(Adapted with permission from the Introduction of Homemade Blended Formula Handbook)Many families who are providing tube feedings for their children have asked, “Why can’t I feed this child the nutrition I feed my other children?” or “What can I offer my child besides the same formula every day?” or “How would I go about providing real blended food through the tube?” or “Can I still use the commercial formula and just add a little food?” or “Where would I start”? Much to the frustration of families, many of these professionals have asked them, “Why would you want to offer something besides commercial formula?” Some professionals have said, “Well, I’ve never had anyone ask that question, but let’s learn together.” We, as feeding team members, need to find ways to support the families who ask “why?” “how?” and “what?” and other professionals who have limited experiences and want to learn. What is a homemade blended formula? Historically, these types of tube feeding formulas have been called “blender feedings,” “blenderized formula,” or “blenderized tube feedings.” In our support of families, we have added the word “homemade” to celebrate the personal and nurturing nature of the preparation. We define a homemade blended formula as any formula that a parent makes that modifies a standard formula with “real “foods. ![]() In the 6. 0s and early 7. Tubes were predominantly limited to larger catheter tubes. Infants received tube feedings with their infant formulas. They knew just how many calories, macronutrients and micronutrients the child was receiving. Families were sent home with cases of formula, a specific time schedule, and a prescribed number of ounces per feeding. Tube feedings often became just one more procedure required of parents when their medically fragile children returned home from the hospital. The tube feeding process and its vocabulary of doses and ounces and mls or ccs inadvertently emphasized the medical nature of nutrition and increased the separation from the family meal and the feeding relationship that parents dreamt of for their children. Today, technology has greatly changed and made tube feedings much easier for children and their families. They’re more portable, more efficient and less restrictive. Paleo diets are based on a simple premise . But this can be tricky to replicate healthfully. Dieting is the practice of eating food in a regulated and supervised fashion to decrease, maintain, or increase body weight. In other words, it is conscious control. Many parents report that preparing homemade blended formulas gives them more control in their children’s growth and feeding, and allows them to nurture their tube- fed children with food as they would orally fed children. Supporting Parents As we consider how to support families making a homemade blended formula choice, we realize we already have a large amount of information about what to feed children, how much to feed them at different ages, what nutrients are needed for optimal growth and how to interact with children at mealtimes. Commercial formulas need not be the only option. Instead of being written up in scientific journals, these positive experiences have been shared anecdotally through professional discussions and from parent to parent by phone, Internet mailing lists and online chat rooms. The special considerations of tube feeding technology and special diets, and the translation of oral feeding knowledge to tube feeding, often requires additional team support. When parents are considering serving homemade blended formulas, it’s very important to work closely with their children’s health care team, starting with the primary care physician. In supporting families who choose a homemade blended formula option we need to realize that mealtimes are personal in nature, whether they’re oral or tube mealtimes. Each child and family is different. The choices families make in their journeys with tube feeding reflect their family circumstances and dynamics, and their children’s specific nutritional needs. Rather, it’s our intent to offer information so parents and professionals can make informed choices for feeding children who receive nutrition through a feeding tube. For more information on homemade blended formulas for tube fed children, see the recently published, Homemade Blended Formula Handbook by Marsha Dunn Klein and Suzanne Evans Morris, which is now available through New Visions and Mealtime Notions, LLC . It offers more information on homemade blended diets for tube fed children. ![]() ![]() ![]() ![]() She currently maintains a private practice in Tucson, Arizona at Mealtime Connections, LLC and is the founder of Mealtime Notions, LLC. She is the designer and producer of the Duo. We review the top 4 diets that work in 2017, and provide you with a suite of diet calculators and charts to help you diet effectively. At Royal Canin, we make the most precise and effective nutrition for cats and dogs based on size, age, lifestyle, breed and to address specific needs. A list of the most popular crash diets to choose from when considering a weight loss plan. Crash diets include the cabbage soup diet, the grapefruit diet, the 3. Less than 2% of Americans achieve even the recommended minimum adequate intake of potassium, due primarily to inadequate plant food intake.If you take any. Have you heard about the Paleo diet and were curious about how to get started?![]() Spoon . Suzanne maintains a professional practice that includes direct clinical work, continuing education workshops, development of clinical materials and clinical research. She is the director of New Visions, which sponsors innovative workshops for the teaching of feeding- related skills, and provides family- oriented clinical services. She is the coauthor, with Marsha Dunn Klein, of Pre- Feeding Skills: A Comprehensive Resource for Mealtime Development ,2nd edition, the Mealtime Participation Guide and the Homemade Blended Formula Handbook. New Visions. 11. 24 Roberts Mountain Road. Faber, Virginia 2. Print Article. This paper is a.
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June 2017
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