Author: Linh Nguyen, MD
The Institute of Medicine‘s definition of geriatric failure to thrive (FTT) is a syndrome manifested by weight loss greater than 5% of baseline, decreased appetite, poor nutrition, and inactivity, often accompanied by dehydration, depressive symptoms, impaired immune function, and low cholesterol levels.
A complete work up for geriatric FTT should include:
Robertson and Montagnini, 2004 Geriatric Failure to Thrive, is a resource for more detailed information on geriatric failure to thrive and medication.
Diagnosis of FTT should prompt end-of-life care options to prevent burdensome interventions that may cause/prolong suffering.Common medical conditions associated with FTT are:
Interventions should be directed toward easily treatable causes of FTT with the goal to maintain or improve overall functional status. However, in selected patients based upon the patient's clinical picture and patient's preferences, the goal is to control symptoms, patient/family support at the end-of-life, and to forgo aggressive, life-prolonging, burdensome medical evaluation and treatment.
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