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Elder care. A diagnostic model for failure to thrive

D D Groom

    Journal of Gerontological Nursing
    |June 1, 1993
    PubMed
    Summary

    Failure to thrive (FTT) in the elderly presents unique challenges, differing from its pediatric counterpart. Recognizing psychosocial, predisposing, and physical factors is key to addressing this complex condition in older adults.

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    Area of Science:

    • Gerontology
    • Internal Medicine
    • Nutritional Science

    Background:

    • Elderly care is frequently complicated by multiple, interacting health conditions.
    • Key concerns in older adults include malnutrition, depression, and cognitive impairment (dementia or delirium).
    • Malnutrition is a significant issue among hospitalized and institutionalized elderly individuals.

    Purpose of the Study:

    • To explore the syndrome of Failure to Thrive (FTT) in the elderly population.
    • To differentiate FTT in the elderly from its established definition in pediatric patients.
    • To categorize the distinct presentations of FTT specific to older adults.

    Main Methods:

    • Review and redefinition of terms associated with the infant model of FTT.
    • Adaptation of the FTT framework for application to geriatric patients.
    • Identification of key characteristics and contributing factors in elderly FTT.

    Main Results:

    • Failure to Thrive (FTT) in the elderly is characterized by undernutrition, diminished physical and cognitive function, and depression.
    • The elderly FTT model is redefined into three categories: psychosocial, predisposing, and physical.
    • This contrasts with the two categories identified in infants: the infant and the environment.

    Conclusions:

    • Failure to Thrive (FTT) is a multifaceted syndrome in the elderly, distinct from pediatric FTT.
    • The new categorization (psychosocial, predisposing, physical) provides a framework for understanding and managing FTT in older adults.
    • Addressing these specific factors is crucial for improving the health and well-being of the elderly.

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