IMNCI case management process.and skillspptx

IMCI

1. IMnCI case management process omero

2. Learning motives Describe the procedure of assessing a sick child Describe how to use the chart booklet Demonstrate how to use a recording form Describe the management of a sick child

3. Areas of assessment in IMnCI 2.1.2 Ask the mother the child’s problem. 2.1.3 Check for general danger signs Child is not able to drink or breastfeed. Child is vomiting everything. Child has a history of convulsions. Child is lethargic or unconscious. Child is convulsing now.

4. Interventions if danger signs present. Complete the whole assessment quickly. Give pre-referral treatment Refer the patient for in-patient care.

5. 2.1.4 Assess for cough or difficult breathing. How long the child has had the problem ( >21 days=chronic) . Count breaths per minute to determine fast breathing (2- 12 months=50; 12mos-5yrs=40) Look for chest in-drawing. Listen for stridor in a calm child. NB: Classification and treatment – ARI

6. 2.2 Assess and classify Diarrhea Ask for the duration of diarrhea. Ask for blood in stool. Assess for signs of dehydration Classified as Diarrhea with severe, some or no dehydration. When there are signs of dehydration. Correct dehydration.

7. Cont’ b. Persistent diarrhea if the child has diarrhea for 14 days or more. Correct dehydration and refer the patient for further management. e. Dysentry if the child has blood in stool. Treat with Ciprofluxine .

8. 2.3 Assess and classify fever. Ask for how long has the child had fever. Check for neck stiffness or bulging fontanel. Ask for history of measles or contact within the last three months.

9. Look for signs suggesting measles; Generalized rash, plus cough, runny nose or red eye. Check for complications of measles; Mouth ulcers, Pus in the eyes or Clouding of the cornea.

10. Classify fever as; Very severe febrile disease if the child has at least a general danger sign plus neck stiffness or bulging fontanel. Give Benzyl penicillin and IM Quinine Refer to hospital for inpatient care

11. Cont’ b. Malaria if the child has fever by history or body temperature. If MRDT is positive Give a course of LA and Paracetamol for fever. Follow up care after 3 days. c. Severe complicated measles if the child has corneal clouding, mouth ulcers or pus discharge in the eyes.

12. Cont’ d. Measles with mouth or eye complications if the child has pus in eyes or mouth ulcers. e. Measles if child has rash plus runny nose etc

13. v. Assess ear problem Ask for pain in the ear. Ear discharge and its duration. Check for tender swelling behind the ear.

14. Classify ear problem as; Mastoiditis if child has tender swelling behind the ear. Give Benzyl pen and PCM Refer to hospital. b. Acute ear infection if the child has ear discharge for less than 2 weeks or pain in the ear.

15. Treat with amoxyllin. c. Chronic ear infection if the child has ear discharge for 2 weeks or more. Treatment is by weaking using a clean cloth.

16. 2.5 Check for anemia Look for palmer pallor- severe, some and no palmer pallor. Classify as; Severe anemia Anemia No anemia

17. 2.6 Check for malnutrition Look for visible severe wasting Look for edema of both feet. Determine weight for age Classify as; Severe malnutrition Very low weight or growth faltering No very low weight

18. 2.7 Assess for HIV infection Ask mother’s and child’s HIV status 2.8 Check for immunization status 2.9 Assess other problems