T2-FTT Flashcards
Failure to maintain weight and height about the 5th percentile
Failure to thrive
What are the two types of FTT?
Organic
Non-organic
What is organic FTT?
INBORN error of metabolism, neurologic disease, GE reflux, heart disease, CF
What is non-organic FTT?
Feeding disorder
Parental neglect or abuse
FTT is a condition of an infant or child who is not ____ adequately or is ___ with an an obvious reason
Not GROWING adequately or is LOSING WEIGHT without an obvious reason
What is a sign of growth failure?
Malnutrition
Is FTT a disease or a diagnosis?
No, but an impression which warrants comprehensive diagnostic evaluation
FTT is a nutrition problem cause by the child’s _____ to obtain calories or to use ____ required for growth
INABILITY to obtain calories or to use CALORIES required for growth
What are common parameters of FTT in a child under 2?
- Weight and height fall below 3rd percentile
- Dramatic decrease in growth
Organic or non-organic: FTT that is unrelated to disease or a physical problem
Non-organic FTT (NFTT)
What is NFTT most often the result of?
Psychosocial factors (issues with bonding for example)
What are some examples of Organic FTT?
- Congenital heard disease
- Neurological deficits
- Chronic UTI
- GE reflux
- Endocrine dysfunction
- CF
- Malabsorption syndrome
For NFTT, there is a _____ as well as growth failure
Developmental delay
For NFTT, is growth failure chronic or acute?
Chronic
For NFTT, is there any evidence of systemic disease or lab abnormality to account for growth failure?
NO
NFTT, there are signs of _____.
Deprivation (lack a nurturing environment)
NFFT, there is a significant ____ or _____ disruption within the family
Environmental or psychosocial
NFTT, development of ___
- Mental retardation
- Behavioral disorders
- Alterations in social responsiveness
- Chronic malnutrition
There are a lot of non-organic FTT manifestations. What are some of them?
- Decreased muscle mass
- Doesn’t like physical contact
- Doesn’t have attachment behaviors to caregivers
- Self-stimulatiing behavior (head banging, excessive sucking, etc)
- Sudden or rapid deceleration in growth
- Fussy, irritable infant
- Passive-apathy
Does a NFTT baby smile?
Not really. there is minimal smiling and is unresponsive facial expressions
What does a NFTT child do in its environment?
Scanning
Does NFTT sleep well?
No, disturbed sleep (restlessness)
What is the infant posturing of a NFTT baby?
Stiffening or arching the back
T/F: NFTT babies are nonvocal
True
NFTT: ___ emotional changes. Excessive _____.
Negative emotional changes and excessive crying
NFTT: Not enough fluid in baby causes ____
Constipation
What are some parent behaviors of NFTT babies? (there are a lot, just name as many as you can to get the idea)
- Negative feelings about infant
- Poor eye contact
- Doesnt want to hold baby (holds infant at distance)
- Doesnt want to play or stimulate baby
- Annoyed with care responsibilities
- Financial strain
- Drug/alcohol abuse
- Bad role models
- Decreased education
- Can’t figure out infants signals
- No or minimal positive interactions
What kind of attitude do NFTT parents have?
Attitude that infant is a burder
Parental behaviors: They may ___ the bottle. What does this cause?
Prop bottle; can cause otitis media and aspiration
*with FTT, don’t prop the bottle because it doest help with bonding
How does a parent of a NFTT baby refer to their child?
“the baby” rather than “he or she”
Do parents of NFTT babies respond quickly to their childs cry?
No, slow response or maybe not even a response at all
What is the initial treatment plan, regardless of if its inorganic or organic, for FTT?
Reversing malnutrition, giving sufficient calories to support catch-up growth
What is a normal kcal amount for healthy babies? What about for FTT babies?
normal: 100cal/kg/day
FTT babies: 150cal/kg/day (formula contains about 20cal/oz)
FTT: Feeding times?
30 minutes per session
Who will initially feed the baby?
Staff role models, then will begin to observe parent
Where should FTT babies be fed?
Quiet
Unstimulating environment
Should eye contact be established with FTT babies?
Yes
How should feeding go with a FTT baby?
Maintain calm, even temperament throughout feeding
What is the goal of a child when feeding if the child is FTT?
Child to associate feeding with pleasure (discipline should be limited during feeding)
How should new foods be introduced with FTT babies?
SLOWLY; bottle feeding may be the only experience
Should we force feed a FTT baby?
No, avoid this
Should we give up feeding a FTT baby if they begin spitting up or doing some other negative behavior?
No, don’t give up
Is it okay to give directions and praises while feeding FTT child?
Yes
EX: “take a spoonful, good job!”
Is it okay to praise the parent for success?
Yes
