100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Case Study:Failure to Thrive (FTT) CA$29.49   Add to cart
Quickly navigate to
Preview
  2.  
  3. Nursing
  4.  
  5. Nursing

Case

Case Study:Failure to Thrive (FTT)
 3 views  0 purchase
  • Course
  • Nursing
  • Institution
  • Nursing

Failure to thrive happens unintentionally in most cases due to the improper care given to baby by their caregiver. Proper education is the key to preventing inorganic failure to thrive. Had mother known diluting the formula would affect her baby the way it did then baby would not have had such in...

[Show more]

Preview 2 out of 12  pages

Document information

  • June 15, 2022
  • 12
  • 2021/2022
  • Case
  • Wamleck
  • A

Subjects

  • case study
  • nursing

Written for

  • Nursing
All documents for this subject (41174)

Seller

avatar-seller
Welch1

Reviews received

Content preview

Failure to Thrive (FTT)




Ben Potter, 4 months old

Primary Concept
Nutrition
Interrelated Concepts (In order of emphasis)
1. Fluid and Electrolyte Balance
2. Clinical Judgment
3. Patient Education
4. Communication
5. Collaboration




© 2016 Keith Rischer/www.KeithRN.com

, UNFOLDING Reasoning Case Study: STUDENT
Failure to Thrive (FTT)
History of Present Problem:
Ben Potter is a 4-month-old male presented to the pediatrician’s office for a routine well-child exam. Ben is accompanied
by his mother, Pamela, a 19-year-old single mother. Pamela appears visibly tired and reports that Ben has been getting up
more frequently in the night, crying but refusing to eat. Pamela reports that over the past three weeks, Ben often refuses
his formula feedings and reports episodes of gagging, arching his back, and frequent crying during and immediately
following formula feedings. Pamela reports that she has interpreted this behavior as a sign that she is overfeeding Ben and
has started watering down his Similac.
According to his chart, Pamela has never breastfed Ben. In addition, the following growth measurements are noted:

Date: Weight: Length: Head Circumference:
April 22 (birth) 8 lbs 1 oz (3.7kg) 19 inches (48.3 cm) 35.5 cm
May 2 7 lbs 9 oz (3.4 kg) 19 inches (48.3 cm) 36 cm
June 19 10 lbs 8 oz (4.8 kg) 20.5 inches (52.1 cm) 38.8 cm
August 20 (current) 12 lbs 4 oz (5.6 kg) 22 inches (55.9 cm) 42.3 cm

Using the CDC chart, what percentile is Ben with weight and length?
 Weight: 25%
 Length: <5%

Important FYI: There is no consensus of a definition of FTT in literature (Kirkland et al 2015) but these authors define
as when weight is less than 2nd percentile for gestation corrected age and sex when plotted out on growth chart. Some
sources describe when WT less than 5%

Ben is thin and pale in appearance. Skin folds noted around his buttocks. No respiratory or neurological concerns noted.
Reflexes and muscle tone within normal limits. Ben is alert, minimally interactive, and does not make eye contact with his
mother. Ben’s anterior fontanel is flat and open. Pamela leaves the room during the assessment to make a telephone call
and smoke a cigarette. Ben’s pediatrician makes the decision to transport Ben to the local Children’s Hospital to admit him
for observation. You are the nurse assigned to care for Ben.

What would be reasons for a hospital admission based on data collected to this point?
 Risk for Dehydration
 Inadequate nutrition
 Suspected neglect
Personal/Social History:
Ben lives with his 19-year-old mother (Pamela) and maternal grandmother (Susan) in Susan’s small two-bedroom mobile
home. Susan is 45 years old, is obese, and suffers from poorly controlled type 2 diabetes, hypertension, and smokes 2
packs per day. Susan watches Ben during the day while Pamela works part-time at a local gas station. Susan also cares for
Ben three or four nights per week while Pamela spends her nights drinking and socializing with men and other adults at
the local bar. Pamela became pregnant with Ben following a brief relationship with a 52-year-old man named Ryan. Ryan
is not involved in Ben or Pamela’s life and is currently in prison for assault.
Past Medical History (PMH):
• Pamela gave birth to Ben via spontaneous vaginal delivery at 37 weeks.
• Prenatal care received after 12 weeks due to lack of insurance.
• Maternal alcohol use during pregnancy – quantity unknown. Maternal blood alcohol level negative at delivery.
• NKDA


© 2016 Keith Rischer/www.KeithRN.com

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Welch1. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$29.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

73918 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$29.49
  • (0)
  Add to cart