this all of my documents i use in my NLE and NCLEX just want to share to our coleagues and students.. i feel blessed so share my blessings to all of u guys..just leave a comment and i apprc8 all : ...
The World Health Organization Integrated Management of Childhood Illness (WHO-IMCI) Chart Booklet - Standard (2008).
Integrated Management of Childhood Illness in the PhilippinesFull description
Integrated Management of Childhood Illness in the Philippines
Integrated Management of Childhood Illness (IMCI)
Integrated Management Childhood Illness
5 major killers of children:
Diarrhea
• •
Acute Respiratory Infections (Pne
• •
Measles
• •
Malaria
• •
Malnutrition
•
The world health organization is concerned of the unecessary deaths of children below 5 years old in the developing countries. integrated management for childhood illness is trying to fight these unecessary deaths. accourding to WHO, the mose common cause of death among these under 5 children is: A. diarrhea B. pneumonia C. malaria D. malnutrition
Assess the child or young infant
Check for General Danger Signs
• Convulsion • Abnormally sleepy/unconsciousness • Not able to drink or breastfeed • Severe vomiting/vomits everything •
Which of the following is not a danger sign? A. convulsion B. inability to drink or breastfeed C. lethargy/ unconsciousness D. difficulty of breathing
4 MAIN SYMTPOMS • Cough or difficult breathing • Diarrhea • Ear pain • Fever
CLASSIFY THE ILLNESS
Needs urgent attention and referral or admission for in-patient care. This is a severe classification Child needs an appropriate antibiotic, an oral anti-malarial or other treatment which can be given in health center Does not need specific medication / treatment such as antibiotic. Can be manage at home by mother
If the child has only one of the danger sign implicitly stated in the IMCI guideline, this child will be classified under what color? A. pink B. blue C. yellow D. green
CURATIVE
TREAT
& HOLISTIC CARE
COUNSEL
HEAL HEA LTH EDU EDUCA CATIO TION N
IMCI Case Management Classification Focused Assessment Need to Refer
Danger signs Main Symptoms Nutritional status Immunization status Other problems
Specific treatment
Counsel & Follow-up
Treatment
Counsel caretakers Follow-up
Identify treatment Treat
Home managementt managemen
Causes of Death in children
Sour So urce ce: CH CHER ERG G es esti tima mate tes s of un unde der r -fi five ve de deat aths hs , 20 2000 00 -03
IMCI IMPLEMENT I MPLEMENTA ATION IN I N THE Philippines Phi lippines
Initiation Phase – IMCI adaptation, meetings with key stakeholders nEarly implementation phase – trainings implementation in pilot areas nExpansion phase cascade to other areas curriculum integration – nursing, midwifery, medical schools n
Common Problems That Affect Affect the Quality of Care Provided to Sick Children at Health Facilities 1. Health worker’s skills Incomplete examinations and counseling
•
Poor communication between health workers and parents
•
Irrational use of drugs
•
Common Problems That Affect Affect the Quality of Care Provided to Sick Children at Health Facilities 2. Health system issues
•
Location of health services and responsibility r esponsibility (centralization)
Availability of appropriate drugs and vaccines
•
Supervision/division of labor/organization of work
•
Common Problems That Affect Affect the Quality of Care Provided to Sick Children at Health Facilities 3. Community and family practices Poor knowledge of when to return to
•
a healthassistance facility Seeking from unqualified providers
•
Poor adherence to health worker advice and treatment
•
Delayed care seeking
•
Essential package of child survival interventions 1. Skilled attendance during pregnancy pregnancy,, childbirth and the immediate postpartum 2. Care of the newborn 3. Breastfeeding and complementary feeding 4. Micronutrient supplementation 5. Immunization of children and mothers
6. Integrated management of sick children 7. Use of insecticide treated bed nets (in malarious areas)
Obje Ob ject ctiv ives es of IM IMCI CI Reduce deaths and the frequency and severity of illness and disability among children
n
Contribute to improved growth and development
n
Important Elements for Improving Child Health Improve case management of sick children
n
Improve nutrition
n
Ensure immunization
n
Prevent injuries
n
Prevent other diseases other diseases
n
Improve psychosocial support and stimulation
n
Case Management Process 1. Assess the child or young infant 2. Classify the illness 3. Identify treatment 4. Treat the child or refer 5. Counsel the mother 6. Give follow-up Care 1.
Which vital sign is important in classifying a child with pneumonia from those who do not have? A. temperature B. respiratory rate C. chest indrawing D. stridor
In home management of a child with pneumonia, caretaker is counseled on how not to: A. give oral drugs B. treat local infection at home C. when to return D. discontinue feeding
If pneumonia is present with major signs and symptoms, treatment will include: A. Cotrimoxazol Cotrimoxazole e P.O. BID B. Amoxicyllin P.O. BID C. ORS 240cc/ loose stool D. Procaine Penicillin IM OD
