Showing posts with label feeding schedule. Show all posts
Showing posts with label feeding schedule. Show all posts

Tuesday, March 6, 2012

Toddler feeding Recommendations

I go through these phases. 

I read about "normal" toddler feeding recommendations of amounts and foods and think cool I'll try this or that and maybe Whitney will like it. 

After a couple of days I think what is the point!  It's a waste of food, time, and money.  In one minute it will all end up on the floor, or she cries and cries till I take it away and give a toy instead. 

Later, I read more about what "normal eating kids" like to eat and how they eat and when they eat and I will get all depressed.  "What's the point" I remember that she will not touch it.

Then, after another few days, I think that I would like to try some of that stuff and get all excited and go out buy a bunch of things for her to try.

Maybe she'll like it or seem interested in the new foods at first, and get my hopes up again.  She might take a bit of yogurt or apple sauce or play in the noodles.

In a couple days though she'll cry and cry again about the food. 

Then the cycle starts all over again.  But sometimes it changes, it can go fast or slow, and is very unpredictable.

I don't know if she doesn't like it because she's not hungry, she's afraid of it, or just doesn't want it. 

I've tried for about 4 or 5 months now (ever since she's been on the blenderized diet) to figure out a good feeding schedule.  Sometimes I think that if she doesn't throw up, then she is still hungry and not satisfied.  Or is she does throw up then I feel really bad about giving her too much food.  Sometimes I can't tell if she threw up because it was too much food or because she was bouncing or jumping around too much. 

She obviously has very slow motility and doesn't help at all at trying to gain weight, because she can't handle much volume. She still vomits 1-3 times a day and it doesn't even phase her anymore.  She'll just be sitting or standing there not crying. Just waiting for me to come clean it up. 

SO my paper here says (for eaters) offer 2-3 snacks and 3 meals ever day at 2 1/2 to 3 hour intervals.

I feed Whitney every 3 to 3 1/2 hours 5 times a day. 

Eat 150 to 200 calories at each meal and snack! 

I feed Whitney four to five oz of her 30 - 40 calories per oz meal.

The paper also says stuff like offer all the different food groups at different times.  Offer at least three different tastes and three differetn textures.  Offer sweet tastes at the end of the meal.  Do not force feed toddlers.  Avoid distractions during meals like tv and toys.  Make feeding fun!  Build things, change things, use food coloring and cookie cutters, be creative.  BTW there are so many cool blogs out there with great ideas about being creative. 

We play with the teddy grahms and she'll nibble of a leg or ear.  We play with the gold fish crackers and she might taste it.  So honestly, I'm the eating all this junk!

Well making it fun is obviously my goal but when I spent so much time and effort and money and it ends up on the floor, then I get back into my "phases"!

From MY personal view point, feeding "normal" kids is so dang easy!  And I have no empathy for "picky eaters" or kids who don't like tomatoes.  Or kids who only eat junk food, at least they are eating enough to gain weight and not die!! 

I do like to hear about the kinds of things "eaters" eat and when and how often so that I can get an idea of a "normal" kids eating habits and routine. 

Also I've pretty much "given up" on the whole praying for Whitney to eat.  I've been doing that for way over a year and nothings changed.  So again, pointless. She'll eat when she's ready, not because I want her too. 

Again I'm very grateful for the feeding tube.

Whitney's recent blends:

Fruity Blend:
2c. Goats Milk 300 cal
1c. Rolled Oats 300 cal
1/2c. strawberries 25 cal
1/2c. mixed berries 30 cal
1/3c. crasins 130 cal
1/4 sesame seeds 200 cal

Veggie Blend:
2c. Goats Milk 300 cal
1/2c. Brown Rice 320 cal
1/2 Avocado 150 cal
1/2c. peas 60 cal
1/2c. spinach 15 cal

Both blends make about 3 1/2 cups (more or less)  and she needs to get all of within two days. 

Whitney's tube feeding schedule:
(food is her blenderized diet alternated between the fruit and veggies)

730am 1oz food 2oz Water & meds
800am 3 oz food 1 oz Water

THERAPY

1100am 1oz food 2 oz Water
1130 am 4 oz food 1 oz Water

NAP

230 pm 1oz food 2 oz Water & meds
300pm 4 oz food 1oz Water

ERRANDS/CHORES/PLAY TIME

600pm 1 oz food 2 oz Water
630pm 4 oz fodd 1oz Water

BED TIME ROUTINE

1000pm 1 oz food 2 oz Water & meds
1030pm 4oz food 1oz water


If I wake up late, the times change.  If she vomits, the times change.  If we have appointments, the times change.  If we're lucky, we keep a really strict schedule. 

Glad I could write my "thinkings" down. :)





Friday, December 30, 2011

Another change in feeding schedule

As you all can tell, I change up Whitney's schedule quit a bit.  I tried to go back to 6 oz four times a day (meals every 4 hours) but Whitney gets tired with that schedule, and seems hungry. She was still vomiting doing the 4 oz six times a day (meals every three hours).  Either way it's 24 ounces of "blended food formula" a day.  So starting tomorrow, I'm going to feed Whitney 5 oz five times a day (every four hours).  It adds an ounce to the day and it's right in between the other two schedules!  So hopefully this one will work out the best!!

Miss Whit had better be tube free by the time I have another little one.  Other wise Whitney will have to tube feed herself, and I've heard it's impossible to teach a three year old to do that! HaHa!  But seriously, It takes 30 minutes to sit there and slowly push it in. (4-6 times a day)!  The blend is way to thick for the pump or gravity.  Plus it takes me a long time to make her blends, but recently I've been making one batch for two days, so I only make it every other day!  Recently I've decided to just do two different blends, instead of three.  Works out just as good and takes less time! 

Blend #1: two days worth: 
1 1/2 cups Goat Milk
1 cup rolled oats
1 cup strawberries (substitute mixed berries)
1 banana (substitute 1 apple)
1/4 c. dried cranberries
ABOUT 850 cals in 3 cups

Blend #2 two days worth:
1 1/2 cups Goat Milk
1/2 cup dry quinoa (cooked)
2 c. mixed veggies (including broc., peas, spinach, carrots, ect.)
1 avocado
ABOUT 950 cals in 3 cups

850 + 950 = 1800cals /2 = 900 cals a day

I bought Whitney these new cups called Playtex insulator with the flip cap and straw.  The speech therapist said these were the best and that once she can drink through a straw to get rid of the sippy cup.  I think it's funny that I still see kids Whitney's age drinking from bottles! But this cup is pretty hard to suck through and it's heavy holding a whopping 9 oz!  Whitney only drinks about an ounce or two herself during the day, so we do a night drip of water.  It's about 8 oz at night and she also gets 2 oz bolus of water 1/2 hour before each meal and then 1 ounce with her meal, so I'm hoping that's enough.












Tuesday, December 27, 2011

Feeding Slower Better!?!

We went to Tucson last Monday to see Marsha Dunn-Klein and Ellen Duperret.  From Mealtime Notions and Mealtime Connections LLC .  We basically spent the whole 2 1/2 hours discussing Whitney's feeding schedule, Blended Diet, and why she is vomitting so much.  We couldn't see a pattern or a regular trigger.  They said she needs more water so I am giving her 2 oz of water 30 mins before a bolus and a night drip of water.  They said her blend is really healthy and don't know why she isn't gaining weight except for the vomiting.  They also said that I should feed her slower. I was doing about 10 minutes and they want me to do 20 - 30 mins.  So since I've been doing that, there is a lot LESS vomit!!  I also cut out the Goat Milk for a week and went with rice milk and I reduced the oil content.  So I'm going to go back to the Goat Milk and see if simply feeding Whitney slower is going to do the trick.  It was a good trip and she said she may do a day session with Whitney to help her eat solids! I also am doing her blends a little differently, 3 different blends 8 oz each( 2 days worth), a breakfast (blueish red color and runny), a lunch (grainy color and thick) and a dinner (green and thick and smooth).  I kinda like this way better...so far!

So my new Blend is: 



All Nutrients Spreadsheet
This report shows all nutrient values in a spreadsheet format. Nutrients are displayed horizontally, with totals at the bottom of the list.
Profile Info
Personal: Whitney Female 1 yrs 2 ft 7 in 20 lb
Day(s): 12/22/11 (Breakfast, Lunch, Dinner, Snack)
Activity Level: Very Active Strive for an Active activity level.
Weight Gain: 0.5 lb per week Best not to exceed 2 lbs per week.
BMI: 0.0 Normal is 18.5 to 25. Clinically Obese is 35 or higher.
Day Meal Item
Amount
Cals
FatCal
SatFatCal
Prot (g)
Day 2
Breakfast
Oats, rolled, old fashioned, dry
0.2 cup
75
13.5
2.2
2.5
Blueberries, fzn (Cascadian
0.2 cup
17.5
2.2
0
0.2
Banana, fresh, med, 7" to 7 7/8"
0.5 each
52.5
1.7
0.6
0.6
Strawberries, fzn (Cascadian
0.2 cup
11.2
0
0
0.2
Lunch
Yeast, nutritional, flakes (Now
1 tsp
8.3
1
0
1.3
Sweet Potatoes, dark orange,
0.5 cup
124.6
2
0.4
2.2
Peas, garden, fzn (Birds Eye)
0.2 cup
26.1
0
0
1.9
Quinoa, dry (USDA SR-23)
0.2 cup
156.4
23.1
2.7
6
Oil, coconut (USDA SR-23)
0.5 tbsp
58.6
61.2
52.9
0
Dinner
Cereal, granola, oats & honey
0.2 cup
85.8
20.1
3.4
1.9
Cranberries, dried, swtnd (USDA
6 tbsp
140
5.5
0.4
0
Avocado, avg, fresh, sliced
0.2 cup
58.4
48.2
6.9
0.7
Carrot, baby, fresh (Dole)
0.2 cup
13.3
0
0
0.3
Spinach, chpd, fzn (Birds Eye)
0.2 cup
22.7
0
0
1.5
Apple, fresh, med 3", USDA
0.5 each
47.3
1.4
0.2
0.2
Snack
Rice Milk, original, enrich (Rice
13 fl oz
195
29.2
0
1.6
Day Total
--
1093
209.2
69.8
21.4
Average Day Total
--
1093
209.2
69.8
21.4
Day Meal Item
Carbs (g)
Sugar (g)
Fiber (g)
Fib-S (g)
Fib-I (g)
Fat (g)
Day 2
Breakfast
Oats, rolled, old fashioned, dry
13.5
0.5
2
1
1
1.5
Blueberries, fzn (Cascadian
4.2
3
1
0.2
Banana, fresh, med, 7" to 7 7/8"
13.5
7.2
1.5
0.2
Strawberries, fzn (Cascadian
3.2
1.5
0.8
0
Lunch
Yeast, nutritional, flakes (Now
0.8
0
0.7
0.1
Sweet Potatoes, dark orange,
29.1
9.4
4.1
0.2
Peas, garden, fzn (Birds Eye)
4.5
1.5
0
Quinoa, dry (USDA SR-23)
27.3
3
2.6
Oil, coconut (USDA SR-23)
0
0
0
0
0
6.8
Dinner
Cereal, granola, oats & honey
15.7
5.2
1.1
2.2
Cranberries, dried, swtnd (USDA
37.4
29.5
2.6
0.6
Avocado, avg, fresh, sliced
3.1
0.2
2.4
5.4
Carrot, baby, fresh (Dole)
3
1.7
0.7
0
Spinach, chpd, fzn (Birds Eye)
2.3
0.8
0
Apple, fresh, med 3", USDA
12.6
9.4
2.2
0.2
2
0.2
Snack
Rice Milk, original, enrich (Rice
40.6
17.9
0
0
0
3.2
Day Total
210.8
85.6
24.3
1.2
3
23.2
Average Day Total
210.8
85.6
24.3
1.2
3
23.2
Day Meal Item
Fat-S (g)
Fat-T (g)
Fat-M (g)
Fat-P (g)
Chol (mg)
Water (g)
Day 2
Breakfast
Oats, rolled, old fashioned, dry
0.2
0.5
0.5
0
Blueberries, fzn (Cascadian
0
0
0
30.2
Banana, fresh, med, 7" to 7 7/8"
0.1
0
0
0
0
44.2
Strawberries, fzn (Cascadian
0
0
0
0
0
31.4
Lunch
Yeast, nutritional, flakes (Now
0
0
0.2
Sweet Potatoes, dark orange,
0
0
0
0.1
0
131.4
Peas, garden, fzn (Birds Eye)
0
0
0
0
0
26.6
Quinoa, dry (USDA SR-23)
0.3
0.7
1.4
0
5.6
Oil, coconut (USDA SR-23)
5.9
0
0.4
0.1
0
0
Dinner
Cereal, granola, oats & honey
0.4
0
1.3
0.2
0
Cranberries, dried, swtnd (USDA
0
0.1
0.3
0
7.3
Avocado, avg, fresh, sliced
0.8
0
3.6
0.7
0
26.7
Carrot, baby, fresh (Dole)
0
0
0
0
0
24.8
Spinach, chpd, fzn (Birds Eye)
0
0
0
0
0
58.1
Apple, fresh, med 3", USDA
0
0
0
0
0
77.9
Snack
Rice Milk, original, enrich (Rice
0
0
356.3
Day Total
7.8
0
6.5
3.3
0
820.7
Average Day Total
7.8
0
6.5
3.3
0
820.7
Day Meal Item
A-RAE (mcg)
A-Car (mcg)
B1 (mg)
B2 (mg)
B3 (mg)
B6 (mg)
Day 2
Breakfast
Oats, rolled, old fashioned, dry
0
0
Blueberries, fzn (Cascadian
0
0
Banana, fresh, med, 7" to 7 7/8"
1.9
15.3
0
0
0.4
0.2
Strawberries, fzn (Cascadian
0
0
Lunch
Yeast, nutritional, flakes (Now
0
0
1.6
1.6
9.3
1.6
Sweet Potatoes, dark orange,
1290.7
15488.2
0.1
0.1
0.9
0.3
Peas, garden, fzn (Birds Eye)
Quinoa, dry (USDA SR-23)
0.3
3.4
0.2
0.1
0.6
0.2
Oil, coconut (USDA SR-23)
0
0
0
0
0
0
Dinner
Cereal, granola, oats & honey
0
0
0
0
0.1
0
Cranberries, dried, swtnd (USDA
0
0
0
0
0.4
0
Avocado, avg, fresh, sliced
2.7
22.6
0
0
0.6
0.1
Carrot, baby, fresh (Dole)
208.3
2025
Spinach, chpd, fzn (Birds Eye)
Apple, fresh, med 3", USDA
2.5
24.6
0
0
0.1
0
Snack
Rice Milk, original, enrich (Rice
0
0
0.3
0.2
Day Total
1506.3
17579.1
1.9
1.9
12.9
2.6
Average Day Total
1506.3
17579.1
1.9
1.9
12.9
2.6
Day Meal Item
B12 (mcg)
C (mg)
D-mcg (mcg)
E-Toco (mg)
Fola (mcg)
Calc (mg)
Day 2
Breakfast
Oats, rolled, old fashioned, dry
0
0
Blueberries, fzn (Cascadian
0.6
0
Banana, fresh, med, 7" to 7 7/8"
0
5.1
0
0.1
11.8
3
Strawberries, fzn (Cascadian
13.5
5
Lunch
Yeast, nutritional, flakes (Now
1.3
0
0
40
Sweet Potatoes, dark orange,
0
21
0
1.5
9.8
44.3
Peas, garden, fzn (Birds Eye)
2.2
0
Quinoa, dry (USDA SR-23)
0
0
1
78.2
20
Oil, coconut (USDA SR-23)
0
0
0
0
0
0
Dinner
Cereal, granola, oats & honey
0
7.5
Cranberries, dried, swtnd (USDA
0
0.1
0
0.5
0
4.5
Avocado, avg, fresh, sliced
0
3.6
0
0.8
29.6
4.4
Carrot, baby, fresh (Dole)
2
6.7
Spinach, chpd, fzn (Birds Eye)
0.9
60.6
Apple, fresh, med 3", USDA
0
4.2
0
0.2
2.7
5.5
Snack
Rice Milk, original, enrich (Rice
2.4
0
4.1
1.3
2.3
487.5
Day Total
3.7
53.3
4.1
5.3
174.4
648.8
Average Day Total
3.7
53.3
4.1
5.3
174.4
648.8
Day Meal Item
Iron (mg)
Magn (mg)
Phos (mg)
Potas (mg)
Selen (mcg)
Sodium (mg)
Day 2
Breakfast
Oats, rolled, old fashioned, dry
0.9
0
Blueberries, fzn (Cascadian
0
18.8
0
Banana, fresh, med, 7" to 7 7/8"
0.2
15.9
13
211.2
0.6
0.6
Strawberries, fzn (Cascadian
0.2
52.5
0
Lunch
Yeast, nutritional, flakes (Now
0.1
53.3
3.5
0.8
Sweet Potatoes, dark orange,
1.2
29.5
52.5
377.2
0.3
44.3
Peas, garden, fzn (Birds Eye)
0.4
0
Quinoa, dry (USDA SR-23)
1.9
83.7
194.2
239.3
3.6
2.1
Oil, coconut (USDA SR-23)
0
0
0
0
0
0
Dinner
Cereal, granola, oats & honey
0.5
14.9
56
52.2
41
Cranberries, dried, swtnd (USDA
0.2
2.3
3.6
18.2
0.2
1.4
Avocado, avg, fresh, sliced
0.2
10.6
19
177
0.1
2.6
Carrot, baby, fresh (Dole)
0
15
Spinach, chpd, fzn (Birds Eye)
0.5
94.7
Apple, fresh, med 3", USDA
0.1
4.6
10
97.4
0
0.9
Snack
Rice Milk, original, enrich (Rice
0
31.8
243.8
253.1
146.2
Day Total
6.5
193.3
592
1550.2
8.4
349.6
Average Day Total
6.5
193.3
592
1550.2
8.4
349.6
Day Meal Item
Zinc (mg)
Omega3 (g)
Omega6 (g)
Alc (g)
Caff (mg)
MyFrt
Day 2
Breakfast
Oats, rolled, old fashioned, dry
0
0
0
Blueberries, fzn (Cascadian
0
0
0.2
Banana, fresh, med, 7" to 7 7/8"
0.1
0
0
0
0
0.4
Strawberries, fzn (Cascadian
0
0
0
0
0.2
Lunch
Yeast, nutritional, flakes (Now
0
0
0
Sweet Potatoes, dark orange,
0.3
0
0.1
0
0
0
Peas, garden, fzn (Birds Eye)
0
0
0
0
0
Quinoa, dry (USDA SR-23)
1.3
0.1
1.3
0
0
0
Oil, coconut (USDA SR-23)
0
0
0.1
0
0
0
Dinner
Cereal, granola, oats & honey
0.3
0
0
0
Cranberries, dried, swtnd (USDA
0
0
0.3
0
0
0
Avocado, avg, fresh, sliced
0.2
0
0.6
0
0
0.2
Carrot, baby, fresh (Dole)
0
0
0
0
0
Spinach, chpd, fzn (Birds Eye)
0
0
0
0
0
Apple, fresh, med 3", USDA
0
0
0
0
0
0.8
Snack
Rice Milk, original, enrich (Rice
0.5
0
0
0
Day Total
2.8
0.2
2.4
0
0
2
Average Day Total
2.8
0.2
2.4
0
0
2
Day Meal Item
MyDry
MyGrn
MyVeg
MyProt
ExFrt
ExMeat
Day 2
Breakfast
Oats, rolled, old fashioned, dry
0
0.7
0
0
Blueberries, fzn (Cascadian
0
0
0
0
0.3
Banana, fresh, med, 7" to 7 7/8"
0
0
0
0
0.9
Strawberries, fzn (Cascadian
0
0
0
0
0.2
Lunch
Yeast, nutritional, flakes (Now
0
0.1
0
0
Sweet Potatoes, dark orange,
0
0
0.5
0
Peas, garden, fzn (Birds Eye)
0
0
0.3
0
Quinoa, dry (USDA SR-23)
0
1.5
0
0
Oil, coconut (USDA SR-23)
0
0
0
0
Dinner
Cereal, granola, oats & honey
0
0.7
0
0
Cranberries, dried, swtnd (USDA
0
0
0
0
Avocado, avg, fresh, sliced
0
0
0
0
Carrot, baby, fresh (Dole)
0
0
0.2
0
Spinach, chpd, fzn (Birds Eye)
0
0
0.3
0
Apple, fresh, med 3", USDA
0
0
0
0
0.8
Snack
Rice Milk, original, enrich (Rice
0
1
0
0
Day Total
0
4
1.2
0
2.1
0
Average Day Total
0
4
1.2
0
2.1
0
Day Meal Item
ExVLMt
ExMilk
ExOth
ExStar
ExVeg
ExFat
Day 2
Breakfast
Oats, rolled, old fashioned, dry
0.9
Blueberries, fzn (Cascadian
Banana, fresh, med, 7" to 7 7/8"
Strawberries, fzn (Cascadian
Lunch
Yeast, nutritional, flakes (Now
0.1
Sweet Potatoes, dark orange,
1.6
Peas, garden, fzn (Birds Eye)
0.3
Quinoa, dry (USDA SR-23)
1.8
Oil, coconut (USDA SR-23)
1.3
Dinner
Cereal, granola, oats & honey
1
0
Cranberries, dried, swtnd (USDA
2
Avocado, avg, fresh, sliced
1.1
Carrot, baby, fresh (Dole)
0.5
Spinach, chpd, fzn (Birds Eye)
0.5
Apple, fresh, med 3", USDA
Snack
Rice Milk, original, enrich (Rice
2.7
0.1
Day Total
0
0
4.7
5.7
1
2.5
Average Day Total
0
0
4.7
5.7
1
2.5




Actual Intakes -vs- Recommended intakes
The actual intakes -vs- recommended intakes report displays the amount of nutrients consumed as they compare to your dietary intake recommendations in a bar graph format.
Profile Info
Personal: Whitney Female 1 yrs 2 ft 7 in 20 lb
Day(s): 12/22/11 (Breakfast, Lunch, Dinner, Snack)
Activity Level: Very Active Strive for an Active activity level.
Weight Gain: 0.5 lb per week Best not to exceed 2 lbs per week.
BMI: 0.0 Normal is 18.5 to 25. Clinically Obese is 35 or higher.
Nutrient Actual Recommende Percent 0 50 100 150
Basic Components
Calories 1,092.97 977.32 112 %
Calories from Fat 209.15 273.65 76 %
Calories from SatFat 69.83 87.96 79 %
Protein (g) 21.41 9.98 215 %
Carbohydrates (g) 210.78 134.38 157 %
Sugar (g) 85.63
Dietary Fiber (g) 24.25 13.68 177 %
Soluble Fiber (g) 1.22
InSoluble Fiber (g) 2.96
Fat (g) 23.24 30.41 76 %
Saturated Fat (g) 7.76 9.77 79 %
Trans Fat (g) 0.00
Mono Fat (g) 6.55 10.86 60 %
Poly Fat (g) 3.34 9.77 34 %
Cholesterol (mg) 0.00 0.00 0 %
Water (g) 820.71 1,300.00 63 %
Vitamins
Vitamin A - RAE (mcg) 1,506.30 300.00 502 %
Beta-carotene (mcg) 17,579.10
Vitamin B1 - Thiamin (mg) 1.94 0.50 389 %
Vitamin B2 - Riboflavin (mg) 1.93 0.50 387 %
Vitamin B3 - Niacin (mg) 12.87 6.00 215 %
Vitamin B6 (mg) 2.64 0.50 529 %
Vitamin B12 (mcg) 3.74 0.90 415 %
Vitamin C (mg) 53.29 15.00 355 %
Vitamin D - mcg (mcg) 4.06 15.00 27 %
Vitamin E - Alpha 5.33 6.00 89 %
Folate (mcg) 174.44 150.00 116 %
Minerals
Calcium (mg) 648.82 700.00 93 %
Iron (mg) 6.50 7.00 93 %
Magnesium (mg) 193.35 80.00 242 %
Phosphorus (mg) 592.03 460.00 129 %
Potassium (mg) 1,550.23 3,000.00 52 %
Selenium (mcg) 8.39
Sodium (mg) 349.64 1,000.00 35 %
Zinc (mg) 2.81 3.00 94 %
Other
Omega-3 (g) 0.20
Omega-6 (g) 2.43
Alcohol (g) 0.00
Caffeine (mg) 0.00