NRS-420 Topic 1 DQ 2

Sample Answer for NRS-420 Topic 1 DQ 2

It is always heart breaking to see failure to thrive in infants.  Over my years in practice, I’ve seen congenital heart disease as a reason an infant failed to thrive.  In Pakistan, back in 2023 there was a successful hybrid device closure of a mid-muscular Ventricular Septal Defect on a 3-month-old (Akhtar et al., 2023). The infant had a very severe case of failure to thrive. Once the procedure was successful and started on a high calorie formula, on top of breast milk the baby successfully recovered.  Failure to thrive is devastating to see in neglect, but equally well when it is a medical condition causing it.  

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Akhtar, K., Imtiaz, S., Rafique, S., Kamal, D., Ahmad, K., Ara, A., Sadiq, N., & Rehman, M. U. (2023). Hybrid Perventricular Ventricular Septal Defect Device Closure in a 3-Months Old Infant with Severe Failure to Thrive. Pakistan Armed Forces Medical Journal, 73, S590. 

Sample Answer for NRS-420 Topic 1 DQ 2

It’s always heartbreaking to hear about children who suffer from failure to thrive. Some can be a result of an underlying medical condition which is known as organic FTT. This is a condition that interfer with the normal intake and digestion of food and affect the weight of the child. One of the reasons is a lack of baby formula or decent enviromental conditions. The best way to diagnose FTT is weighing the baby every visit. By 6 months the baby’s weight gain will inform doctors of the issue. Intestinal issues are also a factor in these children. Special diets are  given to these children(Nationwidechildren,2024). 


Sample Answer for NRS-420 Topic 1 DQ 2

During the epidemic, failure to thrive was associated with the elderly.  Approximately 40% of the deaths associated with COVID-19 in the United States have occurred among individuals residing in nursing homes due to failure to thrive (Chang et al., 2021). However, the demographic that experienced the higher rate were those older than 65 and members of minority racial and ethnic groups.  Specifically, Hispanics, Black or African Americans, and non-Hispanic American Indian or Alaska Native populations (Gold et al., 2020).   These groups often lived in densely populated areas and multi generational households with less access to healthcare resources. These factors, combined with inadequate medical care, lead to a higher rate of death in this population.  Reference Chang, Y.-P., Raciti, A., de Rosa, C., Doerzbacher, M., Zhou, Y., Chen, C.-H., & Lyons, A. (2021). Failure to Thrive: Nursing Home Staff Experiences in Caring for Residents during the Covid-19 Pandemic. INNOVATION IN AGING, 5, 876. Gold, J. A. W., Rossen, L. M., Ahmad, F. B., Sutton, P., Li, Z., Salvatore, P. P., … & Jackson, B. R. (2020). Race, Ethnicity, and Age Trends in Persons Who Died from COVID-19 — United States, May–August 20201MMWR. Morbidity and Mortality Weekly Report, 69(42), 1517-15212. Retrieved from 

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