Malnutrition, Weight Loss and Eating Disorders Clinical Pathway — ICU and Inpatient

Consults

Clinical Nutrition	Determine caloric advance to reach mid-point goal calories Acquire and interpret growth curves to determine pre-morbid growth trajectory based on BMI Calculate and educate parents on initial goal weight range based on patient’s current age Recommend additional labs or supplements per clinical judgment Provide education to families on meal plan and planning
Behavioral Health	Recommend level of observation (discuss in rounds) If no concerns of self-injury, options include 1:1 for meals/snacks/rest, MOORS, and/or parent observers Safety assessment as needed to determine if 24 hr 1:1 is needed Guides formulation and implementation of behavioral health plan when needed, including engagement of BCBA Formulate and communicate Behavioral Health diagnosis when present Recommend behavioral health disposition including modality and level of care
Social Work	Psychosocial assessment and determination of basic needs School communication and accommodations Communication with involved outside social service and behavioral health agencies Support family in addressing health insurance needs Support families in accessing recommended Behavioral Health level of care
Child Life, Creative Arts Therapies, and Integrative Health Services	Together these three services provide individualized and small group support for coping and trying new coping strategies Child Life supports the teen room and play deck and can work with patients to develop a daily schedule Creative Arts Therapies include Music, Dance/Movement, and Art Therapists and offer individual and group sessions Integrative Health offers a wide range of therapies including aroma and tactile therapies, yoga, ad acupuncture
Other Medical Subspecialties	Gastroenterology Severe dysmotility disorders Concerns for IBD Structural disorders such as SMA Cardiology Severe bradycardia Frequent arrhythmias Persistent syncope/pre-syncope
Additional Hospital Services	Pet Therapy Hospital School Program Connelly Center

If you have questions about any of the clinical pathways or about the process of creating a clinical pathway, please contact us.

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.

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Malnutrition, Weight Loss and Eating Disorders Clinical Pathway — ICU and Inpatient

Consults

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Malnutrition, Weight Loss and Eating Disorders — Consults — Clinical Pathway: ICU and Inpatient

Malnutrition, Weight Loss and Eating Disorders Clinical Pathway — ICU and Inpatient

Consults