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 Jenny, 15 months old.

1. What details would you write here?

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2. Does Jenny manifest any general danger sign? Encircle fully if there is any.

3. The nurse asks, “Does Jenny have cough or difficulty of breathing?” The mother answers “for 5 days”.
Next, the nurse counts the number of breathes per minute.

How many breathes per minute did you observe from the video? ______________/ minute

Is Jenny a fast breather? _________________________

When should we consider a child a fast breather? _______________

4. Observe for chest indrawing and listen for stridor.

Does Jenny have chest indrawing? _____________________

Stridor? ___________________________________________

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

The nurse next asks about the next major symptom – diarrhea. Recalling that the mother reported diarrhea,
the nurse further inquires, “for how long”? The mother replies 2 days and there was no blood in the stool.
7. Does Jenny have sunken eyes? Yes _________ NO __________

8. How would you describe Jenny when water was offered to her?

____________________________________________________________________________________
____________________________________________________________________________________
.
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9. Fill up the assessment on diarrhea. Encircle fully the pertinent data. Choose the right classification of
Jenny’s diarrhea and write it down on the right column below.

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

The nurse proceeds to assess the next major symptom and the mother replies “No fever.” How would you
reflect it in the assessment form?
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11. What is fever as defined in the IMCI?

______ °C and higher.

Next the nurse assesses ear problem. The mother answers “no ear problem. Fill up the form below.

In checking for malnutrition and anemia, the following were observed:

12. Fill up the assessment on malnutrition and anemia. Encircle fully the pertinent data. Choose the right
classification of Jenny’s malnutrition and anemia and write it down on the right column below.
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13. Write down the IMCI treatment recommendations based on Jenny’s classification of malnutrition and
anemia of breathing.

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

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

16. Accomplish the form below: