Adult Failure to Thrive Nursing Diagnosis Nanda

NANDA Definition:
Progressive functional deterioration of a physical and cognitive nature with remarkably diminished ability to live with multisystem diseases, cope with ensuing problems, and manage care

Defining Characteristics:

Anorexia-does not eat meals when offered;
states does not have an appetite, is not hungry, or "I don't want to eat";
inadequate nutritional intake-eating less than body requirements;
consumption of minimal to no food at most meals (i.e., consumes less than 75% of normal requirements);
weight loss (from baseline weight)-5% unintentional weight loss in 1 month or 10% unintentional weight loss in 6 months;
physical decline (decline in bodily function) — evidence of fatigue, dehydration, incontinence of bowel and bladder;
frequent exacerbations of chronic health problems (e.g. pneumonia, urinary tract infections);
cognitive decline (decline in mental processing) as evidenced by problems with responding appropriately to environmental stimuli,
demonstrated difficulty in reasoning, decision making, judgment, memory, and concentration; decreased perception;
decreased social skills;
social withdrawal-noticeable decrease from usual past behavior in attempts to form or participate in cooperative and interdependent relationships (e.g., decreased verbal communication with staff, family, friends);
decreased participation in ADLs that the older person once enjoyed;
self-care deficit-no longer looks after or takes charge of physical cleanliness or appearance;
difficulty performing simple self-care tasks;
neglect of home environment and/or financial responsibilities;
apathy as evidenced by lack of observable feeling or emotion in terms of normal ADLs and environment;
altered mood state-expresses feelings of sadness, being low in spirit;
expresses loss of interest in pleasurable outlets such as food, sex, work, friends, family, hobbies, or entertainment;
verbalizes desire for death

Related Factors:

Depression;
apathy;
fatigue

NOC

Suggested NOC Labels

Physical Aging Status
Psychosocial Adjustment: Life Change
Will to Live

Client Outcomes

Resumes highest level of functioning possible
Consumes adequate dietary intake for weight and height
Maintains usual weight
Has adequate fluid intake with no signs of dehydration
Participates in ADLs
Participates in social interactions
Maintains clean personal and home environment
Expresses feelings associated with losses

NIC

Suggested NIC Labels

Mood Management
Self-Care Assistance