HEALTH TEACHING

Name: Jimray M. Navarro Date of Submission: March 23, 2022

Year/Group/Section: 2 – C Group 3 Area: OPD Pedia Ward

Objectives:

1. Identify the nature of illness of rheumatic fever.

2. Determine the therapeutic effects of the prescribe medication and other treatments aside from the medication.

3. Perform the different exercise, hygiene and diet that were recommended.

Medication Nature of Illness Treatment (Aside from Health Teaching

Generic: A bacterium known as
Penicilin G Benzathine group A Streptococcus
causes rheumatic fever.
Brand Name: This bacterium causes
Bicillin C-R strep throat or scarlet
fever in a small
percentage of people. It
is an inflammatory
condition and causes the
body to attack its own
tissue. This reaction
results in widespread
inflammation throughout
the body, which is the
source of all rheumatic
fever symptoms.
Rheumatic fever is
caused by a reaction to
Medication)
Anti-inflammatory
treatment – medication that
relieves pain, such as aspirin
or naproxen (Naprosyn,
Naprelan, Anaprox DS), to
reduce inflammation, fever
and pain. If your child's
symptoms are severe or the
anti-inflammatory drugs are
not working, your doctor may
prescribe a corticosteroid.
Anticonvulsant medications -
Antiseizure medications, such
as valproic acid or
carbamazepine (Carbatrol,
Tegretol, others), may be
prescribed for severe
involuntary movements
Exercise/Activities
Exercises
1) Range of Motion (ROM) –
Range of motion exercises
allows the joints to move in
certain directions to improve
flexibility and minimize
stiffness.
2) Strengthening Exercises -
Strengthening exercises help
keep joints stable by
increasing or maintaining
muscle strength around
them. Isometric (muscle
contraction without the use
of joints) and isotonic
Diet Hygiene
Even small dietary and A group A strep
lifestyle changes can infection does not
have a positive impact protect a person
on your health. Eat from contracting the
foods that are low in infection again.
cholesterol, saturated Rheumatic fever can
fat, and salt in general. strike a person more
than once. People
- Consume small can, however, take
amount or avoid meat, steps to protect
dairy and processed themselves and
food, which are high in others.
saturated fats.
- Perform hand
- Eat foods that washing frequently,
contains fiber. Fiber especially after
from vegetables, and coughing or
the bacterium that caused by Sydenham chorea. (muscle contraction with the fruits is important in sneezing and before
causes strep throat. use of joints) are two preventing eating food to
Bed Rest – to minimize common strengthening cardiovascular diseases prevent the spread
Sore throat is cardiac exertion and using of exercises (strengthening by reducing blood of microorganisms
accompanied by the the involved joints. muscles by using the joints). pressure, keeps the gut such as group A
following symptoms such It can also reduce bone loss healthy and preventing strep infection.
as: due to inactivity. constipation by helping
- red rash the waste to move - Do not share
- thick, bloody discharge 3) Aerobic Exercise - smoothly though the personal items with
from the nose Activities that use the body's body. other people such
- tender and swollen large muscles in a repetitive as tooth brush,
lymph nodes and rhythmic manner are - Eat plenty of fruits towel, etc.
- tonsils are red and used. Heat, lung, and muscle and vegetables
swollen with pus function are all improved because they are rich
- difficulty swallowing with these exercises. in antioxidant such as
- fever (38.3oC above) Examples of aerobic exercises beta-carotene, Vit. C, &
- small, red spots on the include: walking, aerobic E, and selenium that
roof of the mouth dance, swimming and fight free radicals.
- headache bicycling. Examples of foods that
- nausea are rich are tomatoes,
- vomiting Psychosocial Management carrots, sweet
potatoes, mango,
Meanwhile, symptoms 1) Adequate Sleep – Sleeping watermelon, papaya,
related to rheumatic 8 to 10 hours a night is whole-grains, etc.
fever usually appear two necessary to maintain the
to four weeks after the child’s energy level and - Include eggplant,
child has a strep restoring his or her self- grapes, and red
infection. Common confidence. cabbage for it contains
symptoms are the a pigment called
following: 2) Relaxation - Being able to anthocyanins in which
- small, painless relax can help to reduce help lowers the risk of
nodules under the skin stress and symptoms in your heart attack and
- chest pain child's life. The muscles relax stroke. Anthocyanins
- fatigue when the body is relaxed, are found in blue and
- nosebleed
- pounding chest
palpitations
- stomach pain
- painful or sore joints in
the wrists, elbows, knees,
and ankles
- pain in one joint that
moves to another joint
- fever
- sweating
- vomiting
- dyspnea
- a flat, slightly raised,
ragged rash
- red, hot swollen joints
- jerky, uncontrollable
movements of the hands,
feet, and face
- outbursts of crying or
inappropriate laughter
- a decrease in attention
span
which helps to relieve some
of the pain associated with
rheumatic disease.
purple fruits and
vegetables.
- Include garlic and
onions in your diet.
They contain
compounds that help
to reduce serum
cholesterol levels.
- Grilled and barbecued
foods should be
avoided. Carcinogens
produced during the
browning process
contribute to arterial
inflammation and heart
muscle deterioration.
- Drink 8 to 10 glasses
of water every day.
- Avoid all sodium-
containing foods from
your diet. Sodium in
salt causes fluid
retention and causes
the heart to work
harder. Limit their
sodium intake to no
more than 1 teaspoon
of salt per day, from all
sources.
 - Limit intake of foods
high in Vit. K. Eating
foods containing
vitamin K increases the
tendency of blood to
clot. Foods that are rich
in vitamin K include
alfalfa, broccoli,
cauliflower, egg yolks,
liver, spinach, and all
dark green vegetables. 

References

Staff, A. (2017, March 29). Exercise and Rheumatic Disease | Simple Tasks. Retrieved from

https://simpletasks.org/exercising-rheumatic-disease/

Children Living with a Rheumatic Disease. (n.d.). Stanford Children’s Health. Retrieved from

https://www.stanfordchildrens.org/en/topic/default?id=children-living-with-a-rheumatic-disease-90-P01724#:

%7E:text=Fitness%20exercises%20improve%20a%20child’s,%2C%20water%20exercise%2C%20and%20bicycling.

Ndtv, D. (2005, August 1). What diet is good for rheumatic heart disease? Doctor.Ndtv.Com. Retrieved from

https://doctor.ndtv.com/faq/what-diet-is-good-for-rheumatic-heart-disease-7162
Johnson, S. (2018, September 29). Rheumatic Fever. Healthline. Retrieved from

https://www.healthline.com/health/rheumatic-fever#prevention