Nutrition

child eating vegetables for good nutrition

Working side-by-side with specialists from all over Nemours, our food and nutrition experts do whatever it takes to deliver the best outcomes for kids. We provide education, guidance, and motivation for children with chronic illness, failure to thrive, obesity, or other problems that impact nutrition, healthy growth, and development.

 
Learn More About Child Nutrition
Nutritional issues in children can also be related to certain conditions:
  • general failure to thrive
  • gastroesophageal reflux (GERD)
  • diabetes
  • eosinophilic gastrointestinal diseases
  • heart disease
  • kidney disease
  • metabolic disease
  • disorders of the pancreas
  • liver disease
  • cancer
  • inflammatory bowel disease (including Crohn's disease or
    ulcerative colitis)
  • short bowel syndrome
  • cystic fibrosis
  • celiac disease
  • food allergies
  • eating disorders
  • obesity
  • weight management
When Your Child Needs a Tube Feeding

Sometimes your child might benefit from a tube feeding (also called enteral feeding). This is when liquid nutrition is delivered by a tube directly into the stomach or into the small bowel. There are several methods of tube feedings, some short term and some long.

Child Nutrition Given Through an IV

If your child is not able to digest and absorb oral or tube feedings, he or she may need total parenteral nutrition (TPN), which is nutrition given intravenously (through an IV).

Nemours/Alfred I. duPont Hospital for Children, Wilmington


1600 Rockland Road
Wilmington, DE 19803
Get Map & Directions »
Learn More About This Location »

For Appointments: (302) 651-4200
For Information: (302) 651-5220
Fax: (302) 651-4227

 
Meet the Team

Name: Alicia Aronovich, RD, LDN Specialty: general pediatric nutrition
Location(s): Nemours/Alfred I. duPont Hospital for Children
Education: BS Nutritional Sciences, Pennsylvania State University
Partners with: general pediatrics

Name: Regina Barusevicius, MA, RD, CSSD, LDN
Specialty: sports nutrition, gastroenterology nutrition
Location(s): Nemours duPont Pediatrics, Bryn Mawr and Glen Mills
Education: BA English, Widener University; MA Nutrition Education, Immaculata University
Partners with: Center for Sports Medicine, gastroenterology

Name: Lauren Cohen, MS, RD, LDN
Specialty: general pediatric nutrition, rehabilitative medicine nutrition
Location(s): Nemours/Alfred I. duPont Hospital for Children
Education: BA Anthropology, Literature and Archaeology, MS Clinical Nutrition New York University
Partners with: general pediatrics, pulmonology, rehabilitative medicine

Name: Nicole Fragale, MPH, RD, CSP, LDN
Specialty: intestinal failure, critical care nutrition
Location(s): Nemours/Alfred I. duPont Hospital for Children
Education: BS Nutrition, LaSalle University; MPH, West Chester University
Partners with: gastroenterology, critical care medicine

Name: Michell Fullmer, RD, CSP, LDN, CNSC
Specialty: hematology/oncology nutrition
Location(s): Nemours/Alfred I. duPont Hospital for Children
Education: BS Nutrition, Immaculata University
Partners with: hematology/oncology

Name: Michele Innes, RD, LDN
Specialty: gastroenterology, general pediatric nutrition, food allergy
Location(s): Nemours/Alfred I. duPont Hospital for Children
Education: BS Dietetics, Immaculata University
Partners with: gastroenterology, general pediatrics

Name: Allison Lamma, RD, CSP, LDN
Specialty: cardiology nutrition
Location(s): Nemours/Alfred I. duPont Hospital for Children
Education: BS Nutritional Science and Dietetics, University of Delaware
Partners with: cardiology

Name: Jennifer Lester, MS, RD, CSP, LDN, CNSC
Specialty: neonatology nutrition
Location(s): Nemours/Alfred I. duPont Hospital for Children
Education: BS Exercise Science, Slippery Rock University; MS Clinical Dietetics and Nutrition, University of Pittsburgh
Partners with: neonatology, surgery, orthopedics

Name: Natalie Navarre, MA, RD, CSP, LDN
Specialty: liver disorders, general pediatric nutrition
Location(s): Nemours/Alfred I. duPont Hospital for Children, Nemours duPont Pediatrics, Thomas Jefferson University Hospital and Deptford
Education: BS Nutrition and Dietetics, West Chester University, MA Nutrition Education, Immaculata University
Partners with: gastroenterology, general pediatrics

Name: Megan O'Neill, MA, RD, CSP, LDN
Specialty: eating disorders, nephrology nutrition
Location(s): Nemours/Alfred I. duPont Hospital for Children
Education: BS Nutrition, LaSalle University; MA Nutrition Education, Immaculata University
Partners with: adolescent medicine/eating disorders, nephrology

Name: Mary-Catherine Perry, RD, LDN
Specialty: weight management, bariatric nutrition
Location(s): Nemours/Alfred I. duPont Hospital for Children
Education: BS Dietetics, University of Delaware
Partners with: weight management

Name: Marlene Rafferty, RD, LDN
Specialty: weight management
Location(s): Nemours/Alfred I. duPont Hospital for Children
Education: BS Dietetics, University of Delaware
Partners with: weight management, general pediatrics

Name: Michelle Reed, MS, RD, CSP, LDN
Specialty: cystic fibrosis, diabetes
Location(s): Nemours/Alfred I. duPont Hospital for Children
Education: BS Dietetics, University of Delaware; MS Clinical Nutrition, Rutgers University
Partners with: pulmonology, endocrinology

Name: Jaclyn Rogers, RD, LDN
Specialty: Gastroenterology nutrition, metabolic disorders (PKU)
Location(s): Nemours/Alfred I. duPont Hospital for Children
Education: BS Nutritional Sciences, Pennsylvania State University
Partners with: gastroenterology, diagnostic referral service, consultative pediatrics and genetics

Name: Robin Nuse Tome, RD, LDN
Specialty: ketogenic diet for seizure management, general pediatric nutrition
Location(s): Nemours/Alfred I. duPont Hospital for Children
Education: BS Nutrition and Dietetics, West Chester University
Partners with: neurology, general pediatrics

Name: Lore Noyes, MS, RD, CSP, LDN, CNSC
Specialty: director, clinical nutrition
Location(s): Nemours/Alfred I. duPont Hospital for Children
Education: BS Nutrition and Dietetics, University of Wisconsin; MS Clinical Nutrition, Tufts University

Learn More About the Nutrition Team »

 
What to Bring
  • photo ID
  • medical and pharmacy insurance cards
  • preferred pharmacy name and phone number
  • names and dosage of all medications, including over-the-counter medication, your child is currently taking
  • guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
Returning Patients
  • Patient Presents Without Legal Guardian (PDF)
    English | Spanish
    Note: A parent or legal guardian must be with a child for a first visit.
 
Forms & Resources
Returning Patients
  • Patient Presents Without Legal Guardian (PDF)
    English | Spanish
    Note: A parent or legal guardian must be with a child for a first visit.
Resources for Patients & Families

Registered dietitians at Nemours/Alfred I. duPont Hospital for Children provide individualized nutritional assessments and recommendations in both the inpatient and outpatient setting.

We provide a thorough evaluation of your child’s nutritional status, which typically includes:
  • interviews with you and your child about your child’s daily dietary habits
  • an assessment of the adequacy of vitamins and minerals in your child’s current diet
  • analysis of a “food diary” that is kept over the course of several days
  • detailed body measurements, including weight, length or height, head circumference, weight-for-length, BMI and skin fold measurements. We can assess your child’s growth by comparing these measurements to reference standards on a growth chart
  • calculations of your child’s resting energy expenditure or basal metabolic rate, which is the number of calories your child would burn if he or she rested all day
  • education and guidance for you and your child about how best to manage nutritional needs related to a particular disease or condition

We will work closely with you and your child to create a plan that ensures your child gets the nutrition he or she needs to promote growth, especially during times of serious illness. Our recommendations may include individualized feeding plans, special diets and advice on behavioral approaches to better nutrition.

Children and Adolescents With Eating Disorders

We partner with adolescent medicine doctors and behavioral health experts to create a successful recovery plan for eating disorders.

Learn More About How We Treat Eating Disorders »

Feeding Therapy for Infants and Toddlers

For infants and toddlers with swallowing problems or food aversions, we may encourage intervention by feeding therapists (speech or occupational therapists with special training in feeding disorders).

Treating Obesity in Kids

Nemours is a national leader in childhood obesity research, treatment and prevention. Our family-centered approach helps families make permanent behavioral and dietary changes that will improve their child’s health and quality
of life.

Get More Information on How We Treat Obesity in Kids »