ICU and Inpatient Clinical Pathway for Evaluation/Treatment of Children with Malnutrition, Weight Loss, and Eating Disorders
Related Pathway
- Frontline Ordering Clinician (FLOC)/RN Assessment
- Order Consults
Low suspicion for disordered eating as primary diagnosis
High suspicion for disordered eating as primary diagnosis
Initiate nutrition intervention as needed (example: calorie counts or oral supplements)
- Initiation of Nutritional Rehabilitation and Ongoing Care
- Use Nutritional Rehabilitation/Diet Order
- Behavioral Health consult to confirm diagnosis
Continue medical work
up as necessary
up as necessary
If not progressing appropriately, consider Initiation of Nutritional Rehabilitation and Ongoing Care
Discharge Planning
- Family Meeting
- Home Hospital Education
- Discharge criteria
Outpatient Care
Posted: October 2019
Revised: December 2020
Authors: J. Chuang, MD; E. Lantzouni, MD; R. Peebles, MD; J. Pletcher, MD; L. Morrow, PsyD; A. Timko, PhD; L. Weaver, MD, PhD; B. Higgins, RD; B. Waiters, LSW; A. Mariotz, MSN; S. Simon, MSN
Revised: December 2020
Authors: J. Chuang, MD; E. Lantzouni, MD; R. Peebles, MD; J. Pletcher, MD; L. Morrow, PsyD; A. Timko, PhD; L. Weaver, MD, PhD; B. Higgins, RD; B. Waiters, LSW; A. Mariotz, MSN; S. Simon, MSN
Evidence
- Outcomes of an Inpatient Medical Nutritional Rehabilitation Protocol in Children and Adolescents with Eating Disorders
- Consensus Statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: Indicators Recommended for the Identification and Documentation of Pediatric Malnutrition (Undernutrition)