CHINMAY COMMUNITY MEDICINE ABCDEFGHIJK.pptx

COMMUNITY MEDICINE

1. FAMILY PRESENTATION AND INDEX CASE CHINMAY BHATT ROLL NO. 45

2. Identification details 1   Date of Registration:   13/07/24 2   Area: MAJRA 3   Code no. of Family/Village/Slum   4   Family Number/ Address MASJID WALI GALI, MAJRA 5   Mobile Number of Head of the Household or any other member   8439567983 6   Name of the Head of The Household   ASLAM 7   Religion: Hindu-01, Muslim-02, Sikh-03, Chrisan-04, Others (specify)-06   02 8   Caste-SC-01, ST-02,OBC-03, General-04, Others (specify)-06   04 9   Any Health Insurance Card: Yes-01, No- 02   01 10   BPL Card-01, APL Card-02, Don't Have Any-04   02

3. 11   Total Family Members   5 12   Type of Family: Nuclear-01, Joint-02, Three Generaon - 03   Nuclear 13   Non Communicable Disease in the family: Yes-01, No-02 If Yes, Specify Name, Age and Disease   none 14   Total monthly income from all sources   20000 15   Per capita income/month   4000 16   Socio-Economic Class                                                         (As per B G Prasad Classificaon ) (Code 06)   Upper middle class

4. Cross section of the house with set back

5. Spot map

6. PEDIGREE

7. NAME RELATION WITH FAMILY HEAD AGE SEX MARITAL STATUS EDUCATION MONTHLY INCOME ASLAM HEAD(01) 40 MALE MARRIED 12 TH PASS 20000 SAJIDA WIFE(02) 37 FEMALE MARRIED 8 TH PASS NA AZAM SON(03) 20 MALE UNMARRIED COLLEGE NA MUSKAN DAUGHTER (03) 18 FEMALE UNMARRIED 10 TH PASS NA ALFIYA DAUGHTER (03) 14 FEMALE UNMARRIED 8 TH STUDYING NA FAMILY COMPOSITION

8. Socioeconomic status as per BG Prasad classification SOCIAL CLASS CLASSIFICATION  ( Per capita income) Upper class 7770 and above Upper middle class  3808-7769 Middle class 2253-3808 Lower middle class  1166-2253 Lower class <1166 As per the BG prasad classification, the family falls under upper middle class category

9. Physical and biological environment s. no. Indicator Observation 1 Type of house Pucca(02) 2 Roof Concrete(03) 3 Wall Bricks with plaster(03) 4 Floor Cemented(02) 5 No. Of rooms 2 6 Overcrowding present 7 Electricity present 8 Day light inadequate

10. Separate kitchen yes Smoke outlet in kitchen present Fuel used  LPG  Separate bathroom present drainage present Drainage if present Closed type Toilet facility Own toilet Type of latrine Water seal Ventilation  Inadequate dampness absent setback <1/3rd of the total area

11. Water supply and storage 1 Main source of drinking water Piped water into residence 2 Distance from the house >10 meters 3 Storage of drinking water Stored in water jars and is covered 4 Tumbler with handle to draw water present

12. Refuse disposal 1 Adequate arrangement for the disposal of waste water, refuse and garbage Adequate 2 Garbage waste disposal Alternate days

13. Biological environment  1 Dosmestic  animals sharing the living space none 2 Any other pet animal none 3 mosquitoes present 4 flies Present 5 Potential mosquito breeding places around house present 6 General cleanliness around the house Good 7 Remarks Clean surroundings however the source of flies and mosquitoes is yet to be determined

14. Psychosocial environment 1 Relationships within the family Good 2 Relationships with the neighbours Good 3 Social problems in the family None specified 

15. NUTRITIONAL INDICATORS OF THE FAMILY   1.Type of salt consumed by the Family- Iodinized salt 2. Type of cooking oil used-refined oil FAMILY PLANNING PRACTICES-: No of eligible couple  Status of Family Planning practice  If not, why?     1 Not practicing  Lack of Knowledge

16. Name Age  sex Type of work Consumption unit ASLAM 40 years male moderate 1.2 SAJIDA 37years Female moderate 0.9 AZAM 20 years Male adolescents 1.0 MUSKAN 18 years Female Adolescents 1.0 ALFIYA 14 years Female Adolescents 1.0

17. Index case Adolescent I am presenting the case of Muskan, a 18 year old female resident of Majra Dehradun belonging to a five membered Muslim family

18. 1 Name age and sex Muskan,18yrs 2 Currently school going? Yes 3 Educated till High school passed(10th) 4 Marital status Not married 5 occupation none 6 Present complaints none 7 Addiction  none 8 remarks Subject also admits that she is good in both academic and co- curricular activities.

19. Immunization history Tetanus 1(at 10 years) yes Tetanus 2(at 16 years) yes

20. Thelarche YES Pubarche Yes Menarche Yes Age of Menarche 12 yrs Duration of cycle 5 days Flow during Menstruation Average H/o dysmenorrhea No Menstrual hygiene followed Yes H/o passage of white Discharge No Spurt in Height No

21. General examination Person is conscious cooperative and well oriented to time place and person Fair build With adequate nutrition  Pulse= 88bbpm Respiratory rate= 20/minute Pallor= none seen Height= 168 cm Weight= 54 kgs No signs of jaundice, lymphadenopathy, cyanosis or clubbing  BMI=19.1 kg/meter sq i.e. normal BMI

22. MENTAL AND PSYCHOLOGICAL ASSESSMENT TAKES PART IN ROUTINE AND HOUSEHOLD ACTIVITIES CONCENTRATION NOT REDUCED HIGH SELF ESTEEM AND SELF CONFIDENCE NEVER FEELS GUILTY OR UNWORTHY OPTIMISTIC VIEW OF FUTURE NEVER HAD AN IDEA OCCASIONALLY FEELS SAD SELF FLAGELLATION OR SUICIDE DISRUPTED SLEEP APPETITE REDUCED

23. Personal history  Appetite: Normal Normal bowel and bladder function Adequate sleep ~ 8 hours  Addiction none known for now Drug history none No known food allergy

24. Dietary history Food item Energy(kcal) Protein(gm) Iron(mg) Calcium(mg) morning 1 cup cow milk 2 paranthas 1egg 180kcal 400kcal 50kcal 3.2 gm 10.2 gm 6gm 0.2mg 1.1 mg 0.3mg 120mg 10.4mg 12.5mg lunch One bowl rajma One bowl rice 205kcal 267kcal 9.5gms 4.6gms 2.4mg 2.8mg 136mg 30mg Tea time Tea 200kcal 2.5gm 0.05mg 140mg Dinner One bowl chicken curry One bowl mix vegetables 2 rotis plain 240kcal 60kcal 160kcal 16gms 2.6gms 6.4gms 1.75mg 0.75mg 1.0mg 48mg 22.75mg 100mg Total Rda %deficient 1762kcal 2500 29.52% 61gm 46gms 8.75mg 32gm 72.65% 624.65mg 1050mg 40.5%

25. ADVICE At individual level : regular exercise with proper diet and sleep Consumption of green leafy vegetables and vitamin supplements. Consumption of food rich n iron and calcium.  At family level : control of House flies and mosquito population surrounding the house Better ventilation and better access to natural light for better health At community level Hygiene of the community along with control of mosquito population 

26. Thank You