Blenderized feeding diet-Basics of Blenderized Tube Feeds: A Primer for Pediatric Primary Care Clinicians

Blenderized tube feeding BTF is defined as the use of blended foods and liquids given directly via the feeding tube. BTF is particularly popular among the pediatric population for a variety of reasons. Many patients and families choose BTF because of its perceived health benefits, intolerance to commercial feeding formulas, or psychosocial reasons. Despite its increasing use, the current literature on the prevalence, safety and outcome of BTF is limited. In this review, we discuss the potential benefits and drawbacks of blenderized tube feeds.

Blenderized feeding diet

Fluid restrictions may be difficult to meet nutrient needs. Do not freeze. Enteral access in home care. Physicochemical and nutritional characteristics of handmade enteral diets. The recipes on www. Blending my own food is not possible for him due to nourishment issues and the cost it Blenderized feeding diet involve for us.

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Are you having trouble tolerating Ex girlfriends masturbating current tube feeding plan? These foods and liquids can Bleenderized eaten using a cup, straw, syringe or spoon. This interview originally appeared on Pediatric Feeding Newsa website run by speech pathologist and feeding therapist Krisi Brackett. Pentiuk S, et al. Dietitians need to stress the importance of washing produce thoroughly, prompt refrigeration, and routine cleaning of blenders, utensils, and syringes to prevent microbial contamination. Bass N. RDs Blenderizec that the most difficult task is to ensure people are making safe and appropriate food choices. You know the benefits of real food. Blenderized feeding diet tone and high Blenderixed children are more likely to be constipated. To prevent clogging and for ease of administration, a French gastrostomy tube is best; smaller tubes are more likely to clog. Use of antacids, motility agents, and Blenderized feeding diet did NOT increase.

Plus, download tips to keep in your kitchen for easy reference.

  • This is how tube-fed people were nourished before commercial formulas became popular in the s.
  • The following is a guest blog post from Weronika Brill RN.
  • This interview originally appeared on Pediatric Feeding News , a website run by speech pathologist and feeding therapist Krisi Brackett.
  • A blenderized diet has foods and liquids that have been thinned in a blender or food processor and strainer.
  • Plus, download tips to keep in your kitchen for easy reference.

Blenderized tube feeding BTF is defined as the use of blended foods and liquids given directly via the feeding tube. BTF is particularly popular among the pediatric population for a variety of reasons.

Many patients and families choose BTF because of its perceived health benefits, intolerance to commercial feeding formulas, or psychosocial reasons. Despite its increasing use, the current literature on the prevalence, safety and outcome of BTF is limited. In this review, we discuss the potential benefits and drawbacks of blenderized tube feeds.

We also review clinical application pearls for pediatric primary care clinicians. It is important for these clinicians to have a basic understanding of blenderized formulas in order to support families that are interested in this reemerging food practice. Enteral nutritional support, commonly known as tube feeding, is the process of delivering nutrients via tube through the nose, mouth, or stoma into the gastrointestinal GI tract when oral intake cannot meet the energy and metabolic demands of an individual.

Blenderized feeds could refer to homemade BTF, commercial formula mixed with pureed baby food or any of the variety of commercially available ready to use BTFs Table 1 [ 1 ]. Other commonly used terms to refer to this type of diet and feeding are blended diet, blenderized feeding and homemade or commercial blended formula. Many patients and families choose BTF because of the perceived health benefits, intolerance to commercial feeding formulas, or psychosocial reasons e.

There are potential drawbacks to the use of BTF including the increased risk of bacterial contamination, more frequently clogged tubes and greater labor intensity in preparation of the feeding. Families may use or intend to use blenderized foods for partial, supplemental or complete nutrition support [ 2 ]. A survey of patients requiring home enteral nutrition found that Despite its increasing use, the current literature on the prevalence, safety and outcomes of BTF remains limited.

Any unused formula should be discarded after 24 h [ 1 ]. BTF: blenderized tube feeding. Enteral feeding dates back more than 3, years ago to the ancient Egyptians who attempted rectal administration of wine, milk and grain broths [ 4 ]. In the s and s, real blenderized foods once widely prevalent in hospitals in North America and Europe went out of favor with the introduction of commercial dairy-based formulas.

By the s, commercial formulas were widely adopted as complete nutrition that was sterile, easy to administer and less expensive than blended formulas made in hospital kitchens [ 2 ]. However, BTF use remained prevalent in resource limited countries and remote settings where the availability of commercial formulas was limited either due to cost or logistics [ 5 , 6 ].

One of the most common reasons that families want to use BTF is to normalize the tube feeding experience. By offering foods the entire family eats, children requiring enteral nutrition can be included in family meals. In addition, meals can be prepared to meet specific diet needs and preferences or to omit certain food allergens [ 7 ].

Advocates of BTF argue that whole foods may benefit the gut microbiota. Further research is being done on the benefits of prebiotics and phytonutrients that are found in fruits and vegetables that can be a part of BTF [ 1 ].

In one of the few prospective studies on gut health and BTF, stool bacterial diversity, monitored by rDNA-based sequencing, was improved upon a transition from commercial formula to BTF in a small group of medically complex pediatric patients [ 8 ].

Another common reason families request BTF is feeding intolerance with commercial formulas. Many parents report improved growth and fewer symptoms of feeding intolerance reflux, gagging and constipation after switching to BTF [ 9 ].

Despite many anecdotal benefits of BTF, definitive data are lacking and more research is needed to support these claims. Bacterial contamination of the blenderized food is one of the biggest concerns with BTF and has been frequently reported in the literature; however, none of these studies have shown a clinical correlation with acute infection in patients [ 11 - 13 ].

Contamination of BTF can occur during preparation or handling. Proper hand hygiene and food safety practices must be reinforced when preparing and administering the feedings. Homemade BTF should not be left at room temperature for more than 2 h.

Many schools will not allow staff to give homemade BTF because of food safety concerns. The increased viscosity of blenderized foods can clog feeding tubes [ 15 ]. If homemade BTF is used, it must be evenly blended. Larger feeding tubes of at least 14 Fr also decrease the risk of clogging.

Over time, some oils in homemade BTF can degrade the plastic that feeding tubes are made from. Flushing the tube with water after every feeding is essential to reduce the risks of clogging and degrading the feeding tubes. There are significant differences and inconsistencies in BTF preparation among care givers [ 9 ]. In infants and young children with higher energy demands, nutritional inadequacy from unsupervised BTF may cause delayed growth from both macro- and micronutrient deficiencies [ 16 ].

Some commercially available blenderized formulas are not meant to provide all nutrient dietary reference intakes DRIs or daily calorie and protein requirements. In addition, it is important to ensure appropriate electrolyte content and maintenance fluid needs are met.

Despite the lower direct costs of BTF, baby food, groceries, commercial blenderized formulas and high-grade blenders are not covered by most insurance companies. Medicare and Medicaid require a documented allergy or intolerance to commercial semi-synthetic formulas to approve coverage for commercial BTF [ 1 ]. Collaboration with social workers can help families receive the proper assistance.

The use of BTF is more time-intensive than commercial formulas, so a family must be motivated to succeed. Families that are discouraged by time constraints could be offered ready-to-feed commercial BTF as an alternative.

Given the increasing popularity and use of BTF, it is important for pediatric clinicians to gain familiarity and knowledge of BTF to provide optimal nutritional support for their patients. Hence, if a family expresses interest, or is already providing unsupervised BTF, the clinician should provide further guidance including discussions as to the potential risks and benefits of this form of nutrition. If the decision is to begin or continue to use BTF, the clinician should consult with pediatric gastroenterologists and registered dietitians RDs who have expertise in BTF.

Table 1 lists some basic resources for clinicians and families to learn about BTF and food safety. Primary care clinicians must have a basic understanding of blenderized formulas in order to support families that are interested in this reemerging food practice. A multidisciplinary nutrition support team with familiarity with BTF management is a requisite to support families. At a minimum, this team includes a pediatric gastroenterologist or other physician with specific expertise in nutrition and an RD.

Oparaji and Sankararaman have disclosed no financial relationships relevant to this article. All listed authors made substantial contributions to the conception, drafting and revisions of this manuscript. All authors have approved the final version of this manuscript and agree to be accountable for all aspects of the work. National Center for Biotechnology Information , U.

Journal List Gastroenterology Res v. Gastroenterology Res. Published online Jun 7. Author information Article notes Copyright and License information Disclaimer. Email: gro. Received May 16; Accepted May Copyright , Oparaji et al. Abstract Blenderized tube feeding BTF is defined as the use of blended foods and liquids given directly via the feeding tube.

Keywords: Nutrition, Enteral nutrition, Pediatrics. Introduction Enteral nutritional support, commonly known as tube feeding, is the process of delivering nutrients via tube through the nose, mouth, or stoma into the gastrointestinal GI tract when oral intake cannot meet the energy and metabolic demands of an individual.

Open in a separate window. History Enteral feeding dates back more than 3, years ago to the ancient Egyptians who attempted rectal administration of wine, milk and grain broths [ 4 ]. Perceived Benefits Psychosocial One of the most common reasons that families want to use BTF is to normalize the tube feeding experience. Gut health Advocates of BTF argue that whole foods may benefit the gut microbiota. Feeding tolerance Another common reason families request BTF is feeding intolerance with commercial formulas.

Drawbacks Bacterial contamination Bacterial contamination of the blenderized food is one of the biggest concerns with BTF and has been frequently reported in the literature; however, none of these studies have shown a clinical correlation with acute infection in patients [ 11 - 13 ]. Mechanical issues The increased viscosity of blenderized foods can clog feeding tubes [ 15 ].

Nutritional deficiencies There are significant differences and inconsistencies in BTF preparation among care givers [ 9 ]. Table 3 Potential Contraindications. Acute illness or immunosuppression greater risk of infection from contaminated food Fluid restrictions may be difficult to meet nutrient needs Continuous feedings requires formula to be unrefrigerated for several hours.

Conclusion Primary care clinicians must have a basic understanding of blenderized formulas in order to support families that are interested in this reemerging food practice. Financial Disclosure Dr. Conflict of Interest None to declare. Author Contributions All listed authors made substantial contributions to the conception, drafting and revisions of this manuscript.

References 1. Martin K, Gardner G. Home enteral nutrition: updates, trends, and challenges. Nutr Clin Pract. Parrish C. Blenderized tube feeding: suggested guidelines to clinicians. Pract Gastroenterol. Use of blenderized tube feeding in adult and pediatric home enteral nutrition patients.

Harkness L. The history of enteral nutrition therapy: from raw eggs and nasal tubes to purified amino acids and early postoperative jejunal delivery. J Am Diet Assoc. Enteral nutrition by a forward surgical team in Afghanistan.

South Med J. Nutr Hosp. Bobo E.

Get updates? Prac Gastrost ; Dietary Guidelines for Americans, We wanted to make sure that a typical kitchen blender could blend well enough to fit through a regular feeding tube. Use safe kitchen and food handling practices. In these situations parents need to step back and reevaluate goals—if they are to rid your child of Weronika Brill is a registered nurse and consults with parents on real food tube feeding. Additionally at CCHMC, dietitians in the pulmonary division have used the blenderized diet to help improve formula tolerance in their pediatric patients with cystic fibrosis who have had a feeding tube placed to ensure adequate nutritional intake.

Blenderized feeding diet

Blenderized feeding diet

Blenderized feeding diet

Blenderized feeding diet

Blenderized feeding diet

Blenderized feeding diet. What is it?

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Blenderized Diets: Research, Tips & Questions | Real Food Blends

As a dietitian, I am happy to see the increased interest in whole foods, and even happier that a company like Real Food Blends exists to help make real food through the tube easier. This is not medical advice. Always work with your medical team before making any dietary changes, especially if you have a feeding tube.

I recently started a blenderized diet for my son. Hi Tiffanie, Congrats on making the move to real food! How are things going? He is back in the hospital now with aspiration pneumonia.

We had hoped he could swallow again. Thanks Debbie. If you have time, we are hosting two webinars for RDs on blended diets. I want to learn how to blend food for my Gtube feed husband. He has been tube feeding 5 years and his triglycerides are very high, and had numerous stents in his legs. Can this lower his triglycerides? Hi Linda, Thanks for your message. My husband has been GTube feeding only for 4 years. He is vomiting a lot this past month and feels so full. He looks fine on scopes so his nutritionist has him trying these foods this week.

Is it ok to replace all his meals with this? I will call her, but wanted your input. Blending my own food is not possible for him due to nourishment issues and the cost it would involve for us. We are both 65 and he is surviving Throat Cancer. I have been a G-tube feeder over two years and receive all my nutritian and hydration via my tube. The last year I have transition to a combination of home blends, real food blends and liquid hope.

It was a great move for me the sugars in the commercial blends was causing my flem to become foamy and thick. My biggest struggle is hydration after ensuring I get my blends in every day a day getting liters of water requires diligence!

Is it ok to mix RFB with water so it can pass through the tube easier? My Bean is 16 months and primarily tube feeds with on demand p. Yes, it is absolutely OK to mix with water! You can add any liquid you want to our meals to make them thinner water, juice, broth, etc.

If you have any other questions, just let us know! My mom Barbara is a HEN. We are trying the Real Food Blends for the variety…It looks appetizing ,and the calories are comparable.. Toggle navigation Navigation. Transitioning to a Blenderized Diet by Feeding Tube. Dec 28, Julie Bombacino 14 Comments.

When starting a blenderized diet, here are some thoughts to consider: A homemade blenderized diet requires a high-powered blender. Interested in trying Real Food Blends meals for the first time? Search for:. First Last. Person with a feeding tube. Caregiver Registered Dietitian Medical Professional.

Blenderized feeding diet

Blenderized feeding diet