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Nursing case management for children with failure to thrive
Insights
This study details a case management approach for pediatric nonorganic failure to thrive. It highlights the nurse case manager
Area of Science:
- Pediatric Nursing
- Case Management
- Child Health
Background:
- Nonorganic failure to thrive (NOFT) presents unique challenges in pediatric tertiary care.
- Effective case management is crucial for addressing complex health and developmental needs of children with NOFT.
- Standardized care pathways can improve care coordination and outcomes for children with NOFT.
Purpose of the Study:
- To describe a case management approach for pediatric nonorganic failure to thrive.
- To present a 4-day care path detailing staff nursing functions in the nurse case manager role.
- To discuss considerations for developing care paths for organic-based failure to thrive.
Main Methods:
- An advanced practice nurse led the formation of a planning committee.
- A care path was constructed to outline nursing interventions.
- The case management model was evaluated for effectiveness.
Main Results:
- A 4-day care path was developed, specifying nurse case manager responsibilities.
- The model demonstrated a structured approach to managing pediatric nonorganic failure to thrive.
- Parental input was identified as valuable for guiding interventions in organic failure to thrive.
Conclusions:
- Case management, facilitated by an advanced practice nurse, offers a structured approach to pediatric nonorganic failure to thrive.
- A defined care path enhances the role of the nurse case manager.
- Tailored care path development is essential for both nonorganic and organic failure to thrive, incorporating parental insights.
Abstract:
The case management approach is described for children with nonorganic failure to thrive in the pediatric tertiary care setting. An advanced practice nurse facilitated the organization of a planning committee, the construction of a care path, and the evaluation of the case management model. A 4-day care path is presented to show staff nursing functions in the nurse case manager role. Special issues are discussed for developing care paths for organic-based failure to thrive where parent reports can help guide health care interventions.