Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Indications of Health.~--The normal growth and development to be used
as guides as to the physical well-being of the infant; also as an
indication of the use of the proper modification of milk for the
individual needs of the child.
~Dilution.~--The amount of dilution necessary--cereal waters, whey,
etc.--to increase the digestibility and nutrient values of the
formula.
~The Addition of Alkali.~--The addition of alkalies to milk formulas
to accomplish a like purpose.
~Milk Sugar, Malt Sugar, Cane Sugar.~--The use of the different
sugars, namely, dextri-maltose, lactose, or cane sugar under various
circumstances as the condition of the infant demands.
~Substitutes for Whole Milk.~--The substitution of different milk,
such as lactic acid milk, Bulgarian culture buttermilk, Eiweissmilch,
cream and whey mixtures, as the individual needs of the infant demand.
~Technique of Milk Modifications.~--The absolute need for the nurse
to understand the technique of milk modification before attempting the
care of an artificially fed infant.
~Percentage Computation.~--A knowledge of percentage, that an accurate
computation of a formula may be accomplished.
~Preparation of Food.~--A sufficient knowledge of food preparation to
enable the nurse to prepare any food which may be deemed necessary by
the physician for the welfare of the child.
~Water.~--The importance of giving the baby water aside from that used
in modifying the milk. Many babies cry from thirst when they are
believed to be crying from hunger or temper.
~Increasing the Diet.~--The necessity for increasing the amount and
strength of the formula with the age, growth, and development of the
child by the addition of solid food as soon as the physician deems it
advisable.
~Feeding Premature Infants.~--The method of feeding a premature infant
differs from that employed in feeding an infant born at term: (a)
because its development has not progressed so far; (b) because its
digestive apparatus being more or less immature, food handled with
ease by an older baby will be totally unfit for the premature one,
both as to quality and quantity.
~Wet Nurse.~--The advisability of procuring a wet nurse when the
mother is unable to nurse the infant, (a) on account of the more
digestible character of the food constituents, especially the
proteins, in mother's milk over those of cow's milk; (b) on account of
the resistance furnished by the natural food which has been proved to
be very much greater than that furnished by any other food, no matter
how carefully the modification of the milk is made.
~Premature Infants.~--Their caloric needs are greater than in
full-term babies, hence their food must be adjusted to meet these
needs.
In fact the nurse must have an understanding of the behavior of foods
in the metabolism of infancy and the laws which govern their use in
the organism of the child.
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