Failure to Thrive

Question 1

Geriatric failure to thrive

Answer 1

dementia patients forget to eat

Question 2

Risk Factors

Answer 2

infants deprived of mothering

parental depression, substance abuse,

Question 3

CLINICAL MANIFESTATIONS

Answer 3

PERSISTENT FAILURE TO EAT ADEQUATELY

NO WEIGHT GAIN OR WITH WEIGHT LOSS IN CHILD YOUNGER THAN 6 YEARS OF AGE

Question 4

NONPHARMACOLOGIC THERAPY

Answer 4

EDUCATION

HOME CARE VISITS

Question 5

ASSESSMENT

Answer 5

PHYSICAL ASSESSMENT:

MEASUREMENTS

PERCENTILES

HISTORY

STRESSORS IN PARENTS’ LIVES

• ASK ABOUT PREGNANCY, BIRTH
• OBSERVE BEHAVIORS WHEN PARENTS FEED CHILD

Question 6

DIAGNOSIS

Answer 6

NURSING DIAGNOSES MAY INCLUDE:

IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENTS

DELAYED GROWTH AND DEVELOPMENT

RISK FOR IMPAIRED PARENTING

FATIGUE

Question 7

PLANNING

Answer 7

GOALS MAY INCLUDE THAT:

CHILD WILL ATTAIN ADEQUATE GROWTH, NORMAL DEVELOPMENT

PARENT–CHILD RELATIONSHIP WILL IMPROVE

PARENTAL UNDERSTANDING OF CHILD’S NUTRITIONAL NEEDS REQUIREMENTS WILL IMPROVE

COMPLICATIONS ASSOCIATED WITH POOR NUTRITION WILL BE PREVENTED

Question 8

IMPLEMENTATION

Answer 8

THOROUGH HISTORY, PHYSICAL ASSESSMENT

OBSERVE PARENT–CHILD INTERACTIONS

PROVIDE NECESSARY TEACHING

REFER PARENTS TO EARLY CHILDHOOD INTERVENTION AGENCY

CONTINUE TO MONITOR SITUATION

Question 9

EVALUATION

Answer 9

EXPECTED OUTCOMES MAY INCLUDE:

GROWTH, DEVELOPMENT OF CHILD IMPROVE

PARENT–CHILD RELATIONSHIP IMPROVES

PARENT VOICES SPECIFIC ACTION PLAN

IMPROVE, MAINTAIN APPROPRIATE GROWTH OF CHILD

CHILD EXPERIENCES NO LONG-TERM COMPLICATIONS AS A RESULT OF FTT