Organised By
Organised By
Background: Paediatrics with CP has higher risk for becoming malnourished as their high energy requirements and feeding problems. Therefore, providing adequate energy and nutrients is critical to ensure optimal growth and development. Client History: FI was a 8.8years CP boy with turbid urinate for the last 2months. He had delayed development for speaking ability and not able to stand by himself yet. Assessment: Anthropometric data was 16.5kg weight, 108cm height and MUAC 15cm. Based on CDC indexes, his nutritional status was stunted (H/A81%) and wasted (MUAC/A79%). From physical findings, there were loss of subcutaneous fat and muscle loss (temples, clavicles, shoulders and thighs). No food allergies and able to ingest orally solid food combination with standard formula. His energy requirement was 1800Kcal. His food pattern at home was 3xsolid food 2xsnacks and had swallowing liquid problem. His energy and nutrient intakes were 1424Kcal (79%RDA) and Protein 45,6g (85%RDA). Nutrition Diagnosis: Malnutrition (NC-4-1) related to genetic disorder as evidenced by stunting, wasting, physical findings, protein intake 85%RDA, and CP. Dietary Prescription and Intervention: Improving malnutrition condition, physical findings and protein intakes. The target energy was 1800Kcal (100%RDA) with nutrition therapy 1000Kcal (3xsolid foods) and 4x200mL standard polymeric formula (1Kcal/mL) orally. Monitoring and Evaluation: During 4 days inpatient, his intake was 1125Kcal (62,5% target). This poor intake as fluid swallowing problem. Planned to have NGT access, but the family had refused. Therefore, Dietician had to increase energy from solid foods and decreasing formula volume to be 4x100mL. In addition, on the third day FI underwent mini PNCL procedure and received only parenteral nutrition (400Kcal/d). Summary: NCP for CP paediatrics is critical as it requires highly competence Dietician in performing modified nutrition therapy to achieve target goals. Family reluctance and cooperation with nutrition therapy would be an intrigue NCP challenge to be implemented. Disclosure Statement: This case study was not sponsored by any company.