Use the interactive tool below to find out the most appropriate nutritional solution taking into account:
Support in finding nutritional solutions for children with Cerebral Palsy
Every child with Cerebral Palsy (CP) has different nutritional needs. Nutricia offers a range of tailor-made nutritional solutions to serve all these different needs in line with ESPGHAN guidelines.
- The feeding time and the child’s ability to swallow
- The nutritional adequacy
- Child’s ability to tolerate
To access the full overview of the nutritional solutions for children with CP, please download the pdf HERE.
SAFE SWALLOW AND/OR A LONG FEEDING TIME
Does your patient have swallowing difficulties and/or a long feeding time?
YES
NO
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ADEQUATE NUTRITIONAL INTAKE
Does your patient have adequate nutritional intake?
YES
NO
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CHALLENGES WITH FOOD TEXTURE
Does your patient have challenges with food texture?
YES
NO
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No nutritional intervention is needed
Continue screening for
feeding/swallowing issues and undernutrition with:
Feeding Nutrition Screening Tool (FNST)
www.feedingnutritionscreeningtool.com
FNST: first scientifically validated online screening tool that can
assess risk of malnutrition and guide you towards a specialist if necessary
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ISSUES WITH TOLERANCE
Does your patient have signs or
symptoms of gastrointestinal feeding intolerance?
YES
NO
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TUBE FEED RANGE WITH WHOLE PROTEIN
Nutrini
(1-6 years, 8-20kg in body weight)
(1-6 years, 8-20kg in body weight)
Nutrinimax/Tentrinimax
(7-12 years, 21-45kg in body weight)
(7-12 years, 21-45kg in body weight)
Energy density1
Low energy needs
0.75 kcal/mL
0.75 kcal/mL
Standard energy needs
1.0 kcal/mL
1.0 kcal/mL
High energy needs
1.5 kcal/mL
1.5 kcal/mL
Standard energy needs
1.0 kcal/mL
1.0 kcal/mL
High energy needs
1.5 kcal/mL
1.5 kcal/mL
Fibre-free
Nutrini
Nutrini Energy
Nutrinimax/Tentrini
Nutrinimax/Tentrini Energy
Fibre
Nutrini Low Energy
Multi Fibre
Nutrini Multi Fibre
Nutrini Energy Multi Fibre
Nutrinimax/Tentrini
Multi Fibre
Nutrinimax/Tentrini Energy
Multi Fibre
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Note: every product has a unique composition (color code) that is in line with
the corresponding ESPGHAN recommendations which you can see below. ↓
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TUBE FEED RANGE WITH EXTENSIVELY HYDROLYZED PROTEIN
Nutrini Peptisorb Range
(1-12 years, 8-45kg in body weight)
(1-12 years, 8-45kg in body weight)
Energy density1
Standard energy needs
1.0 kcal/mL
1.0 kcal/mL
High energy needs
1.5 kcal/mL
1.5 kcal/mL
Extensively
hydrolized
protein
hydrolized
protein
Nutrini Peptisorb
Nutrini Peptisorb EnergyBACK TO BEGINNING
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ORAL NUTRITIONAL SUPPLEMENTS (ONS)
Fortini/Nutrinidrink (1+ years, >8kg in body weight)
Energy density1
Standard energy needs
1.0kcal/mL
1.0kcal/mL
High energy needs
1.5kcal/mL - 2.4kcal/mL
1.5kcal/mL - 2.4kcal/mL
Fibre-free
Fortini/Nutrinidrink 1.5kcal/mL
Fortini/Nutrinidrink Powder 1.5kcal/mL
Fibre
Fortini/Nutridrink Multi fibre
1.0kcal/mL
Fortini/Nutridrink Multi fibre
1.5kcal/mL
Fortini/Nutridrink Compact
Multi fibre
2.4kcal/mL
Fortini/Nutridrink Smoothie
Multi fibre
1.5kcal/mL
Fortini/Nutridrink Creamy Fruit
1.5kcal/mL
Texture/
Thickness
Thickness
Liquid
Liquid
Compact Liquid
Smoothie
Spoonable
IDDSI2 (room
temperature)
temperature)
0
0
1
2
3
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Do you need a thicker ONS? YES
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NEED FOR A THICKER ONS
Use the thicker products
of the Fortini range
Top up Fortini range
with Nutilis
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NUTILIS RANGE (3+ YEARS)
Consider adding Nutilis range as instant thickeners for
your child’s food and drinks. They are designed to maintain
the normal appearance of fluids, while they can be used to
modify the texture of various food and fluids.
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Important notice: All the products shown in this algorithm are Foods for Special Medical Purposes (FSMP) and must be taken under special medical supervision
- ESPGHAN3 recommends using standard (1.0 kcal/mL) polymeric age-appropriate formula including fiber for children with NI (Neurological Impairment) older than 1 year
- ESPGHAN3 recommends using a high-energy density formula (1.5 kcal/mL) containing fiber in cases of poor volume tolerance in children with NI, provided hydration is carefully monitored
- ESPGHAN3 recommends using a low-fat, low-calorie, high-fiber, and micronutrient replete formula for the maintenance of enteral tube feeding after nutritional rehabilitation in immobile children with NI
- ESPGHAN3 recommends using a trial of whey-based formula in cases of gastroesophageal reflux, gagging and retching in children with NI
- ESPGHAN3 recommends considering use of enteral feeding if total oral feeding time exceeds 3 hours per day
- Braegger, Christian et al. "Practical approach to paediatric enteral nutrition: a comment by the ESPGHAN committee on nutrition." Journal of paediatric gastroenterology and nutrition 51.1 (2010): 110-122.
- IDDSI is a global standard with terminology and definitions to describe texture modified foods and thickened liquids used for individuals with dysphagia. For more info: IDDSI - IDDSI Framework
- Romano, Claudio, et al. "European Society for Paediatric Gastroenterology, Hepatology and Nutrition guidelines for the evaluation and treatment of gastrointestinal and nutritional complications in children with neurological impairment." Journal of pediatric gastroenterology and nutrition 65.2 (2017): 242-264.
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The product information for this area of specialization is intended for healthcare professionals or (carers of) diagnosed patients only, as these products are for use under healthcare professional supervision.
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