Poor weight gain (child)

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AssessmentChoose one

HistoryChoose any

PrematurityChoose any

Focal findings presentChoose any

Focal findings absentChoose any

TestingChoose one

LabsChoose any

CaloriesChoose any

Calorie boostersChoose any

DietitianChoose any

Additional planChoose any

Social needsChoose any

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Discussed the reasons for hospital admission. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Poor weight gain (child)
• Faltering weight with a decline in BMI-for-age
• Reviewed current diet, including meals, snacks, milk and juice intake, grazing, and mealtime routines
• Development, oral-motor skills, family growth pattern, and social history reviewed
• No chronic GI symptoms, chronic cough, food allergy symptoms, developmental delay, or restricted eating
• No routine labs given no focal findings
• High-calorie, high-protein diet reviewed, with 3 meals and 2-3 planned snacks
• Recommended limiting juice and milk between meals so the child comes hungry to meals
• Referred to a dietitian
• Social needs screen reviewed
• Outpatient management with regular weight checks
• Follow up in 4 weeks to recheck weight

Most children with slow weight gain need more calories rather than tests, and regular weight checks show whether the plan is working. Discussed calm, pressure-free family meals on a regular schedule, offering high-calorie foods first, and keeping juice and milk for after meals. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Faltering weight definitions (z scores); healthy small child
Diet, development, family growth, social history
Focal findings present or absent
No routine labs vs targeted vs persistent
Lab list
High-calorie, high-protein diet; juice and milk limits
Calorie boosters; Pediasure
Nutrition referral
Feeding therapy, WIC, social needs, GI

Sources

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