Failure to Obtain a Family History and Perform an Adequate Physical Examination

Failure To Thrive Adults NCLEX Review Care Plans

Nursing Written report Guide for Failure to Thrive in Adults

Failure to thrive (FTT) in adults is defined as a weight loss of more than than 5%, decreased appetite, poor diet, and physical inactivity.

These 4 criteria can be present in a broad range of diseases from neurologic, psychiatric, endocrine, infectious, and gastrointestinal, among others. Weight loss of 5% alone is already considered a red flag and could be a symptom of life-threatening disorders, such as malignancies.

Developed FTT is common in the elderly historic period group due to their increased vulnerability not simply physically but as well socially and mentally.

The mechanism by which a person fails to thrive tin can be multifactorial. Endocrine disorders such as hyperthyroidism and malignancies increase the body's metabolism and thus issue in weight loss.

Gastrointestinal disorders like malabsorption syndromes and psychiatric disorders like bulimia nervosa and poor appetite due to depression decrease the body's intake of nutrients.

Some medications may also cause weight loss and decreased appetite by their activeness on the encephalon'due south satiety center.

Signs and Symptoms of Failure to Thrive

It is important to know the associated signs and symptoms for the various diseases that cause failure to thrive in adults to detect a disease early. These include:

1. General Signs and Symptoms

• Any recent and/or rapid weight of more than than 5% of body weight.
• Change in ambition
• Physical inactivity
• Signs of poor diet such as
  •  thinning hair
  • teeth falling off
  •  dry skin
  •  decreased energy
  •  frequent infections
  • pale and sallow pare

two. Signs and symptoms associated with specific disorders

• Ever worried and anxious
• Loss of involvement in activities that a person used to notice pleasurable
• Inability to initiate or maintain sleep
• Excessive sleeping
• Hallucinations
• Irritability
• Mood swings
• Motor weakness
• Chronic headache
• Fatigue
• Frequent urination
• Being thirsty all the time
• Tremors
• Bulging eyeballs
• Generalized itching
• Being hungry all the fourth dimension
• Irregular menstrual cycles
• Palpable mass
• Gastrointestinal haemorrhage
• Coughing out of blood
• Recurrent abdominal hurting
• Claret in the urine
• Ascites
• Chronic cough

Causes of Failure to Thrive in Adults

Most atmospheric condition that touch on the body's metabolism and nutrient intake will cause failure to thrive. These diseases may be organic or functional.

• Stress and Anxiety
• Depression
• Uncontrolled blood sugar e.yard., Diabetes Mellitus
• Hypermetabolic states e.k., Hyperthyroidism
• Intestinal Parasitism
• Malignancies
• Malabsorption syndromes such every bit gluten sensitivity
• Concrete, Mental, Emotional, and Sexual abuse
• Alcoholism
• Recreational Drug Abuse
• Chronic infections such as Tuberculosis
• Food deprivation
• Medications that touch on the hypothalamic-pituitary axis
• Connective tissue disorders
• Autoimmune disorders
• Acquired allowed deficiency syndrome

Nursing Care Plan for Failure to Thrive in Adults

1. Possible Nursing Diagnoses

• Imbalanced Nutrition: Less than body requirements
• Feet/ Fear
• Adventure for electrolyte imbalance related to poor food intake
• Run a risk for medical emergencies due to underlying weather such every bit thyroid storm, diabetic ketoacidosis, massive hemoptysis, etc.
• Take chances for nosocomial infections due to poor immunity and malnutrition
• Run a risk for autumn due to motor weakness
• Risk for abuse from family members and caregivers due to vulnerability
• Take a chance for dehydration due to decreased appetite
• Disorientation due to poor cognitive functions
• Pain from underlying atmospheric condition
• Risk for Disturbed Torso Image
• Risk for Self-damage
• Risk for sepsis due to chronic infections
• Risk for Substance or Medication Withdrawal symptoms
• Risk for Violence and Damage to others due to hallucinations and emotional outbursts
• Ineffective Coping

two. Nursing Assessment

Intervention	Rationale
Complete the patient'southward full general information and history using the standard hospital forms. Pertinent data to be included are: Name Age Gender Marital Status Faith Address Chief Complaint History of Present Illness Past Medical History Personal and Social History Family History Obstetric history for females Sexual history Physical Examination findings Albeit Impression	A complete history and physical test ensure that all possible causes of failure to thrive are covered. Some data may appear irrelevant at beginning but may plow out to exist contributory to the diagnosis and direction.
Appraise the patient'southward awareness of his/her condition and reasons for seeking medical intervention.	Some patients seek consultation not merely because of their signs and symptoms simply also to escape from stressors that may be the reason they are failing to thrive. Identifying this early on will result in timely direction.
Get the patient'south consent for medical intervention and care and explain the reason for each.	An informed patient is an empowered patient. Patients get more cooperative with their treatment plans if they know virtually what's going on.
Obtain vital signs such as blood pressure, temperature, heart rate, respiratory rate, oxygen saturation, height, and weight.	These vital signs are the basic indicators of underlying pathologic processes. Any derangement will show upward as abnormal values and point to the possible etiology of the condition.
Obtain a list of medications that the patient is currently taking including details such as dosage, drug strength, frequency, brand names, and status of compliance.	Some medications may suppress appetite or crusade malabsorption of certain nutrients. The indications for such medications as well provide a background of the severity of illness and the patient'south adventure for failure to thrive e.k., chronic kidney illness (CKD) medication for a diabetic patient.
Check the results of the initial lab tests and refer to the physician.	Baseline values of laboratory tests add together valuable data to the initial impression generated from history and concrete examination. Depression values for electrolytes like sodium, potassium, and calcium are evident in malnutrition.
Bring the patient for imaging studies such as breast 10-ray and CT scan.	Like the laboratory tests, imaging aids in the diagnosis of the patient's underlying condition. Tuberculosis and lung malignancies can be identified with imaging studies.

three. Nursing Planning and Intervention

Intervention	Rationale
Educate the patient on nutrition and the importance of proper nutrient intake to maintain a healthy torso.	Some adults with failure to thrive are not aware that they are deliberately depriving their bodies of of import nutrients with extreme dieting. Patients with chronic illnesses such equally diabetes may not be aware of the specialized diet that they need to follow. Informing patients of the importance of proper nutrition increases their chances of recovery.
Collect body fluid samples for monitoring such as CBC, blood glucose level, thyroid office tests, liver function tests, urinalysis, stool, tumor markers, electrolytes.	Every bit the reasons for failure to thrive can be varied, monitoring for changes in laboratory parameters is important in preventing life-threatening emergencies similar hypokalemia, hyperglycemia, and hyponatremia also as arriving with the correct diagnosis.
Checking for signs of self-harm and putting away abrupt objects.	Considering depression, anxiety, and stress are major causes of failure to thrive, it is a must that precautions against self-impairment are in place to prevent suicide events.
Checking for adequate food intake.	Intake of the correct caloric requirements is ane of the virtually of import factors to monitor since weight loss is a major feature of failure to thrive.
Assisting in passive exercises to regain strength and musculus bulk.	Muscle cloudburst is quite common in patients with failure to thrive. They need assistance in the initial phases of their exercises to perform correctly. The encouragement volition also heave their morale.
Brainwash the patient on mindfulness activities to lessen anxiety.	Suggesting calming mindfulness activities can help with stress and anxiety and improve their ambition
Brainwash patients on the danger of taking medications that are not prescribed by the doctor.	A portion of patients with failure to thrive have anorexia nervosa and may be taking medications that are self-prescribed leading to incorrect dosage and dangerous side effects.
Educate the family unit members and immediate relatives on the importance of family support.	Patients with supportive families recover quickly and are less prone to recurrence. Such information can also help them to place other family members and friends who are suffering from the aforementioned condition.
Let patient vent out and talk nigh life stresses and place possible stressors.	Identifying the stressor and eliminating it volition exist pregnant to avoid recurrence of the condition.
Refer the patient to other wellness care specialties as needed. These teams may include: Nutritionist Psychiatric service Neurologic service Endocrine service Gastrointestinal service Oncology service Protection services such as police and legal ENT service Grouping therapy Social Workers Protection against women and children Labor Marriage Labor protection services Insurance services Child intendance a services Dental Services	To gather a multidisciplinary squad for a more constructive holistic direction of the patient.

4. Nursing Evaluation

Intervention	Rationale
Assess the patient's willingness to follow dietary guidelines every bit prescribed by the nutritionist.	Consistency is the cardinal to successful treatment outcomes. Diligently post-obit the management program is of vital importance to maintain the patient's recovering state.
Assess for new-onset symptoms.	Some illnesses may masquerade as another affliction and may only be diagnosed upon the emergence of other associated symptoms.
Assess for the severity of existing symptoms such using standardized scales such equally the FACES scale for pain.	Whatsoever alter in the intensity, frequency, and location of existing symptoms could imply an ongoing pathologic process that needs immediate attention.
Monitor the vital signs, pain condition, and patient'southward general well-being.	To assess the response to treatment and monitor for side effects brought about by medications, procedures, and other interventions.
Assess the patient's adherence to treatment and supportive management.	Continuous compliance to handling and management indicates practiced insight on the patient while poor compliance might need additional intervention.
Monitor for signs of contempo self-harm and substance abuse.	Most patients hide their harmful tendencies from health workers and caregivers and tend to give alibis. It is important to notice if such activities are still ongoing.

Nursing References

Ackley, B. J., Ladwig, Chiliad. B., Makic, M. B., Martinez-Kratz, One thousand. R., & Zanotti, One thousand. (2020). Nursing diagnoses handbook: An testify-based guide to planning care . St. Louis, MO: Elsevier.  Buy on Amazon

Gulanick, M., & Myers, J. 50. (2017). Nursing intendance plans: Diagnoses, interventions, & outcomes . St. Louis, MO: Elsevier. Buy on Amazon

Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2018). Medical-surgical nursing: Concepts for interprofessional collaborative intendance . St. Louis, MO: Elsevier.  Buy on Amazon

Silvestri, Fifty. A. (2020). Saunders comprehensive review for the NCLEX-RN examination . St. Louis, MO: Elsevier.  Purchase on Amazon

Disclaimer:

Please follow your facilities guidelines, policies, and procedures.

The medical information on this site is provided as an information resource but and is non to be used or relied on for whatsoever diagnostic or treatment purposes.

This information is intended to be nursing education and should not be used equally a substitute for professional person diagnosis and treatment.

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