Clinical guideline from Great Ormond Street Hospital for the recognition, prevention and treatment of the refeeding syndrome in children and young people admitted in the Department of Child and Adolescent Mental Health who have experienced recent starvation.
The purpose of this clinical guideline is to support staff with the recognition, prevention and treatment of refeeding syndrome in children and young people who have experienced a period of insufficient nutrition.
Clinical outcomes are broadly agreed, measurable changes in health or quality of life that result from our care. Constant review of our clinical outcomes establishes standards against which to continuously improve all aspects of our practice.
Our skin is the most important barrier against infection so we need to look after it carefully. Sometimes, for a variety of reasons, people who are unwell develop pressure ulcers. At Great Ormond Street Hospital (GOSH), we recognise that children can develop pressure ulcers too. This information sheet explains about the steps you can continue to take at home to reduce the risk of your child developing a pressure ulcer. It also explains how to manage a pre-existing pressure ulcer at home.
The ketogenic diet (KD) is a therapeutic diet, which has been shown to improve seizure control in patients with drug resistant epilepsy, and is used in some patients with metabolic conditions for example, glucose transporter type 1 deficiency syndrome (GLUT1) and pyruvate dehydrogenase deficiency (PDH).
Coagulation factors are proteins, which in the blood, cause clotting. The factors are manufactured either from human blood (plasma derived) or genetic engineering (recombinant). Advice should be sought from a Consultant Haematologist prior to any decision to prescribe and administer coagulation factors.
Vanessa Shaw is Head of Dietetics at Great Ormond Street Hospital for Children. She has practised in paediatrics for many years and has a wide experience in childhood nutrition and dietetics in health and disease.