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Clinical health problem: failure to thrive
1University of Arizona, Tucson, USA.
Journal of the American Academy of Nurse Practitioners
|December 10, 1997
Summary
Families with non-organic failure to thrive (NOFTT) require interventions addressing behaviors and stressors impacting infant caloric intake. A holistic primary care approach is feasible and cost-effective for managing NOFTT.
Area of Science:
- Pediatrics
- Public Health
- Family Medicine
Background:
- Non-organic failure to thrive (NOFTT) presents complex challenges for families, often stemming from multiple sources.
- Decreased caloric intake in infants requires interventions targeting behavioral and environmental factors.
Purpose of the Study:
- To outline a holistic approach for managing NOFTT within a primary care setting.
- To emphasize the feasibility and cost-effectiveness of early intervention and community resource referral.
Main Methods:
- Utilizing practitioners for sensitive maternal counseling on diet and health perceptions.
- Identifying infant feeding difficulties and referring to specialized Failure to Thrive (FTT) clinics.
- Leveraging public health nurses for family assessment, health teaching, and community resource linkage.
Main Results:
- Primary care management of NOFTT is achievable.
- Interventions can address behavioral and stress-related factors contributing to poor caloric intake.
- Referrals to specialized clinics and community resources enhance family support.
Conclusions:
- A holistic, multi-faceted approach in primary care is effective for NOFTT management.
- Early identification and intervention, supported by public health nurses and community resources, are crucial.
- Practitioner-led management in primary care settings is both feasible and cost-effective.
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