Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Thank you, this is very helpful. They are non-ambulatory. > > Are they hypertonic? Do they move around alot? Or are they hypotonic and low muscle tone, non-ambulatory. > You can use Mifflin-StJeor and adjust the activity factor based on the above information. If already on TF then you monitor weight/subcutaneous fat and adjust up or down on the kcals. Vitamins & minerals & protein to meet RDA although you might need extra vit D if they never go outside. I might do a little higher protein if they are non-ambulatory (nitrogen balance studies show net losses when people are on bedrest). >  > There is no available formula for CP because of so many variables in metabolism. Same goes for pediatric CP - some of my kids are as low as 5 kcal/cm (they are on vents) and some as high as 16-17 kcal/cm (hypertonic, constant movement in bed/wheelchair/floor/etc). >  > Holly > > ---------- > Holly Lee Brewer, MS RD > Pediatric Dietitian, Diabetes Educator > Medical Nutrition Therapist, Las Vegas, NV > > > Maj Holly Brewer, USAFR BSC > 301st MDS, NAS JRB Fort Worth (Carswell), TX > http://hollyinbalad.blogspot.com > > > > >To: rd-usa > >Sent: Wednesday, March 28, 2012 10:19 AM > >Subject: cerebral palsy > > > > > > > >What would the nutritional needs be for a patient with cerebral palsy? I have found information for adolescents, but not adults. I know it is slightly higher than normal, but don't have a specific formula to go by. Any help would be greatly appreciated. > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Based on my book: Nutrition and Diagnosis-related care (amazing reference book, I highly recommend it) for energy it say: " Increase energy intake (up to 45 kcal.kg) to accommodate for the added movements of the atheroid patient over the age of 18. In adults with CP, athetosis may increase energy needs by as much as 524 kcal/d. " Hope that helps some. From: rd-usa [mailto:rd-usa ] On Behalf Of Cara Sent: Wednesday, March 28, 2012 11:20 AM To: rd-usa Subject: cerebral palsy What would the nutritional needs be for a patient with cerebral palsy? I have found information for adolescents, but not adults. I know it is slightly higher than normal, but don't have a specific formula to go by. Any help would be greatly appreciated. **CONFIDENTIALITY & PRIVACY NOTICE**: This message and any included attachments originate from Gerald Champion Regional Medical Center and are for the sole use of the intended recipient(s). This email and any attachments are confidential and may contain privileged or protected patient health information. Unauthorized forwarding, printing, copying, distribution, or use of such information is strictly prohibited and may be unlawful. If you are not the addressee, please promptly delete this message and notify the sender of the delivery error with a copy to SecurityOfficer@... by e-mail or call Gerald Champion Regional Medical Center in Alamogordo, NM at , attention Security Officer. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Based on my book: Nutrition and Diagnosis-related care (amazing reference book, I highly recommend it) for energy it say: " Increase energy intake (up to 45 kcal.kg) to accommodate for the added movements of the atheroid patient over the age of 18. In adults with CP, athetosis may increase energy needs by as much as 524 kcal/d. " Hope that helps some. From: rd-usa [mailto:rd-usa ] On Behalf Of Cara Sent: Wednesday, March 28, 2012 11:20 AM To: rd-usa Subject: cerebral palsy What would the nutritional needs be for a patient with cerebral palsy? I have found information for adolescents, but not adults. I know it is slightly higher than normal, but don't have a specific formula to go by. Any help would be greatly appreciated. **CONFIDENTIALITY & PRIVACY NOTICE**: This message and any included attachments originate from Gerald Champion Regional Medical Center and are for the sole use of the intended recipient(s). This email and any attachments are confidential and may contain privileged or protected patient health information. Unauthorized forwarding, printing, copying, distribution, or use of such information is strictly prohibited and may be unlawful. If you are not the addressee, please promptly delete this message and notify the sender of the delivery error with a copy to SecurityOfficer@... by e-mail or call Gerald Champion Regional Medical Center in Alamogordo, NM at , attention Security Officer. Quote Link to comment Share on other sites More sharing options...
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