CHN – IMCI 2nd level assess- “Why” are problems

CHN: outside Hospital (healthy) INABILITY-

Primary Responsibility: Health Teaching
Health Promotion: increase level of health
Illness Prevention: maintain health PLANNING
HEALTHY LIFESTYLE Goal setting- SMART
Diet- well balance - Construct PLAN of Action
- Food guide pyramid - Choose Nursing Intervention
- BMI = w (kg)/h(m)2 - Develop an operational PLAN PRIORITY
- Normal BMI -18-23 CRITERIA (4)
Exercise- regular Type of nsg. problem
Rest- -Nature of Problem
Stop smoking -Modifiability of Problem
LEGISLATION -Preventive Potential
Tobacco Req. Act -Salience (perception of the client about the problem)
R.A 9211- no smoking in public places
-avoid selling cigarette within 100m PHC: Primary Health Care (basic health care)
EDUCATION WHO (World Health Organization)
Ask - Alma Ata Conference
Advice - USSR (Kazakhstan)

Assist
Arrange L.O.I 949 – letter of instruction

SPECIFIC PROTECTION - Legal Basis of primary health care in the country

- October 1979

4 CLIENTS: -President Marcos

Individual
Family- basic unit of care VISION: Health in the hands of the people SELF
RELIANCE
Group
MISSION: increase opportunity that people will maagr
Community their Health
1st Level Assess- “What” are the problems
CATEGORIES (4) 2 CORE:
-Wellness State: healthy Partnership
-Health deficit- (+) disease Empowement (transform Knowledge, Skills, Attitude)
-Health Threat- High risk for illness and injury
-Foreseeable Crisis/Stress pts- anticipated problem-
develop social
 - Age
Sick infant- 0-2months
Sick child - 2mos-5yrs old
- Visit
Initial visit- new problem
Follow up visit-

Case Mngt Process

- ACITCFOL
- Assess
Danger Sign (4)
Main Symptoms (4)
Minor symptoms (3)

Danger Sign (4)

ELEMENTS EDUCATION LOCALLY ENDEMIC -Convulsion/seizure
-Unable to Drink
-Vomits Everything
-Abnormally sleepy
Essential drugs Maternal Child Health (Expanded
Very severe disease (3-4)
program Immunization)
Tx of = =communicable ds Main Symptoms (4):
DOB (cough)
=noncomm ds Diarrhea
=emergency sevices Fever
Ear Problem
Sanitation: Environmental
Minor Symptoms (3):
PD856: Sanitest CODE
Malnutrition
FOOD SANITATION: Anemia
HIV
4 Rights
- Right source: FRESH - Classify
- Right preparation: WASH - Identify Tx
- Right Cooking: 70 - Tx chils
- Right Storage - Counseling
- Follow up

LEVEL 1 – POINT SOURCE RR:

- PROTECTED WELL 0-2 mons: 60 above
- DEVELOP SPRING
2-12mons: 50 above

LEVEL 2 – COMMON FAUCET 12-60mos: 40 above

-STAND POSTS

LEVEL 3 – INDIVIDUAL HOUSE

IMCI – Integrated Mngt. Of Childhood Illness

- 5 years old below
- Problems
 PIAGET (4stages)
1. Sensorimotor (0-2yo)
2. Pre-Operational2-7
3. Concrete
4.
Magical Thinking
-Aminism
-Imaginary Friend
Assimulation -inability to adjust new situation
Egocentrism-

Morality: Kohlberg
1. Pre-Conventional (2-7yrs old)
Level 1: Punishment Obedience Orientation
2:
2. Conventional (7-12)
3. Post-Conventional (12 yrs old and above)

Amoral-

PEDIA
Erikson: Psychosocial, Diet
- Continuous development