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Training Manual 2007 Training programme for public health nurses and area medical officers in child health screening surveillance and health promotion training manual 2007 Item Type Report Authors Health Service Executive (HSE) Publisher Health Service Executive (HSE) Download date 29/09/2021 03:41:31 Link to Item http://hdl.handle.net/10147/110380 Find this and similar works at - http://www.lenus.ie/hse Training Manual 2007 Training Programme for Public Health Nurses and Area Medical Officers in Child Health Screening, Surveillance and Health Promotion 028 7136 5300 :: www.lermagh.com LERMAGH Cover Design X Design Cover ACKNOWLEDGEMENTS The HSE wishes to thank: Dr Anne Griffin, RPHNutr. Senior Community Dietitian, HSE West Ms Deborah Griffin, RPHNutr. Senior Paediatric Dietician, Waterford Regional Hospital, HSE South Ms Ita Saul, Principal Dietitian, Our Lady’s Hospital for Sick Children, Crumlin Ms Valerie Mullen, Senior Dietitian, St Michaels’ House Ms Olive Carolan, Community Dietitian Manager, HSE Dublin/North East Ms Maria Hayes, Senior Community Dietitian, HSE Dublin/North East Ms Audrey Lyons, Senior Community Dietitian, HSE West Ms Denise McGovern, Senior Community Dietitian, HSE Dublin/North East Ms Edel McNamara, Senior Community Dietitian, HSE Dublin/North East Ms Sinead O’Driscoll, Senior Community Dietitian, HSE West Ms Margaret O’Leary, Lactation Consultant, Regional Maternity Hospital, Limerick Ms Gillian Quinlan, Senior Community Dietitian, HSE West Ms Sheena Rafferty, Dietitian Manager, HSE Dublin/North East Ms Fiona Rush, Community Dietitian, HSE South Ms Sallyann Thompson, Dietitian Manager, HSE Dublin/North East CONTENTS Introduction and Rationale..................................................................................................4 Glossary .....................................................................................................................................5 Abbreviations...........................................................................................................................7 Chapter 1 Pregnancy..............................................................................................................8 - Healthy eating during pregnancy .......................................................................8 - Important nutrients during pregnancy ..............................................................8 - Food Safety............................................................................................................9 - Good Food Hygiene ............................................................................................9 - Foods and drinks to avoid during pregnancy ...................................................10 - Morning Sickness..................................................................................................11 - Constipation...........................................................................................................11 - Heartburn...............................................................................................................11 - Food Cravings .......................................................................................................11 Chapter 2 Infant Feeding.....................................................................................................12 - Breast feeding ........................................................................................................13 - Evidence for benefits of breastfeeding..............................................................13 - Importance of breastfeeding for children .........................................................13 - Importance of breastfeeding for mothers.........................................................14 - Economic importance of breastfeeding ............................................................14 - Environmental importance of breastfeeding....................................................14 - Beneficial components of breast milk................................................................14 - Components of infant feeds (breast and formula)...........................................15 - Formula feeding ....................................................................................................16 - Types of formula...................................................................................................16 - Growth Monitoring ..............................................................................................21 - Common problems of infant feeding ................................................................22 Chapter 3 Weaning / Introducing complementary foods ..........................................25 - What is weaning?...................................................................................................25 - At what age should complementary foods be introduced?.............................26 - Which foods?.........................................................................................................27 - Tips and tricks for early feeding .........................................................................28 - Other stages of eating...........................................................................................29 - Guidelines for introducing complementary foods...........................................31 - The role of parents................................................................................................35 - Vegetarianism ........................................................................................................37 - Problems of poor eating habits...........................................................................41 - Constipation...........................................................................................................41 - Toddler diarrhoea..................................................................................................42 - Useful resources....................................................................................................43 Chapter 4 Signs of nutritional deficiency.........................................................................44 - Anaemia..................................................................................................................44 - Vitamin B12 Deficiency ......................................................................................47 2 Chapter 5 Oral Health...........................................................................................................48 - Baby Bottle Tooth Decay ....................................................................................48 - Tips for healthy teeth and gums .........................................................................50 Chapter 6 Food refusal and fussy eating..........................................................................51 - Simple helpful tips for parents............................................................................51 - What is a feeding difficulty?.................................................................................53 - Practical advice ………………………………………………………......53 Chapter 7 Food allergy and intolerance ..........................................................................55 - Prevalence and symptoms ...................................................................................55 - Food allergens........................................................................................................55 - Food induced generalised anaphylaxis...............................................................56 - Food allergy in children........................................................................................57 - Dietary Management ............................................................................................57 - Cow’s Milk Allergy................................................................................................57 - Egg Allergy.............................................................................................................58 - Peanut Allergy........................................................................................................59 - Soy Allergy .............................................................................................................60 - Wheat Allergy ........................................................................................................60 - Coeliac Disease......................................................................................................61 - Additives.................................................................................................................63 - Attention Deficit Hyperactivity Disorder..........................................................63 Chapter 8 Nutrition for Children with Down Syndrome.............................................64 - Growth ...................................................................................................................64 - Feeding Difficulties… …………………………………………………...64 - Co-morbidities with DS requiring nutrition intervention...............................65 - Practical Advice.....................................................................................................66 Chapter 9 Food customs of different cultures................................................................68 - Ethnic dietary information ..................................................................................69
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