PERSISTENT COUGH

Enabling Case Objectives

I. WORKING PROBLEM STRAND
A. Biological Perspective
Anatomy
Histology of Respiratory epithelial cells
Physiology
Coughing mechanism reflex
Normal clearing mechanism of the lungs
Pathology
Causes and differential diagnosis of cough
Mechanism of inflammation in tracheobronchial tree
(bronchitis, bronchiolitis, endobronchitis, pneumonitis)
Leukocytosis and lymphocytosis-mechanism, causes and etiology
Bronchial obstruction and atelectasis
Pharmacology
Antibiotics drug of choice
Mechanism of antibiotic action on organism causing diphtheria, tetanus
and pertussis
Microbiology
Active and passive immunization
Booster immunization
Basic immunization in children and adult
Complication of immunization

B. Behavioral Perspective
Attitudes of people (ethnic groups) towards immunization

C. Community Perspective
Incidence of pertussis, diphtheria and tetanus in Region IX
Reasons for immunization failures

II. PROFESSIONAL SKILL STRAND

Schedule visit to the immunization under five clinics on a Monday or Wednesday at
ZCMC or health centers.
The student must be able to administer PDT/Anti measles/Polio vaccines with the
proper technique.
Learning the skill on how to interview mother for immunization and to convince
mother for child immunizations.
Interview skills and physical examination skills to elicit the diagnosis for cough
etiology
III. POPULATION STRAND
Current incidence of DPT and measles in the assigned community (Pasonanca,
Tugbungan, Sto. Niño, Guiwan, Canelar)
Immunization targets and performance of these health centers, reason for failures and
discussion for possible solution.