Libro blanco de las ACES Pediátricas 2024

Gastroenterología, Hepatología y Nutrición Pediátrica. Anexos ❚ 297 19 vegetarian/vegan complementary feeding) 7. Understand assessment of feeding ability H 8. Discusses the normal nutrient requirements of growing infants and children H 9. Knows the techniques for measuring dynamic nutritional needs (e.g., resting energy expenditure) H 10. Can perform a nutritional assessment (with appropriate tools) and dietary assessment; this includes knowledge of the clinical, anthropometric, haematological and biochemical indices of nutritional status including assessment of body composition B 11. Knows how to interpret results of nutritional assessment H 12. Know the different types of growth charts available and how to use them H 13. Applies knowledge of the aetiology and the clinical consequences of under- and overnutrition (obesity) in the infant, child and adolescent to its management. H 14. Be able to interpret a dual-energy x-ray absorptiometry bone densitometry result B 15. Understand the role of nutritional support teams in hospital and community settings, and the roles of individual team members including when to refer patients to a dietician H 16. Basic knowledge of gut microbiota and EBM related with "probiotic" treatment of diseases. B II Management of the complex nutritional needs requiring nutritional support Including: • Nutritional support • Enteral nutrition (including formula, type and mode of delivery) • Basics of parenteral nutrition • Feeding disorders • Nutritional support in different diseases • Complication of nutritional treatment 1. Identifies any patients with faltering growth, significant weight loss or those who require complex nutritional support H 2. Understands methods of nutritional support and their use H 3. Discusses special infant formulae and the indications for their use, including feeding composition and feeding in special circumstances (e.g. feeding preterm infants and patients with renal, cardiac, liver and metabolic diseases). H 4. Understands principles and mainstream approaches to manage malnutrition (both disease and starvation associated malnutrition) (e.g dietary counselling, fortification, supplementation, enteral nutrition, parenteral nutrition) B 5. Balances the benefits and risks of the methods of giving artificial nutritional support, including the indications and complications of enteral nutrition. H 6. Understands modality of enteral nutrition H 7. Understands indications for nasogastric and nasojejunal feeding H 8. Understands benefits and risks of insertion of a gastrostomy tube or device for feeding H 9. Recognise and manage feeding disorders, including anorexia nervosa and bulimia B 10. Provides specific and personalized diets in overweight and obese children and plan long-term follow up B 11. Provides nutritional support to children with neuro-disabling conditions H

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