Workshop
“Malnutrition in children with disabilities in level 3-4 internats: clinical signs
and symptoms, treatment and prevention”, “Paediatric Nutrition Update”
22-24 March 2011
Kyiv, Ukraine
kindly co-sponsored by
Location:
Hotel “Khreshchatyk”, Conference Hall
Khreshchatyk st. 14
Organizers: Ministry of social affairs of Ukraine, “Sight and Life” (Switzerland), National Assembly
of Disabled of Ukraine
Participants:
Nurses and physicians who work in level 3-4 internats for children with disabilities in Ukraine
Language: Ukrainian- English
Welcome speech:
Ihor Lushnikov, Deputy Minister of labor and social affairs of Ukraine (IL)
Presenters:
 Professor Hans Biesalski, Director of the Institute of Organic Chemistry and Nutrition,
Stuttgart, Germany (HB)
 Professor Berthold Koletzko, Director of the Children’s Hospital, Munich, Germany (BK)
 Tetyana Mishchuk, Neurologist/paediatrician, Children’s Rehabilitation Centre Dzherelo,
Lviv, Ukraine (TM)
 Roksolana Tymiak-Lonchyna DDS, Founder of “Starving for colours” foundation (RTL)
 Vassyl Lonchyna, Director of Surgery and Intensive Care Unit at John H. Stroger Hospital of
Cook County, Chicago, USA (VL)
 Associated Professor Mark Fishbein, Pediatric gastroenterologist at Children’s Memorial
Hospital, Chicago, USA (MF)
 Professor Klaus Kraemer, Secretary General of “Sight and Life”, Basel, Switzerland (KK)
 Lesya Kalandyak, Physiotherapist, Children’s Rehabilitation Centre Dzherelo, Lviv, Ukraine
(LK)
Handouts:
Food Chaining, Fishbein
Pocket Atlas of Nutrition, Biesalski
Pediatric Nutrition in Practice, Karger 2008
Program
9.00-10.00
10.00-11.00
Tuesday
March 22
Welcome speech
IL
Introduction,
background information
KK&LK
Wednesday
March 23
Presentation: Nutritional needs
of children – Micronutrients.
Micronutrient deficiencies
Presentation: Child growth
and nutrition disorders in
children with Cerebral Palsy
Practice session in small
groups: calculate estimated
nutrient requirements of a
healthy child, and of a child
without significant physical
activity due to bedrest
Case study in small groups:
iron deficiency, zinc
deficiency manifesting with
catch up growth, rickets
HB
Coffee break
Presentation: Growth faltering
and underweight
MF
HB
11.00-11.15
11.15-12.15
Coffee break
Presentation: Nutritional
assessment – diet history
HB
12.15-13.00
Practice session in small
groups: interpret a 3 day
diet protocol
BK
Case study in small groups:
growth faltering, malnutrition,
assessment
HB
BK
13.00-14.00
14.00-14.45
Lunch
Presentation: Nutritional
assessment –
Anthropometry
TM
Lunch
Presentation: caloric
enrichment of diets for infants
and children
14.45-15.45
Presentation: Nutritional
assessment – key laboratory
assessment
HB
15.45-16.00
16.00-17.00
17.00-18.00
Coffee break
Presentation: Nutritional
needs of children – Fluids
and macronutrients
HB
Presentation: Dehydration
VL
Thursday
March 24
Presentation: sip feeds and tube
feeds – commercial products
and home made blenderized
preparation
BK
Practice session in small
groups: preparation and tasting
of enriched diets
Practice session in small
groups: compositional
prescription and preparation of
a home made blenderized
preparation
BK
Coffee break
Presentation: "Refeeding
Syndrome"
VL
Presentation: Nutritional
factors in tooth development
and maintenance
RTL
BK
Practice session place a
nasogastric tube (in a teaching
puppet)
BK
Coffee break
Presentation: Gastrointestinal
development, nutrient digestion
and absorption
MF
Presentation: Acute and
chronic diarrhoea,
malabsorption, constipation
Case study in small groups:
infectious diarrhoea, celiac
disease, osmotic diarrhoea
constipation
MF
Lunch
Presentation: Tube feeding
Clinical sings and symptoms,
indications and
contraindications
TM
Presentation: Swallowing
disorders – regurgitation
MF
Coffee break
Presentation: Oral-motor
problems, positioning and
principles of feeding
LK
Multiple choice test.
Certificates. Course evaluation.