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Refeeding guidelines for children and young people with feeding and eating disorders admitted to the Mildred Creak Unit at Great Ormond Street Hospital

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. 

Treating and reducing the risk of pressure ulcers after leaving hospital

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.

Ketogenic diet

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

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.

Bear Ward

Bear Ward is for children and young people with cardiac (heart) conditions. Some children stay here after surgery and others come for other types of treatments and tests.

Vanessa Shaw

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. 

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