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Understanding Failure to Thrive (FTT)

Failure to Thrive (FTT) is characterized by inadequate caloric intake, absorption, or excessive expenditure, leading to poor growth and health issues in infants and children. Key clinical manifestations include refusal to eat, weight loss, and signs of dehydration, with priority care focusing on hydration, nutrition, and addressing underlying conditions. Risk factors include early maternal deprivation, poverty, chronic diseases, sensory deficits, and mental health disorders, necessitating an interprofessional approach for effective treatment.

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242 views1 page

Understanding Failure to Thrive (FTT)

Failure to Thrive (FTT) is characterized by inadequate caloric intake, absorption, or excessive expenditure, leading to poor growth and health issues in infants and children. Key clinical manifestations include refusal to eat, weight loss, and signs of dehydration, with priority care focusing on hydration, nutrition, and addressing underlying conditions. Risk factors include early maternal deprivation, poverty, chronic diseases, sensory deficits, and mental health disorders, necessitating an interprofessional approach for effective treatment.

Uploaded by

RNStudent1
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Failure to Thrive

(FTT)
Pathophysiology
 Inadequate caloric intake Clinical manifestations
 Inadequate caloric absorption • Infant refusing food/bottle/nursing
 Excessive caloric expenditure • Infant not gaining weight
 Renal insufficiency o 6 wo that weights 1kg that they did at birth
 Medications – this is a problem
• True for any age
Etiology o Poor muscle tone
• Organic o Dry skin
o Congenital disease o Poor wound healing
 AIDS
 DM Priority of care
 Heart defect – that is not caught in • Hydration
utero on prenatal ultrasound • #1
• Metabolism error • Nutrition
o Burns too many calories • #2
 Can happen in a teenager during • Electrolyte imbalance
puberty • Without the proper hydration and nutrition,
 Working out/athlete  changes you will have an electrolyte imbalance
body chemistry • Cardiac dysrhythmias
o Renal insufficiency can happen with this • Muscle cramps
• Neurologic disease • Safety
o Parts of the brain are not talking to the • Abuse and neglect?
adrenal gland • Are they safe?
• Cleft Palate • Is there an emergency
o Cannot eat, nurse, suck on a bottle • Underlying condition(s)
• GERD • Do we have something that we need to
o Spit up/vomiting what they do eat treat?
• Other • Family education
o Pyloric stenosis – vomiting • Proper health and nutrition

Risk factor Interprofessional Team


• Early mother deprivation  Physician/pediatrician
o Neglect from mother – first week or two  Nursing
o Will not want to take a bottle  Gastroenterology (GI)
o Doesn’t learn to latch o GERD
o Cannot get caloric intake that they need  Dietitian
• Poverty o Almost always involved
o Do not have the ability to get the  Endocrine?
nutrition/formula that they need o Adrenal problem
• Chronic diseases o Thyroid problem
o GI nature  Other specialist?
 Crohn’s, colitis, gastritis, Celiac’s o Surgery
o Just do not want to eat – you feel miserable  Malrotation
• Sensory deficits  Need a G tube in
o You do not know that you are hungry
o You do not know that you are full… you eat
too much and end up vomiting Very easy to treat and very quickly treated
 Unintentional binge and purge
• Mental health disorders
o Eating disorder – anorexic, bulimic How does it tie into other lessons/concepts?
• Neglect & abuse
o Parents are not interested in worrying
about what or if their kid is eating

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