Information sources:

Basic:

1). Т.Kapitan. Propedeutic of children’s diseases and nursing of the child. Vinnitsa, 2006. – P. 347-383

Additional:

1. Пропедевтика of детских болезней . А.В. Мазурин, И.М. Воронцов. М.: Медицина, 1986. - с. 391-407.

Program of self-preparation of students to the theme:

1. To study basic and additional information sources accordant to the theme of training.

2. To be able to conduct a method calculations of daily volume of feed and to make daily ration.

3. To know the general rules of technique of breast feeding of children.

4. To be able to conduct correction of feeding, in good time to appoint weaning to the children of the first year of life.

Semantic module 15. Artificial feeding of children.

Concrete aims:

• To explain definition of the artificial feeding of children, classification of milk formulas.

• To collect anamnesis of feeding of child of breast age and estimate it.

• To expect daily volume of meal to the child, who is on artificial feeding depending on age.

• To make one-day menu for the child of breast age, who is on artificial feeding.

• To organize the correct artificial feeding, give estimation of its efficiency.

• To conduct correction of feed to the child on artificial feeding.

Theme 3. Artificial feeding of children.

Theme 4. Artificial feeding of children after introduction of weaning.

Theme of practical training: Artificial feeding of children. Classification and description of milk formulas for the artificial feeding of children. Guarantee cow’s milk. Technique of the artificial feeding and criteria of estimation of its efficiency. Weaning and correction of feed at the artificial feeding. Daily necessity of child in proteins, fats, carbohydrates and calories at the artificial feeding.

Place: an educational room in the department for breast children.

Professional orientation of students:

The rational feed in children’s age allows considerably to improve the indexes of psychomotor and physical development of child, reduce morbidity and death rate of children, promotes considerable success in education of healthy, harmonic young generation.

Immunological reactivity of organism of child goes down as a result of violation of feeding of children.

Base level of knowledge and abilities

№	Discipline	To know
1.	Propedeutic of children’s diseases	Anatomic and physiologic features of organs of digestion in children of different age. Features of the natural feeding of children.
2.	Normal physiology	Features of feed of human in age aspect.
3.	Pathological physiology	Metabolism of proteins, fats, carbohydrates. Water-mineral exchange and its violation.

Plan of conducting of training:

№ п/п	Elements of practical training	Time in min.
1.	Verification of presents.	5
2.	Entrance control and its analysis.	30
3.	Demonstration of collection of food anamnesis, conducting of estimation of efficiency of feed of child.	20
4.	Demonstration of composition of menu for a child which is on the artificial feeding.	20
5.	Distributing of children for independent work (collection of food anamnesis and composition of menu).	20
6.	Registration of protocols with compositing menu for a baby, which is on the artificial feeding.	20
7.	Analysis of the made menus. Signing of protocols.	20
8.	Initial control of knowledge, solving of clinical situation tasks.	20
9.	Final estimation of knowledge and abilities of students, task for independent preparation to a next training.	5
TOTAL		160

List of theoretical questions.

1. Features of the artificial feeding:

a) definition of artificial feeding;

b) reasons of transfer of child to the artificial feeding;

c) structure of cow’s milk.

2. Principles of the artificial feeding:

a) rules and technique of artificial feeding;

b) regime of feeding;

c) possible errors at the artificial feeding;

d) criteria of estimation of efficiency of the artificial feeding;

e) requirements in formulas.

3. Classification and advantages of modern formulas..

4. Weaning at the artificial feeding:

• purpose of weaning;

• tasks of weaning;

• rules of introduction of weaning;

• terms of introduction;

• dishes of weaning.

5. Correction of the artificial feeding, terms of its setting.

6. Methods of calculation of daily amount of meal:

a) caloric method;

b) volumetric method.

7. Necessity of child of the first year of life in food ingredients:

a) in proteins;

b) in fats;

c) in carbohydrates;

d) in calories

8. Regime of feeding of children of the first year of life, which are on the artificial feeding.

Method of conducting of practical training.

1. After verification of presents and announcement of theme of training with pointing on its actuality a teacher conducts the writing entrance control of knowledge.

1. Analysis of the executed tests and consideration of errors.

2. In the ward of department a teacher demonstrates the method of collection of food anamnesis and estimation of its efficiency.

3. A teacher demonstrates the rules of composition of menu for a child, who is on the artificial feeding.

4. A teacher distributes children for independent work, assigns.

5. Students design protocols with the composition of menu for a baby.

6. A teacher conducts the analysis of the menus. Signs protocols.

7. A teacher conducts the final control of knowledge on this theme with the use of situation clinical tasks. Addition №2 is set of situation clinical tasks.

8. A teacher works out the resume of training, gives estimation of knowledge and abilities of students. Assigns for independent preparation to a next training.