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USE OF HOMEMADE BLENDERIZED FORMULA IN GASTROSTOMY TUBE DEPENDENT PEDIATRIC PATIENTS WITH FEEDING INTOLERANCE: A SERIES CASE STUDY

Bills, Hannah Bowman

Abstract Details

2015, Master of Science, Ohio State University, Allied Medical Professions.
Many developmentally delayed children become dependent on enteral nutrition via gastrostomy tubes to meet their nutrition needs, and may also become intolerant of their formula. Common manifestations of intolerance include negative gastrointestinal symptoms such as constipation, diarrhea, retching, vomiting, gas, and distention. More families have begun looking towards homemade blenderized tube feeding (HBTF) as an alternative to commercial formulas. Due to the lack of research, there currently is inadequate evidence to support HBTF recommendation to families who have gastrostomy tube dependent children with feeding intolerance. This series case study was designed to assess the effect of using homemade blenderized formula in gastrostomy tube dependent pediatric patients with feeding intolerance. Four gastrostomy-dependent children were recruited from outpatient clinics to meet with a dietitian to receive prescription of an individualized HBTF recipe, along with education on administration of HBTF. Assessment was completed at baseline and 6-week follow-up, including anthropometrics, dietary intake with nutrient analysis, gastrointestinal tolerance, and quality of life measures. Data analysis included assessment of HBTF adequacy in comparison to individual nutritional needs and growth patterns, changes in reported gastrointestinal symptoms, and quality of life. Results of this study indicate that a transition to HBTF can decrease gastrointestinal symptoms in gastrostomy tube dependent children and improve caregiver-reported quality of life. However, detailed protocol and caregiver engagement is required to implement nutritionally adequate formulas and support proper weight gain and maintenance.
Marcia Nahikian-Nelms, Dr. (Advisor)
Carol Williams, Mrs. (Other)
Jill Clutter, Dr. (Committee Member)
Wendelin Burdo-Hartman, Dr. (Committee Member)
Colleen Spees, Dr. (Committee Member)
185 p.

Recommended Citations

Citations

  • Bills, H. B. (2015). USE OF HOMEMADE BLENDERIZED FORMULA IN GASTROSTOMY TUBE DEPENDENT PEDIATRIC PATIENTS WITH FEEDING INTOLERANCE: A SERIES CASE STUDY [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1429044001

    APA Style (7th edition)

  • Bills, Hannah. USE OF HOMEMADE BLENDERIZED FORMULA IN GASTROSTOMY TUBE DEPENDENT PEDIATRIC PATIENTS WITH FEEDING INTOLERANCE: A SERIES CASE STUDY. 2015. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1429044001.

    MLA Style (8th edition)

  • Bills, Hannah. "USE OF HOMEMADE BLENDERIZED FORMULA IN GASTROSTOMY TUBE DEPENDENT PEDIATRIC PATIENTS WITH FEEDING INTOLERANCE: A SERIES CASE STUDY." Master's thesis, Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1429044001

    Chicago Manual of Style (17th edition)