The PSG are aware that many paediatric dietitians up and down the country are facing difficult decisions on how to operate as a service in light of the COVID-19 outbreak and diversion of resources. During these unprecedented and uncertain times, it is important we all come together.
The PSG would like to share some useful best practice insights gathered from various paediatric dietetic departments. The suggestions below will not suit all departments, but we hope they serve as options to consider. The PSG would like to request that all paediatric dietitians share any best practice ideas, or concerns by emailing us [email protected]
The PSG are aware that some hospitals are dealing with reduced levels of catering staff and consequently meal services are being reduced, which will have implications for those requiring special diets. If any Trusts are dealing with this, please share your experiences and insights.
The PSG are aware that many caregivers are struggling to access certain foods to implement or continue specialised diets for the management of a multitude of medical conditions including drug-resistant epilepsy, food allergies, coeliac disease and inherited metabolic diseases. The Food Allergy Specialist Group of the BDA are looking at producing a template letter for caregivers of infants and children on special diets to give to supermarkets to allow priority access. The BDA are also working closely with supermarkets to raise this concern and have produced a letter template patients with specialist diets.
The PSG supports UNICEF guidance on breastfeeding for mothers with COVID-19 and ongoing provision of breastmilk and donor milk to infants on neonatal wards. Please use the following links for more information:
Guidelines for remote dietetic consultations produced by Rosan Meyer and Lusie Marino, reviewed and endorsed by the BDA PSG
This document provides paediatric dietitians with an excellent, comprehensive tool to conduct both inpatient and outpatient nutritional assessment and reviews remotely.
The document includes;
Alongside the document, information sheets for caregivers have been produced to support performing remote anthropometric measurements
Dietitians at Southampton Children's Hospital have created videos on how to measure height, length and upper arm circumference at home. These methods should only be used during the current COVID-19 period as they have limited accuracy
Dr Rosan Meyer has produced a handy video guide on offering remote practice during the pandemic
Nutricia have produced some videos to guide caregivers on alternative methods of feeding in absence or shortages of pumps -
We will update this section with updates from manufacturers as they become available.