2-Failure-to-Thrive.pptx power point presentation

Explanation of the ppt

1.                     Failure to Thrive Generic BSN Semester V Ms. Sumita Gill ION – JSMU

2. Failure to Thrive Not a diagnosis - a description Inadequate nutrition to sustain normal growth and development Significantly prolonged cessation of appropriate weight gain compared with recognized norms for age/gender after having achieved stable pattern

3. Midparental height Boys: Girls: Father’s ht (in) + Mother’s ht (in)+5 2 Father’s ht (in) + Mother’s ht (in) -5 2

4. Causes of FTT Inadequate calories Inability to utilize calories Increased caloric needs More than one of these causes can overlap!!

5. Normal Growth Food (calories) Waste Metabolism Growth

6. Inadequate Calories Lack of knowledge Diet (low calorie, excess juice, fads) Formula mixing Behavior issues Behavior problems Food phobia

7. Feeding Infants Breast milk or formula in first year of life Offer water in sippy cup Solids introduced at 4-6 months Transition to WHOLE milk at 1 yr of age

8. Caloric intake Breastmilk and Standard Infant formula have 20 calories per oz Formula should be mixed 1 scoop to 2 oz water There are special formulas with higher calories per oz

9. Toddlers Growth less rapid Can become picky Bottle should be discontinued Self feeding encouraged Avoid battles over food

10. Inadequate Calories Anatomic Congenital anomalies Oromotor dysfunction Dental caries Gastroesophageal reflux Obstruction (i.e. pyloric stenosis)

11. Causes of FTT Inadequate calories Inability to utilize calories Increased caloric needs More than one of these causes can overlap!!

12. Child abuse causing FTT Neglect Other- effects of physical abuse, sexual abuse

13. Child Abuse Causing FTT Neglect Food withholding Poor attachment Domestic violence Lack of follow through/medical neglect

14. History Prenatal/Birth Medical history Surgical history Medications Allergies Symptoms Development Family history Social history Diet history Three day food diary

15. References Kleinman R, Pediatric Nutrition Handbook 6 th edition. American Academy of Pediatrics; 2009. Reece R, Christian C, eds. Child Abuse, Medical Diagnosis and Management . 3rd edition. American Academy of Pediatrics; 2009. Block, BW, Krebs, NF, et al. Failure to Thrive as a Manifestation of Child Neglect. Pediatrics 2005; 116:1234-1237. Krugman, SD, Dubowitz, H. Failure to Thrive . Amer Fam Phys 2003; 68(5): 879-884 Bools,C. Fabricated or Induced Illness in a Child by a Carer: A Reader. Radcliffe Publishing, Oxford 2007