Community Health Nursing Learning Feedback Diary (LFD #20)

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Angelica M. Revil Ms.

Krista Liza Besario RN, MAN


BSN 202 Sept. 6, 2020

COMMUNITY HEALTH NURSING


LEARNING FEEDBACK DIARY(LFD #20)

What I did for today was having an interview to a health care worker
about the their utilization about DOH programs in their areas. It was
funny. After that I tried to read the other pdf that Ms. Kissy gaved us,
it was the IMCI or Integrated Management of Childhood Illness,
though I haven’t finished it yet, I learned that IMCI is an integrated
approach to child health that focuses on the well-being of the whole
child. IMCI aims to reduce death, illness and disability, and to promote
improved growth and development among children under five years of
age. IMCI includes both preventive and curative elements that are
implemented by families and communities as well as by health
facilities.The strategy includes three main components, improving case
management skills of health-care staff, improving overall health
systems, and improving family and community health practices. Every
day, millions of parents seek health care for their sick children, taking
them to hospitals, health centers, pharmacists, doctors and traditional
healers. Surveys reveal that many sick children are not properly
assessed and treated by these health care providers, and that their
parents are poorly advised. At first-level health facilities in low-
income countries, diagnostic supports such as radiology and laboratory
services are minimal or non-existent, and drugs and equipment are
often scarce. Limited supplies and equipment, combined with an
irregular flow of patients, leave health workers at this level with few
opportunities to practice complicated clinical procedures. Instead, they
often rely on history and signs and symptoms to determine a course of
management that makes the best use of the available resources. These
factors make providing quality care to sick children a serious
challenge. WHO and UNICEF have addressed this challenge by
developing a strategy called the Integrated Management of Childhood
Illness (IMCI).In health facilities, the IMCI strategy promotes the
accurate identification of childhood illnesses in outpatient settings,
ensures appropriate combined treatment of all major illnesses,
strengthens the counselling of caretakers, and speeds up the referral of
severely ill children. In the home setting, it promotes appropriate care
seeking behaviours, improved nutrition and preventative care, and the
correct implementation of prescribed care.
Children brought for medical treatment in the developing world are
often suffering from more than one condition, making a single
diagnosis impossible. IMCI is an integrated strategy, which takes into
account the variety of factors that put children at serious risk. It
ensures the combined treatment of the major childhood illnesses,
emphasizing prevention of disease through immunization and
improved nutrition. That’s all for today. Since it was also Sunday, me
and my family went to the funeral of my father, we pray and eat
together. Then after that, I helped manage the business and I reviewed
for our Pharmacology.

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