Method of conducting of practical training.
1. After verification of presents and announcement of theme of training with pointing on its actuality a teacher conducts the writing entrance control of knowledge.
2) Analysis of the executed tests and consideration of errors.
3) In the ward of department a teacher demonstrates the method of collection of food anamnesis and estimation of its efficiency.
4) A teacher demonstrates the rules of composition of menu for a child, who is on the artificial feeding.
5) A teacher distributes children for independent work, assigns.
6) Students design protocols with the composition of menu for a baby.
7) A teacher conducts the analysis of the menus. Signs protocols.
8) A teacher conducts the final control of knowledge on this theme with the use of situation clinical tasks. Addition №2 is set of situation clinical tasks.
9) A teacher works out the resume of training, gives estimation of knowledge and abilities of students. Assigns for independent preparation to a next training.
Forms and methods of self-control:
Test tasks
1. The artificial feeding is feeding of children of the first 5-6 months of life by artificial milk formulas at presence of breast milk less than (in % from daily necessity):
A. 40
B. 35
C. 30
D. 25
E. 20*
2. Advantages of sour formulas above sweet are all, except for:
A. it promotes to the synthesis of vitamins (especially B-group)
B. assist to normal development of flora
C. activity of stomach and intestine is stimulated
C. digestion of protein is facilitated
D. it promotes formation of the colloid state of milk)*
3. Features of the high-adapted formulas, except for:
A. Ratio of serum protein and casein – 60 : 40
B. balanced maintenance of all vitamins
C. the complete complex unsaturated fat acids is not contained*
D. contains biologically active additions
E. contains β-lactose
4. „Initial” formulas appoint to the children of age:
A. 0-1 months
B. 0-6 months*
C. 0 – 12 months
D. 4 – 12 months
E.6 – 12 months
5. 15 days child is on the artificial feeding. By what formula it is better to feed a child:
A. formula A (unadapted)
B. «Malish»
C. Formula B(unadapted)
D. «Hipp-1*»
E. Phenyl-free
F. Situation tasks
Task 1.
1 month child is on the artificial feeding. What formula is it better to feed a child by? What quantity of feeding on a day?
Answer: by the high-adapted formula, such as „Нірр- 1”, „Nutrilon-1”, „NAN -1”, and other 7 times per day in 3 hours.
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Task 2.
1,5 months child with mass at birth 3500 g, is on the artificial feeding. What formula is it better to feed a child by? Define daily volume, volume on a 1 feeding.
Answer: Mass in 1,5 months: m = 3500 + 600 + 400 = 4500 g
Daily volume : V = 4500 : 5 = 900 ml
V on a 1 feeding = 900 : 7 = 145 ml.
Task 3.
3 month old child with mass at birth 3200 g, is on the artificial feeding by the adapted formula. Make one-day menu for a child. To define necessities in proteins, fats, carbohydrates, energy.
Answer: 1. mass in 3 months M = 3200+ 600+800+800 = 5400 g
2. Daily volume of feed is 1/6 from the mass V= 5400:6=900 ml
3. Volume on one feeding = 900 ml : 6 = 150 ml.
4. Necessity in proteins, fats, carbohydrates, kcal:
P= 2,5 g х 5,4 kg= 13,5 g. C = 12 g х 5,4 kg= 64,8 g.
F =6,5 g х 5,4 kg= 35,1 g. Kcal =120 kcal х 5,4 kg= 677,7 kcal.
5. Menu on 1 day:
6.00 formula „NAN” – 150 ml.
9.30 formula „NAN” – 150 ml.
13.00 formula „NAN” – 150 ml.
16.30 formula „NAN” – 150 ml.
20.00 formula „NAN” – 150 ml.
23.00 formula „NAN” – 150 ml.
Hardwares and material providing of training.
1. Tables:
“Classification of formulas for the artificial feeding”;
2. Set of test tasks for the entrance control (10 copies).
3. Set of situation tasks (10 copies).
4. Methodical developments.
Information sources:
Basic:
1). Т.Kapitan. Propedeutic of children’s diseases and nursing of the child. -Vinnitsa, 2006. – P.384-394
Additional:
1) Пропедевтика детских болезней . А.В. Мазурин, И.М. Воронцов. М.: Санкт-Петербург „Фолиант”. 2001. - С.874-884
Program of self-preparation of students to the theme:
1. To prepare tables on a theme „Artificial feeding”, in which proteins, fats, carbohydrates, energy composition of cow’s milk and basic most widespread formulas is represented
2. To make a few charts of the modern feeding of children, that is on the artificial feeding.
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Semantic module 16. Partial breast feeding of children.
Concrete aims:
• To explain term partial breast feeding of children
• To collect anamnesis of feeding of child of breast age and estimate it, prevent progress of hypogalactia in mother.
• To expect daily volume of meal and necessary amount of meal on one feeding to the child, that is on the partial breast feeding depending on age.
• To make one-day menu for the child of breast age, that is on the partial breast feeding.
• To organize the correct partial breast feeding, interpret to its efficiency.
• To correct the feed to the child, which is on the partial breast feeding.
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