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- W2065203495 abstract "Abstract LEARNING OUTCOME: To recognize the positive clinical outcomes and nominal costs of medical nutrition therapy in treatment of pediatric non-organic failure to thrive in a primary care setting. Two years of quality assurance outcome data for therapeutic nutrition interventions in the primary care setting demonstrated the contribution of medical nutrition therapy to catch-up growth in non-organic failure to thrive patients in the pediatric ambulatory site of our 125-bed community hospital. The registered dietitian with specialty training in pediatrics provided medical nutrition therapy to referred patients with a wide spectrum of conditions, the highest risk being mild to moderate grade failure to thrive. In working with multiethnic failure to thrive patients and their families with limited socioeconomic resources, in-depth nutrition assessments were compiled with emphasis on the feeding relationship, nutrition knowledge and food resources available to the family. Problem-oriented care plans were developed utilizing the least expensive and ethnically familiar foods as well as low literacy teaching tools. Referrals to the WIC Program, food pantries, and home observation and support through the VNA were recommended as needed. Ninety percent of the children achieved normal rates of growth while 45% achieved catch-up growth rates of 150% to 200% of normal growth rates. In addition, the data showed children experienced advancement in age-appropriate feeding skills, an improved feeding relationship with the primary caretaker and a decrease in frequency of chronic infections. Time spent with the RD in clinic ranged from 55 minutes (2visits) to 330 minutes (7-10 visits) with an average of 2.75 hours in 4 visits; median number of visits was 3 and median time spent with the patient/family was 1.7 hours. The average cost for nutrition therapy to achieve normal or catch-up growth was $300. Provision of MNT by the RD in the primary care setting improved clinical outcomes; saved money by decreasing infection rates and physician visits; routinely spared referral to a tertiary care facility: and empowered the family to care for the child more successfully, within their own local community." @default.
- W2065203495 created "2016-06-24" @default.
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- W2065203495 date "1997-09-01" @default.
- W2065203495 modified "2023-09-26" @default.
- W2065203495 title "Impact of Medical Nutrition Therapy on Pediatric Failure to Thrive in a Primary Care Setting" @default.
- W2065203495 doi "https://doi.org/10.1016/s0002-8223(97)00664-0" @default.
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