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A clinical nursing study: failure to thrive in a child with Down's syndrome

B Durand

    Nursing Research
    |July 1, 1975
    PubMed

    Insights

    Developmental nursing care significantly improved a child with Down syndrome experiencing failure to thrive. The intervention positively impacted growth and behavior, highlighting nursing

    Area of Science:

    • Pediatric Nursing
    • Developmental Pediatrics
    • Genetics

    Background:

    • Failure to thrive (FTT) in children with Down syndrome (DS) can stem from various factors, including masked deprivation.
    • Developmental nursing care offers a tailored approach to address complex pediatric health needs.

    Purpose of the Study:

    • To evaluate the impact of a 17-day developmental nursing care program on a child with Down syndrome and severe FTT.
    • To assess changes in specific growth and behavioral parameters following the intervention.

    Main Methods:

    • A case study design was employed, focusing on a single five-year-old child with Down syndrome.
    • Data collection included measurements of height, weight, sleep, caloric intake, mobility, environmental awareness, vocalizations, self-stimulation, and play activity before, during, and after the nursing intervention.

    Main Results:

    • The nursing care program led to significant improvements in height, weight, sleep, active mobility, environmental awareness, and prelanguage vocalizations.
    • A decrease in self-stimulatory behavior was observed.
    • Caloric intake and play activity with toys did not show significant increases.

    Conclusions:

    • Individually tailored developmental nursing care can be a primary therapeutic modality for children with Down syndrome experiencing failure to thrive.
    • The study demonstrates a systematic method for evaluating the effectiveness of nursing interventions in pediatric care.

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