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• W2208402386 abstract "Failure to thrive (FTT) is often thought of as an unplanned or unexpected weight loss. There are many reasons why FTT can occur as one ages. The burden of chronic disease toward the end of life or an acute physical or mental illness can set off the syndrome. It is easier to diagnose in children who do not achieve significant developmental milestones or who ‘‘fall off ’’ the weight/height chart in the pediatrician’s office. In an adult it can be much more difficult to discern. Initially a little weight loss can even be welcomed, but once the body seems to melt away, it can be harder to reverse. It is important to determine as early as possible what triggers FTT. There may or may not be an obvious acute response or adaptation. For example, if pneumonia is treated effectively or a fracture heals quickly with physical therapy, the individual will continue on a recovery trajectory. A delay in treatment or inadequate physical response can lead to a downward pathway and death in a worst case scenario. Often one trigger can set off a domino effect with multiple sequelae each taking its toll. For example, anemia, a low red blood cell count, can follow an infection or chronic illness of almost any type. Anemia allows less oxygen to be carried to all the vital organs reducing their ability to support bodily needs. After a heart attack (myocardial infarction), insufficient pumping of blood can cause kidney failure or infarctions of the brain. After chronic or acute illness, a blood test will indicate lower protein and albumin indicative of poor nutrition. Sometimes lowered appetite, as we see with depression, is the precipitant. Malignancy can present as depression with weight loss. In particular, the first symptoms of pancreatic cancer and small cell lung cancer can be depression with appetite loss. Multiple other psychiatric conditions can induce FTT besides clinical depression. Bereavement or grief, dementia, extreme anxiety, and psychosis are all capable of initiating FTT. In addition, any functional impairment like immobility from any cause, reduced perception from hearing, or vision loss can make it difficult to obtain and prepare food. Taste is also normally reduced over time making food less pleasurable. Once a certain level of weakness occurs, even feeding oneself can be overwhelming. Patients with strokes, Parkinson’s disease, and blindness can slowly starve" @default.
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• W2208402386 date "2008-01-01" @default.
• W2208402386 modified "2023-09-23" @default.
• W2208402386 title "Failure to Thrive" @default.
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