Failure to thrive and malnutrition : a practical, evidence-based clinical guide / Joyce Vachani, editor.
Vachani, Joyee, editor.
2023
RJ399.M26 F35 2023
Available Online

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Title Failure to thrive and malnutrition : a practical, evidence-based clinical guide / Joyce Vachani, editor.
ISBN 9783031141645 electronic book
3031141644 electronic book
9783031141638
3031141636
DOI https://doi.org/10.1007/978-3-031-14164-5
Published Cham, Switzerland : Springer, 2023.
Language English
Description 1 online resource (1 volume) : illustrations (colour).
Item Number 10.1007/978-3-031-14164-5 doi
Call Number RJ399.M26 F35 2023
Dewey Decimal Classification 618.92/39
Summary Failure to Thrive (FTT) is a multifactorial illness requiring the systematic application of evidence in conjunction with a multidisciplinary team-based approach. Evidence suggests most cases of FTT can be diagnosed using key elements of the patient history and physical examination including appropriate growth assessment, and that laboratory testing is usually unhelpful in determining an etiology. Despite this, there is wide variation in the definition, evaluation, treatment, costs, and outcomes of FTT patients, with subsequent burdens on the healthcare system. A suggested approach to the differential diagnosis and management of FTT is to review calories inadequate caloric intake, excessive calorie losses, and/or increased caloric intake (i.e. increased metabolic demand) while acknowledging the available resources along the continuum of patient care. Implementing evidence-based practice for FTT provides improvement opportunities for providers and potentially has significant impact on the healthcare system. This book is designed to present a practical and concise handbook on the diagnosis and management of failure to thrive (FTT)/ malnutrition for quick reference by trainees and practitioners by using case examples and available evidence in the current literature. This book is divided into 7 chapters in a logical progression of defining, diagnosing, and managing FTT with cases in each chapter to further illustrate evidence-based care.
Note Includes index.
Access Note Access limited to authorized users.
Source of Description Description based on print version record.
Added Author Vachani, Joyee, editor.
Available in Other Form Failure to thrive and malnutrition.
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Intro
Preface
Contents
Chapter 1: Definition
Background
History
Description
Growth Charts
Nutrition
Definition
Medical Coding
References
Chapter 2: Differential Diagnosis of Failure to Thrive
Approach to Differential of Patient with Failure to Thrive
Lack of Calories: Not Enough In
Too Many Calories Out
Increased Metabolic Demand
References
Chapter 3: Growth Assessment and Its Significance
Obtaining Measurements
Weight
Length/Height
Head Circumference
Alternative Height Measures
Bone Age
Body Composition

Upper Arm Anthropometry
Bone Densitometry
Body Mass Index
Waist Circumference
Frequency of Monitoring
Growth Charts
Preterm Growth Charts
Diagnosis-Specific Growth Charts
Plotting Growth Measurements
Interpretation
Malnutrition Diagnosis Criteria
Intervention
Conclusion
References
Chapter 4: Management Approach: Enteral Nutrition
References
Chapter 5: Management Approach: The Continuum of Care
Introduction
Case Study
Management Approach
General Concepts
Multifactorial Diagnosis
Pearls
Multidisciplinary Management
Pearls

The Continuum of Care
The Outpatient Perspective
The Inpatient Perspective
Sharing of Information
Aligning Provider Expectations
Pearls
Case Study Update1
Hospital Discharge Communication
References
Chapter 6: Failure to Thrive and Population Health: The Impact of Disparities and Social Determinants
Failure to Thrive and Population Health
Social Determinants of Health and FTT
Food Insecurity
Housing and Physical Environment
Energy Insecurity
Caregiver Factors
Lack of Consensus on the Link Between Poverty and FTT

Program Participation and Failure to Thrive
Effects of Program Participation on Weight and Growth in Children
Regional Regulations Impacting Nutrition Assistance Programs
Variability in Access
Immigration Status
Management of FTT from a Social Determinants Perspective
Social Determinants Screening
Effective Referrals to Necessary Resources
The Importance of Advocacy
The Grow Clinic: One Model for Multidisciplinary Treatment of Failure to Thrive
Afterword
Clinical Cases
Case 1
Case 2
Key Points

More Information About Some of the Services and Programs Mentioned in This Chapter Can Be Obtained Through the Following Websites and Contact Numbers
Websites
Phone Numbers
References
Chapter 7: Improvement Opportunities for Practitioners: Developing a Clinical Pathway
Introduction
Case Study
Clinical Pathway Development
General Concepts
Assembling the Team
Pearls
Pathway Criteria and Definitions
Outlining Current Practice
Evidence Review
Pearls
Pitfalls
Management Algorithm
Pearls
Best Practice Recommendations
Clinical Support Tools

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