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    Week 9 CHN

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    Zxiayieee Jeon
    The document provides guidance on assessing and classifying sick children ages 2 months to 5 years using Integrated Management of Childhood Illness (IMCI). IMCI is a strategy that involves integrated management of common childhood illnesses, preventive interventions, and adjusting curative interventions based on health system capacity. Key steps include checking for general danger signs, assessing main symptoms like cough, diarrhea or fever, and classifying the child's condition as mild, moderate, or severe to determine the level of treatment needed.

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    Week 9 CHN

    Uploaded by

    Zxiayieee Jeon
    20 views4 pages
    The document provides guidance on assessing and classifying sick children ages 2 months to 5 years using Integrated Management of Childhood Illness (IMCI). IMCI is a strategy that involves integrated management of common childhood illnesses, preventive interventions, and adjusting curative interventions based on health system capacity. Key steps include checking for general danger signs, assessing main symptoms like cough, diarrhea or fever, and classifying the child's condition as mild, moderate, or severe to determine the level of treatment needed.

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    Week-9-CHN

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    The document provides guidance on assessing and classifying sick children ages 2 months to 5 years using Integrated Management of Childhood Illness (IMCI). IMCI is a strategy that involves integrated management of common childhood illnesses, preventive interventions, and adjusting curative interventions based on health system capacity. Key steps include checking for general danger signs, assessing main symptoms like cough, diarrhea or fever, and classifying the child's condition as mild, moderate, or severe to determine the level of treatment needed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    20 views4 pages

    Week 9 CHN

    Uploaded by

    Zxiayieee Jeon
    The document provides guidance on assessing and classifying sick children ages 2 months to 5 years using Integrated Management of Childhood Illness (IMCI). IMCI is a strategy that involves integrated management of common childhood illnesses, preventive interventions, and adjusting curative interventions based on health system capacity. Key steps include checking for general danger signs, assessing main symptoms like cough, diarrhea or fever, and classifying the child's condition as mild, moderate, or severe to determine the level of treatment needed.

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    of 4

    Week 9: INTEGRATED MANAGEMENT OF CHILDHOOD  ASSESS AND CLASSIFY THE SICK CHILD AGE 2

    ILLNESS (IMCI) MONTHS UP TO 5 YEARS


     Assess: Ask the mother what the child’s
     IMCI AS A STRATEGY problems are.
     Management of common childhood illness is
     Determine if this is an initial or follow-up for
    done in an integrated manner this problem
     Includes preventive interventions  If follow-up visit, use the follow-up
     Adjusts curative interventions to the capacity and instructions on the TREAT THE CHILD chart
    functions of the health system (evidence-based –  If initial visit, assess the child as follows:
    syndromic approach) (based on the presenting 1. CHECK FOR GENERAL DANGER SIGNS – A
    symptom of the patient) child with any general danger signs needs
     Involves the family members and the community URGENT attention complete the
    in the health care process assessment and any pre-referral treatment
     OBJECTIVES OF IMCI so referral is not delayed.
     Reduce deaths and the frequency and severity of  ASK:
    illness and disability  Is the child not able to drink or
     Contribute to improved growth and development breastfeed?
     WHY IMCI?  Does the child vomit everything?
     Overlap of conditions  Has the child has convulsions?
     Diagnostic tools are minimal or non-existent  LOOK:
     Drugs and equipment are scarce  See if the child is abnormally sleepy
     Health workers have few opportunities to practice or difficult to awaken
    complicated clinical procedures  IF YES: Make sure child with any general
     Relies on history and signs and symptoms danger sign is referred after first dose
     COMPONENTS OF THE IMCI of an appropriate antibiotic and other
     Improving case management skills of health urgent treatments.
    workers  Exception: Rehydration of the child
     Improving the health system to deliver IMCI according to Plan C may resolve danger
     Improving family and community health practices signs so that referral is no longer
     TARGET AGE FOR THE IMCI STRATEGY needed.
     Young infants – 1 week to 2 months 2. THEN ASK ABOUT MAIN SYMPTOMS –
     Older children – 2 months to 5 years old Does the child have enough cough or
     DISEASES COVERED IN THE IMCI difficulty breathing?
     Pneumonia  IF YES, ASK: For how long?
     Diarrhea  LOOK, LISTEN: (Child must be calm)
     Dengue hemorrhagic fever  Count the breaths in one minute
     Malaria  Look for chest indrawing
     Measles  Look and listen for stridor
     Malnutrition  Classify: Use all boxes that match the child’s
    symptoms and problems to classify the illness.
    Color Classification of Level of
     Identify the Treatment
    Presentation Diseases Management
     Classify cough or difficult breathing
    Green Mild Home Care If the child is: Fast breathing is:
    Manage at the 2 months – 12
    Yellow Moderate 50 bpm or more
    RHU months
    Urgent referral 12 months up 40 bpm or more
    Pink Severe
    in hospital
    I. FOCUSED ASSESSMENT
    a. Danger Signs
     Vomits everything  DIARRHEA
     Seizure/convulsions – 38.5 C & above
     Sleepiness
     Sucking/drinking inability
     Check for General Danger Signs
     ASK:
     Is the child not able to drink or breastfeed?
     Does the child vomit everything?
     Has the child has convulsions?
     LOOK:
     See if the child is abnormally sleepy or
    difficult to awaken
    b.Main Symptoms
     Cough or DOB
     Diarrhea
     Fever
     Ear Problem
     COUGH OR DOB
     FEVER  Dengue
     Malaria  If there is Dengue risk
     Bleeding gums
     Black vomitus or stool
     Persistent abdominal pain
     Persistent vomiting
     Skin petechiae
     Slow capillary refill
     If no sign: Tourniquet test if fever is
    present > 3 days

     EAR PROBLEMS

     Measles
    c. Nutritional Status
    1. Nutrition

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