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 »
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For Appointments: (302) 651-4200

Meet the Team:
  • Regina Barusevicius, MA, RD, CSSD, LDN
  • Jaclyn Costantino, RD, LDN
  • Nicole Fragale, MS, RD, CSP, LDN
  • Michell Fullmer, RD, LDN, CSP, CNSC
  • Emily Hartline, RD, CSP, LDN
  • Michele Innes, RD, LDN
  • Allison Lamma, RD, CSP, LDN
  • Jennifer Lester, MS, RD, CNSC, CSP, LDN
  • Natalie Navarre, RD, LDN,
  • Lauren O'Hara, RD, LDN
  • Megan O'Neill, RD, CSP, LDN
  • Marlene Rafferty, RD, LDN
  • Michelle Reed, RD, CSP, LDN
  • Erin Sullivan, RD, LDN
  • Lore Noyes, Director of Clinical Nutrition Services, MS, RD, CNSC, CSP, LDN

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 »