Questions and Answers
What are organic causes of failure to thrive?
What are non-organic causes attributed to failure to thrive?
What factors contribute to non-organic failure to thrive?
Poverty, maternal depression, poor social support systems, poor bonding, maladaptive interactions between child and mother, irritable resistance to touch infant.
What are manifestations of non-organic failure to thrive?
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What are additional signs of non-organic failure to thrive?
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What are behavioral indicators of non-organic failure to thrive?
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What is the diagnosis approach for non-organic failure to thrive?
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What is the treatment for non-organic failure to thrive?
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Who are involved in the care team for non-organic failure to thrive?
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What questions should be asked when interviewing parents?
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What aspects should be assessed in infant-parent interactions?
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How should appropriate interactions look like?
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What role modeling and teaching is appropriate for parents?
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Study Notes
Organic and Non-Organic Failure to Thrive
- Organic causes are linked to medical issues including chromosomal abnormalities, defects in heart or lung function, CNS damage, and toxin exposure.
- Non-organic causes relate to psychosocial factors such as child neglect, poor parenting skills, and parental mental health history.
Factors Contributing to Non-Organic Failure to Thrive
- Influences include poverty, maternal depression, inadequate social support, poor bonding between parent and child, and maladaptive interactions.
- Infants may exhibit signs like irritability and resistance to touch.
Manifestations of Non-Organic Failure to Thrive
- Weight measurement below the 5th percentile indicates serious growth concerns.
- A sudden drop in the growth curve, delays in developmental milestones, and decreased muscle mass are critical signs.
Additional Signs
- Physical symptoms can include muscle hypotonia, abdominal distention, generalized weakness, and cachexia (severe malnutrition).
Behavioral Indicators
- Children may demonstrate avoidance behaviors such as lack of eye contact, withdrawal from physical touch, and signs of anxiety around strangers.
- Various repetitive or soothing behaviors may include rocking, head banging, intense sucking, chewing on fingers, and head rolling.
Diagnosis
- Non-organic failure to thrive is diagnosed when no organic causes are found and consistent nurturing leads to weight gain in the infant.
Treatment Approaches
- Treatment focuses on nutritional therapy aimed at achieving growth rates of 2-3 times the average for the child's age.
- Caloric enrichment, daily multivitamins, potential concentration of formula (up to 24 calories per ounce), family therapy, and parenting classes are key components.
Multidisciplinary Approach
- A team of healthcare professionals is essential in addressing the complexities of non-organic failure to thrive.
Parental Interviews
- Important questions for parents should cover food availability, sources of income, and food storage/preparation facilities.
Assessment of Infant-Parent Interactions
- Assessment should prioritize how the child is held and fed while observing eye contact and facial expressions shared between parent and child.
Ideal Interaction Dynamics
- Interactions should include play, verbal communication, and physical touch, with nurses observing parental responses to the child’s cues, particularly during crying.
Role Modeling and Teaching
- Teaching appropriate adult-child interactions—comprising holding, touching, and feeding—is crucial for fostering effective parent-child relationships and enhancing parental confidence in caregiving.
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Description
Explore key terms and definitions related to non-organic failure to thrive. This quiz provides insight into the psychosocial factors impacting child development and the distinctions between organic and non-organic causes. Test your knowledge with these essential flashcards.