MCN Lecture Notes

ADPIE
Newborn age - 0-28 days

Infant - 1 month - 1yr old
Toddler: 1-3 yrs old
Pre-schooler: 3-5
Pa-ss nung sunod, kain lang akoooo
Goooo tenchuuu
Ideal birthspacing : 2-3 years
4 times - prenatal visit
Naiihi na ako HAHAHHA

1-7 months : Every month
Trisem : Every 2 weeks
Kabwanan- Every week
MARCH 03, 2022
- “Pampalaglag” Taken through oral and inserted to vagina to induce contractions

QUIZ:
https://docs.google.com/forms/d/e/1FAIpQLSde2Kmj4RsAXBXM1XgEKzXGRgLXnfMiNWTtvTP
9cGUlIkDpmA/viewscore?
pli=1&pli=1&viewscore=AE0zAgDGmcDtr0YpA4et0Opva7uTRoriYjoFpohyu9kJ3yqSQ2DcUJc5
Gu-HpGavgA
3/17/22
-Inversion of uterus
-amniotic fluid embolism
-cord prolapse
-multiple gestation
Nursing care for postpartum complications

-shock
-hemorrhage
-hypovolemic shock
-thromboembolic disorders
Voiding helps in making the uterus na bumaba siya
05/19/22
INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS

PROGRAM
One million children under five years old die each year in less developed countries. Just five diseases (pneumonia,
diarrhea, malaria, measles and dengue hemorrhagic fever) account for nearly half of these deaths and malnutrition is
often the underlying condition. Effective and affordable interventions to address these common conditions exist but
they do not yet reach the populations most in need, the young and impoverish.
The Integrated Management of Childhood Illness strategy has been introduced in an increasing number of
countries in the region since 1995. IMCI is a major strategy for child survival, healthy growth and development and is
based on the combined delivery of essential interventions at community, health facility and health systems levels.
IMCI includes elements of prevention as well as curative and addresses the most common conditions that affect
young children. The strategy was developed by the World Health Organization (WHO) and United Nations Children’s
Fund (UNICEF).
In the Philippines, IMCI was started on a pilot basis in 1996, thereafter more health workers and hospital
staff were capacitated to implement the strategy at the frontline level.
Objectives of IMCI
● Reduce death and frequency and severity of illness and disability, and
● Contribute to improved growth and development
Components of IMCI
● Improving case management skills of health workers
11-day Basic Course for RHMs, PHNs and MOHs
5 - day Facilitators course
5 – day Follow-up course for IMCI Supervisors
● Improving over-all health systems

● Improving family and community health practices
Rationale for an integrated approach in the management of sick children
Majority of these deaths are caused by 5 preventable and treatable conditions namely: pneumonia,
diarrhea, malaria, measles and malnutrition. Three (3) out of four (4) episodes of childhood illness are caused by
these five conditions
Most children have more than one illness at one time. This overlap means that a single diagnosis may not be
possible or appropriate.
Who are the children covered by the IMCI protocol?
Sick children birth up to 2 months (Sick Young Infant)
Sick children 2 months up to 5 years old (Sick child)
Strategies/Principles of IMCI
● All sick children aged 2 months up to 5 years are examined for GENERAL DANGER signs
and all Sick Young Infants Birth up to 2 months are examined for VERY SEVERE DISEASE
AND LOCAL BACTERIAL INFECTION. These signs indicate immediate referral or admission to
hospital
● The children and infants are then assessed for main symptoms. For sick children, the main
symptoms include: cough or difficulty breathing, diarrhea, fever and ear infection. For sick
young infants, local bacterial infection, diarrhea and jaundice. All sick children are routinely
assessed for nutritional, immunization and deworming status and for other problems
● Only a limited number of clinical signs are used
● A combination of individual signs leads to a child’s classification within one or more symptom
groups rather than a diagnosis.
● IMCI management procedures use limited number of essential drugs and encourage active
participation of caretakers in the treatment of children
● Counseling of caretakers on home care, correct feeding and giving of fluids, and when to return
to clinic is an essential component of IMCI
BASIS FOR CLASSIFYING THE CHILD’S ILLNESS (please see enclosed portion of the IMCI Chartbooklet) The
child’s illness is classified based on a color-coded triage system:
PINK - indicates urgent hospital referral or admission
YELLOW- indicates initiation of specific Outpatient Treatment
GREEN – indicates supportive home care

Steps of the IMCI Case management Process
The following is the flow of the iMCI process. At the out-patient health facility, the health worker should
routinely do basic demographic data collection, vital signs taking, and asking the mother about the child's problems.
Determine whether this is an initial or a follow-up visit. The health worker then proceeds with the IMCI process by
checking for general danger signs, assessing the main symptoms and other processes indicated in the chart below.
Take note that for the pink box, referral facility includes district, provincial and tertiary hospitals. Once
admitted, the hospital protocol is used in the management of the sick child.
(pinapatak sa bibig after gupitin)
Wag pilitin kumain, may tendency na isuka
Kwashiorkor - protein malnutrition
Marasmus - carbohydrate malnutrition
Gentamycin is ototoxic means nakakabingi siya.

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ADPIE

Newborn age - 0-28 days

Naiihi na ako HAHAHHA

- “Pampalaglag” Taken through oral and inserted to vagina to induce contractions

Nursing care for postpartum complications

INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS

● Improving case management skills of health workers

11-day Basic Course for RHMs, PHNs and MOHs

5 - day Facilitators course

5 – day Follow-up course for IMCI Supervisors

● Improving over-all health systems

Rationale for an integrated approach in the management of sick children

Sick children birth up to 2 months (Sick Young Infant)

Sick children 2 months up to 5 years old (Sick child)

PINK - indicates urgent hospital referral or admission

YELLOW- indicates initiation of specific Outpatient Treatment

GREEN – indicates supportive home care

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