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20 Cards in this Set

  • Front
  • Back

Failure to thrive

Infants falls below the 5th percentile for weight and height

Organic and Non-organic cause

2 categories of FTT

Organic causes

Severe loss of weight

Nonorganic cause

Disturb parent-child relationship


- maternal role insufficiency

Non organic type

Form of child neglect


- little emotional attachment


- frequent moves & little parent support


- not enough concern

Irritable


Fussy


Colicky


Difficult child

Child attitude that may contribute to poor parenting interaction

Being Lethargic

- dt. Deprived emotionally


- mother interpret is as “lack of response to her”

Not Eating and MND

Being lethargic may lead to?

Take detailed pregnancy Hx


Always weigh the child

How to assess FTT?

Lethargy


Poor muscle tone


Loss of SQ Fat


Skin breakdown


Lack of resistance


Rocking in all fours


Greater reluctance


Diminish or non existent cry


Staring hungrily


Little cuddling or conforming


Delays s,c,standing/walking


Delays speech or absent

Typical characteristic if ftt/rad

Advance FTT

Child’s nutrition is extremely poor


- near acidosis

Must be removed from parent care

This should be done to prevent permanent Neurological dso.

Ideal for the weight in their normal age

Diet for FTT

Non organic type

Evidence by “rapid weight gain”

Ensure adequate nutrition


Nurture the child


Support and encourage


Help prevent poor parenting

Intervention for imbalance nutrition dt inadequate intake secondary to emotional deprivation

Assessment of stool for pH & reducing substance (glucose)

To know if infant is absorbing nutrients

CHO, is easiest food to absorb

What does positive stool test for glucose or acid pH <7.0 suggest?

Pulling of legs


Crying after eating

Sx of Gastrointestinal Discomfort

Rocking


Talking


Leisure bath


Parenting

How to nurture the child?

Visit more


Hold more


Interact more


Hold the baby while feeding


Say that the baby is saying something

You can Support and encourage the parent in what ways?