Caregiving of Children with Failure to Thrive: A multidisciplinary team approach

2.50
Hdl Handle:
http://hdl.handle.net/10755/156317
Type:
Presentation
Title:
Caregiving of Children with Failure to Thrive: A multidisciplinary team approach
Abstract:
Caregiving of Children with Failure to Thrive: A multidisciplinary team approach
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Falkenstein, Kathleen P., PHD, CPNP
P.I. Institution Name:Drexel University
Title:Assistant Professor Drexel University
[Symposium Presentation] Failure to thrive (FTT) has a prevalence rate of 3% to 10% in rural and urban populations. As an indicator of physical and psychosocial problems, FTT is associated with subsequent growth delay and cognitive deficiencies. FTT in low income communities can represent the "tip of the iceberg" and many children experience food insecurity which may act as a precursor to FTT. Children with FTT require prompt attention and caregiving by a multidisciplinaryáteam to prevent the long term consequences on growth and development. This paper examines the effects of a multidisciplinary approach by the GROW CLINIC to manage children with FTT. Members of the team include a pediatrician, nurse practitioner, nutritionist, psychologist, and social worker. The goal is to prevent the long-term health and developmental effects from FTT and its associated family dysfunction. Method: A descriptive design was used. One hundred forty six children and families were evaluated. Results: All of the children have weights of less than the 5th percentile at the time of referral (mean age was 18 months). Twenty percent have been diagnosed with organic FTT (GER, asthma); 92% have psychosocial issues impacting their FTT (unstructured meals, food insecurity, behavior issues); 96% have excessive fluid intake. One third of the children have developmental delays or behavior issues. Social services have been implemented in more than 60% of the families. About 80% of the families have been referred to community organizations. With a multidisciplinary approach, more than 85% of the children have gained an appropriate amount of weight for age (g/d) and have improved behaviors (mealtime structure, juice intake).áConclusion: Caregiving by this multidisciplinary team has made a major impact on both anthropometric and behavior change in children with FTT and their families. The long term effects of this approach are being evaluated in this population.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCaregiving of Children with Failure to Thrive: A multidisciplinary team approachen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156317-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Caregiving of Children with Failure to Thrive: A multidisciplinary team approach</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Falkenstein, Kathleen P., PHD, CPNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Drexel University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor Drexel University</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Kf33@drexel.edu</td></tr><tr><td colspan="2" class="item-abstract">[Symposium Presentation] Failure to thrive (FTT) has a prevalence rate of 3% to 10% in rural and urban populations. As an indicator of physical and psychosocial problems, FTT is associated with subsequent growth delay and cognitive deficiencies. FTT in low income communities can represent the &quot;tip of the iceberg&quot; and many children experience food insecurity which may act as a precursor to FTT. Children with FTT require prompt attention and caregiving by a multidisciplinary&aacute;team to prevent the long term consequences on growth and development. This paper examines the effects of a multidisciplinary approach by the GROW CLINIC to manage children with FTT. Members of the team include a pediatrician, nurse practitioner, nutritionist, psychologist, and social worker. The goal is to prevent the long-term health and developmental effects from FTT and its associated family dysfunction. Method: A descriptive design was used. One hundred forty six children and families were evaluated. Results: All of the children have weights of less than the 5th percentile at the time of referral (mean age was 18 months). Twenty percent have been diagnosed with organic FTT (GER, asthma); 92% have psychosocial issues impacting their FTT (unstructured meals, food insecurity, behavior issues); 96% have excessive fluid intake. One third of the children have developmental delays or behavior issues. Social services have been implemented in more than 60% of the families. About 80% of the families have been referred to community organizations. With a multidisciplinary approach, more than 85% of the children have gained an appropriate amount of weight for age (g/d) and have improved behaviors (mealtime structure, juice intake).&aacute;Conclusion: Caregiving by this multidisciplinary team has made a major impact on both anthropometric and behavior change in children with FTT and their families. The long term effects of this approach are being evaluated in this population.</td></tr></table>en_GB
dc.date.available2011-10-26T14:39:52Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:39:52Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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