Department of Nursing

NCM109- CARE OF MOTHER, CHILD AT RISK OR WITH PROBLEMS (RLE)

CASE STUDY: CARE OF THE SICK CHILD UTILIZING THE
INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS

Visit: https://www.youtube.com/watch?v=Qk6APyQ5mAM and study closely the case of Ben. Other helpful links are the
following:
1. How to assess a child with fever https://www.youtube.com/watch?v=wrIJOJbdaXY
2. How to check for malnutrition and anemia https://www.youtube.com/watch?v=2BR0ygzn8OU

Case: Ben, 7 months old was brought to the health center. He weighs 6 kgs and his temperature is 38.5C. His mother
complains that Ben has been coughing for 2 weeks.

1. What IMCI module should you use? ___________________________________________________________

2. What details would you write here?

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3. Does Ben manifest any general danger sign? Encircle fully if there is any.

The nurse proceeds to check on the main symptoms. And refers to the IMCI chart:

The nurse asks, “Does Ben have cough or difficulty of breathing?” The mother answers “for 2 weeks
and it is getting worse.”. Next, the nurse counts the number of breathes per minute.

How many breathes per minute did you observe from the video? ______________/ minute
Does Ben have fast breathing? _________________________
When should we consider a child a fast breather? _______________

4. Observe for chest indrawing and listen for stridor.

Does Ben have chest indrawing? _____________________

Listen to the video. Does Ben have stridor? ____________________
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5. Fill up the assessment on cough or difficulty of breathing. Encircle fully the pertinent data. Choose the
right classification of Jenny’s cough or difficulty of breathing and write it down on the right column
below.

Ben’s classification of cough and difficulty of breathing is: (Encircle your answer)

6. Write down the IMCI treatment recommendations based on Ben’s classification of cough or difficulty
of breathing.

7. How is sugar water prepared? _________________________________________________________

How much sugar water is given to Ben? _________________________________________________

8. Would you administer Vitamin A to Ben? _________________

What is the dosage of Vitamin A? ____________________

9. If a child indentified under pink classification is identified, should you refer the child immediately to the health
facility? __________________________________

What should be done? _______________________________________________________________________

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Plot Ben’s weight for age in the IMCI growth chart.

10. How would you assess Jenny’s weight for age? ____________________________________________________
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11. Check out the vaccine card below. Check what vaccines should Jenny have completed according to the National
Immunization Program.

12. Accomplish the form below:

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Study closely the figure below:

13. Prepare a teaching plan on infant feeding and care for development. Make sure to include the IMCI
recommendations in your teaching plan.