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- W4309358511 abstract "Failure to thrive, or growth faltering, can be defined in several ways. Tracking each growth parameter over time is key. When calorie intake is insufficient, weight will falter; if severe and chronic, then length will also lag behind expected growth. Other patterns indicate the need to explore alternative etiologies (e.g., genetic, endocrine, or neurologic). The diagnostic evaluation starts with a thorough medical history and physical exam. A comprehensive dietary intake may include a 24-hour recall. Psychosocial history may assess family dynamics and household stressors, including food insecurity. Discussion about the mealtime environment and structure of meals and snacks will reveal problems such as excess sugar-sweetened beverages or frequent access to snacks of low nutritional value. Direct observation or video recording of a meal is enlightening. Responsive feeding is key to a positive mealtime interaction. Management proceeds in a stepwise fashion. Children often will have organic as well as psychosocial factors that should be addressed. Multidisciplinary teams are especially successful in addressing the child as a whole. Selected, targeted laboratory tests will increase the yield. Need for hospitalization is rare. Children with special health care needs may need individualized approaches. Specialists should be consulted for specific conditions, diagnostic procedures, and necessary interventions. Strategies should be developed with long-term goals in mind. Effects on ultimate growth and cognitive development can be averted through intervention and follow-up." @default.
- W4309358511 created "2022-11-26" @default.
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- W4309358511 date "2023-01-01" @default.
- W4309358511 modified "2023-09-27" @default.
- W4309358511 title "Failure to Thrive" @default.
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- W4309358511 doi "https://doi.org/10.1016/b978-0-323-76174-1.00012-2" @default.
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