المساعد الشخصي الرقمي

عرض الإصدار الكامل : Failure To Thrive


Qais
06-25-2007, 03:50 PM
Failure To Thrive

Declination from accepted growth standards over time as a result of caloric insufficiency and deprivation.
About 3 to 5% of all children admitted to tertiary care centers and 1% of all children admitted to any hospital have failure to thrive (FTT).
The physiologic basis for FTT of any etiology is inadequate nutrition for weight gain to occur.

FTT Types

• Organic FTT refers to growth failure due to an acute or chronic disorder known to interfere with normal nutrient intake, absorption, metabolism, or excretion or to result in increased energy requirements to sustain or promote growth

• Non-organic FTT most commonly refers to growth failure due to environmental neglect, e.g. lack of food, or stimulus deprivation in the absence of a physiologic disorder that accounts for the growth failure. Up to 80% of children with growth failure who do not have a readily apparent growth-inhibiting disorder have non-organic FTT. Lack of food may be due to impoverishment, poor understanding of feeding techniques, improperly prepared formula, e.g. overdiluting formula to "stretch" it because of financial difficulties, or an inadequate supply of breast milk, e.g. because the mother is under stress, exhausted, or poorly nourished.

• Mixed FTT, organic and non-organic FTT overlaps. The physician must ascertain the relative contributions of each to the child's abnormal growth.
Mixed FTT is diagnosed in children who
o Were born prematurely and who have evidence of disproportionate growth failure later in infancy
o Have or have had a defect that does not explain the current growth failure, e.g. repaired cleft palate
o Are frustrating, e.g. because of neurologically impaired sucking, to the caregiver.
o Repugnant to the caregiver e.g. because of a deformity


My regards,

zainab
06-25-2007, 04:49 PM
Thank u teacher Qais

:)??I have a question

What good nutrition for people Infected the failureTo Thrive

My regards:p

Qais
06-26-2007, 03:53 PM
Thank you sister Zainab for reading the article and for the question.

To answer your question first of all i would like to list the causes of FTT.
Failure to thrive can result from a wide variety of underlying causes. Some children fail to thrive because of:

• Social factors. In some cases, doctors may not identify a medical problem, but may find that the parents are actually causing the failure to thrive

• Conditions involving the gastrointestinal system like gastroesophageal reflux, chronic diarrhea, cystic fibrosis, chronic liver disease, and celiac disease.

• A chronic illness or medical disorder. If a child has trouble eating - because of prematurity or a cleft lip or palate, for example - he or she may not take in enough calories to support normal growth

• An intolerance of milk protein. This condition can initially lead to difficulty with absorbing nutrients until it's recognized

• Infections (parasites, urinary tract infections, tuberculosis, etc.), which place great energy demands on the body and force it to use nutrients rapidly (and the appetite may be impaired as well), sometimes bringing about short- or long-term failure to thrive.

• Metabolic disorders, which can also limit a child's capacity to make the most of calories consumed. Metabolic disorders might make it difficult for the body to break down, process, or derive energy from food, or they can cause a buildup of toxins during the breakdown process, which can make the child feed poorly or vomit

Later on i will discuss the diet managment of FTT.

Thank you,

Qais
07-21-2007, 10:45 AM
Treatment of FTT

The goal of treatment is to provide sufficient health and environmental resources to promote satisfactory growth.
A nutritious diet containing adequate calories for catch-up growth (about 150% of normal kcal requirement/kg ideal wt/24 h) and individualized medical and social supports are usually required.

Ability to gain weight in the hospital does not differentiate infants with non-organic FTT from those with organic FTT; all children grow when given sufficient nutrition.

However, some children with non-organic FTT lose weight in the hospital, suggesting that care even by "inadequate" parents is often better than being separated from them.

For children with organic or mixed FTT, the underlying disorder should be treated as quickly as possible.

For children with apparent non-organic FTT or mixed FTT, management consists of providing education and emotional support to correct problems interfering with the parent-child relationship.

Because long-term social support or psychiatric treatment is often required, the evaluation team may be able only to define the family's needs, provide initial instruction and support, and institute appropriate referrals to community agencies.

The parents should understand why the referrals are being made and, if options exist, should participate in decisions concerning which agencies will be involved, e.g.

some families accept and profit from community nurse intervention but refuse assistance from a social worker.

If the child is hospitalized in a tertiary care center, the referring physician should be consulted regarding local agencies and the level of expertise available in the community.

A pre-discharge planning conference involving hospital-based personnel, and the child's primary physician should be routine. Areas of responsibility and lines of accountability must be clearly defined, preferably in writing, and distributed to everyone involved. The parents should be invited to a summary session after the conference so that they can meet the community workers, ask questions, and perhaps arrange appointments

zainab
07-26-2007, 11:27 AM
Thank teacher Qais for complement topic
My regards:)http://www.diet4all.info/images/Gdiet4all/misc/progress.gif

Qais
07-29-2007, 09:04 AM
Thank you sister Zainab for reading the rest of the article

spirit rose
04-10-2008, 01:26 AM
thank you very much
subject very necessary
My estimation