Angelica M. Revil Ms.

Krista Liza Besario RN, MAN

BSN 202 Sept. 16, 2020

COMMUNITY HEALTH NURSING

(LEARNING FEEDBACK DIARY(LFD #30)

Another day to fight back, another day to say thank you for being
alive! Today I am starting over again. One day at a time. One step, one
breath at time. Ready or not here I come, if perchance, I feel like a
failure, I’ll just do it over and over again till I get it right. Nobody is
perfect in this world, we both grow in our own different paces, we
commit mistakes for us to be better and to learn more in life, today I
learned that no matter how stressful that situation might be, if you feel
down, always remember that there is always a sunshine after the rain,
be happy because life is a beautiful thing, keep on reaching your goals in
life because if you believe, you can conquer everything, if you can do it
nobody can stop you and you just have to believe. Dear self, if you feel
down, don’t do it again. Today in community health nursing, we had our
second long test and I felt nervous because maybe I will fail but
hopefully I passed, I passed without cheating. Our quiz was all about the
DOH related programs to family health and we didn’t have a class for
today. What I did was reviewing for my other subjects, I also read CHN.
IMCI is an integrated approach to child health that focuses on the well-
being of the whole child. IMCI aims to reduce death, illness and
disability, and to promote improved growth and development among
children under five years of age. IMCI includes both preventive and
curative elements that are implemented by families and communities as
well as by health facilities. IMCI elements which comprises of
assessment, classification, identification, treatment, assess and
counselling, and follow up care for patients. I learned that In the
previous sections to assess a sick child age 2 months up to 5 years, and a
sick young infant age 1 week up to 2 months, and to classify their illness
or illnesses. The next step is to identify the necessary treatments. In
some instances, the very sick infant or child will need urgent referral to a
hospital for additional care. If so, you need to start urgent treatments
before the child’s departure.While reading this section, refer to
the IDENTIFY TREATMENT column of the ASSESS & CLASSIFY charts. If an
infant or child has only one classification, it is easy to see what to do for
the child. However, many sick infants and children have more than one
classification. For example, a child may have both PNEUMONIA and an
ACUTE EAR INFECTION. When a child has more than one classification,
you must look at more than one classification table on the ASSESS &
CLASSIFY charts to see the treatments listed. The coloured rows help you
to quickly identify treatment. A classification in a pink row needs urgent
attention and referral or admission for inpatient care. This is a severe
classification. A classification in a yellow row means that the child needs
an appropriate oral drug or other treatment. The treatment includes
teaching the child’s caretaker how to give oral drugs or to treat local
infections at home. You also must advise her about caring for the child at
home and when she should return. A classification in a green row
means the child does not need specific medical treatment such as
antibiotics. Teach the child’s caretaker how to care for the child at home.
For example, you might advise her on feeding her sick child or giving
fluid for diarrhoea. Then teach her signs indicating that the child should
return immediately to the health facility. Pink means need to refer,
yellow means specific treatment, and green means home management.
The IMCI guidelines address most, but not all, of the major reasons a sick
child is brought to a clinic. A child returning with chronic problems or
less common illnesses may require special care which is not described in
this handbook. The guidelines do not describe the management of
trauma or other acute emergencies due to accidents or injuries.
Although AIDS is not addressed specifically, the case management
guidelines address the most common reasons children with HIV seek
care: diarrhoea and respiratory infections. When a child, who is believed
to have HIV, presents with any of these common illnesses, he or she can
be treated the same as any child presenting with an illness. If a child’s
illness does not respond to the standard treatments described in this
handbook, or if a child becomes severely malnourished, or returns to the
clinic repeatedly, the child is referred to a hospital for special care.Case
management can only be effective to the extent that families bring their
sick children to a trained health worker for care in a timely way. If a
family waits to bring a child to a clinic until the child is extremely sick, or
takes the child to an untrained provider, the child is more likely to die
from the illness. Therefore,teaching families when to seek care for a sick
child is an important part of the case management process. I still want to
learn more about this during a discussion. After I had scanned, I rested,
hydrate myself because water is life I need it for my oxygen and
hydration. I study, I fed mt dog, I went for a long drive after and then I
pray asking for enough strength, peace, knowledge, and love.