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Homemade Blended Formula

Homemade Blended Formula. Marsha Dunn Klein, MED., OTR/L www.mealtimenotions.com. Objectives. 1. Describe why some parents are choosing homemade blended formula 2.Describe the similarities between HBF and oral feeding food transitions 3.List precautions for HBF

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Homemade Blended Formula

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  1. Homemade Blended Formula Marsha Dunn Klein, MED., OTR/L www.mealtimenotions.com

  2. Objectives • 1. Describe why some parents are choosing homemade blended formula • 2.Describe the similarities between HBF and oral feeding food transitions • 3.List precautions for HBF • 4. Describe anecdotal benefits • 5. Understand specifics on how to support families choosing to provide HBF • 6. Describe how to start HBF and how to monitor it

  3. What is it? • “Blenderized formula”? “Blenderized feedings”? Blenderized diet? • “HBF celebrates the individual nature of the formula and the personal effort made in providing the loving tube fed meal”(Nutrition Focus Sept/Oct 2004) • Nurturing through feedings is a natural parental response

  4. “Let food be your medicine”….Hippocrates

  5. A historical look • Homemade food dates back to ancient times • Homemade to Commercial Formula • Today…….increased options

  6. Tube Feedings are Mealtimes,too! Starbucks story

  7. Support of options • We need to support families who want to do this • Common doctor/dietitian responses • HBF is not for everyone • Nutrition conscious families are interested • We can learn WITH families • We can guide families

  8. Anecdotal Advantages • Parent response • Dietary diversity • Bowel health • Reflux reductions • Growth • Increased volume tolerance • Changes in oral interest

  9. Cautions • Clog tube • Hygiene in preparation • Balanced nutrition • Volume • Hydration • Allergies • Bolus vs drip? • Tube size • Portability

  10. Relationship to Oral Feeding Diversity provides the best nutrition Similarities with oral feeding Continuum of options ………Organic to commercial baby food Each family eats differently……reflected in HBF choices………………

  11. “The Recipe”? • Food Pyramid/ My Plate • Weight and growth parameters • Common sense

  12. Where to start? • Review plan with physician and dietitian • Knowledge of food pyramid guidelines • Go slowly with growth monitoring • One food at a time, watching for reactions • Slowly create boluses , adding foods and subtracting formula as tolerance and growth support

  13. Support Parents • Information • Medical Approval • Dietitian support • Parent to parent

  14. Resources • Nutrition Focus“Homemade Blended Formula” Sept/Oct 2004 Contact: Sharon Feucht, MA, RD, Nutrition Focus, CDMRC, WJ-10 University of Washington, Seattle, WA 98195 • Homemade Blended Formula Handbook, Klein and Morris, Mealtime Notions (2008) www.mealtimenotions.com • Oley Foundation www.oley.org • An overview of Tube Feeding: From Ancient Times to the Future, Ronni Chernoff, SAGE Journals Online Nutrition in Clinical Practice, Vol. 21, No. 4, 408-410 (2006)

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