Nutritional support of palliative children with serious nutrition deficit

Abstract

The purpose of the study is to assess the degree of nutrition deficit, calculate its actual requirement in enteric substrate and organization of adequate feeding. Indices of Broke 2, Pine, Z-score were used for determination of nutrition insufficiency degree. Physiological and actual requirements were defined by Schofield (WÍ) equation. Broke 2 index accounted for 40 %, BWI – 9.18, Z-score for BW on age – "-"6, for height on age – "-"12, for BW on height – "-3.5", which attested about extreme degree of nutritive insufficient (cachexia) and significant delay in physical development. High requirements in energy and low tolerance for necessary volume of feeding determine the administration of specialized isocaloric clinical product. Conclusion. Employment of simple standardized indices allows to determine the degree of nutrition deficit in palliative children. The definition of actual, instead physiological, requirements and administration of special clinical products permits to provide adequate nutrition in spite of low tolerance for high volume of feeding.