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Failure to thrive: an ambulatory approach

R Schwartz1, J A Abegglen

  • 1Brigham Young University, Provo, Utah, USA.

The Nurse Practitioner
|May 1, 1996
PubMed
Summary

Failure to thrive (FTT) is complex, affecting growth and development. This review covers diagnosis, causes, assessment, and interventions for FTT in ambulatory settings.

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Area of Science:

  • Pediatrics
  • Child Development
  • Primary Care Medicine

Background:

  • Failure to thrive (FTT) presents a diagnostic and management challenge in primary care.
  • This condition is multifactorial, encompassing both organic and nonorganic etiologies.
  • Understanding the complex interplay of parental and child factors is crucial.

Purpose of the Study:

  • To provide a comprehensive overview of organic and nonorganic failure to thrive in ambulatory settings.
  • To guide primary care providers in the diagnosis and management of FTT.
  • To address the multifaceted nature of FTT, from etiology to long-term effects.

Main Methods:

  • Review of literature on the etiology, assessment, and management of failure to thrive.
  • Focus on physical assessment, including critical growth measurements, feeding, development, and psychosocial factors.
  • Examination of interventions in nutrition, development, and psychosocial support, emphasizing team-based management.

Main Results:

  • FTT etiology is complex, involving maternal/paternal and infant/child characteristics.
  • Physical assessment should include growth, feeding, developmental, and psychosocial evaluations.
  • Effective interventions require a multidisciplinary team approach focusing on nutrition, development, and psychosocial support.

Conclusions:

  • Failure to thrive necessitates a thorough, multifactorial approach to diagnosis and management.
  • Early identification and intervention are key to mitigating long-term effects.
  • Primary and secondary preventive strategies are essential for addressing FTT.

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