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Infants and children who fail to thrive: implications for occupational therapy practice
1Instructor, Occupational Therapy Division, School of Allied Medical Professions, Ohio State University, Columbus, OH.
Insights
Failure to thrive, a disorder of impaired growth, stems from medical issues or environmental factors. Occupational therapists play a key role in diagnosing and treating both organic and nonorganic failure to thrive.
Area of Science:
- Pediatrics
- Developmental Psychology
Background:
- Failure to thrive (FTT) is a complex pediatric condition marked by impaired growth and potential developmental delay.
- The causes of FTT are multifactorial, encompassing organic (medical/constitutional) and nonorganic (psychosocial) origins.
- Disturbances in parent-child interactions and infant temperament are linked to nonorganic FTT.
Purpose of the Study:
- To define failure to thrive and its etiological categories.
- To highlight the role of occupational therapy in managing FTT.
Main Methods:
- Literature review on the etiology and characteristics of FTT.
- Analysis of the interdisciplinary team's approach to FTT diagnosis and treatment.
Main Results:
- FTT presents with impaired growth and developmental delays.
- Etiologies are categorized as organic (medical) or nonorganic (psychosocial).
- Psychosocial factors like parent-child interaction issues contribute to nonorganic FTT.
Conclusions:
- Occupational therapists are integral members of the medical team for FTT.
- Therapists contribute to the diagnosis and treatment of both organic and nonorganic FTT.
- A comprehensive, interdisciplinary approach is essential for managing FTT.
Abstract:
Failure to thrive is a complex medical disorder characterized by impaired growth and often accompanied by developmental delay. The etiology of failure to thrive may be an organic problem, psychosocial factors within the environment, or a combination of both. The etiology of organic failure to thrive is a medical or constitutional problem. Nonorganic failure to thrive has been associated with various psychosocial factors, including disturbances in parent-child interaction and difficult infant temperament. As a member of the interdisciplinary medical team, the occupational therapist contributes to both the diagnosis and treatment of organic and nonorganic failure to thrive.
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