from The Nursing Diagnosis Handbook at us.elsevierhealth.com Nursing Diagnosis: Adult Failure to thrive Gail B. Ladwig 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) â 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 |