family case presentation of a child with upper respiratory tract infection
DESCRIPTION
Family Case Presentation of a Child with Upper Respiratory Tract Infection. ABAD TJ. IMPERIAL AS. JAVATE KR. PALMA RS. Uy RC. VALENCIA RP. Community Pediatrics. Purpose of Presentation. Introduction. House visits are possible. Chance to show a family in a community setting. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/1.jpg)
ABAD TJ. IMPERIAL AS. JAVATE KR. PALMA RS.
Uy RC. VALENCIA RP.
Family Case Presentation of a Child with Upper Respiratory
Tract Infection
![Page 2: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/2.jpg)
Community Pediatrics
![Page 3: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/3.jpg)
Purpose of PresentationIntroduction
![Page 4: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/4.jpg)
House visits are possible
![Page 5: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/5.jpg)
Chance to show a family in a community setting
![Page 6: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/6.jpg)
Cooperative family
![Page 7: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/7.jpg)
SYP 10 months old Male Ilugin Phase I, Barangay Pinagbuhatan, Pasig Filipino Roman Catholic
Introduction
![Page 8: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/8.jpg)
Chief Complaint: cough
Introduction
![Page 9: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/9.jpg)
• Four days PTC, patient had cough and colds– watery nasal discharge– cough is described to be dry and non- productive– patient usually wakes up at night due to cough
• No other associated signs and symptoms (no fever)
• No medications were given• Patient however still had good appetite (breastfed
every 2-3 hours for 30 mins.) and activity• Patient sought consult at Ilugin Community
Center
Clinical History
![Page 10: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/10.jpg)
Physical examination of patient was normalPatient was prescribed multivitaminsMother was advised to give supportive
treatment to patient
Clinical History
![Page 11: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/11.jpg)
After 3 days, patient’s episodes of cough lessened and no longer had colds
Possible complications:from viral etiology to bacterial otitis media (most common ear infection in
children connected to cough) bronchitis pneumonia
Course of Illness
![Page 12: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/12.jpg)
Diagnosis:
Upper Respiratory Tract Infection
![Page 13: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/13.jpg)
Family Life LineFamily Life CycleFamily GenogramFamily APGARFamily MapSCREEM
Family Assessment Tools
![Page 14: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/14.jpg)
Family Life Line
Child’s first incidence with URTI
Uncle started drinking heavily
Unwanted pregnancy of patient’s mother
Son from grandmother’s husband decided to live with the rest of the family
Grandfather left
Grandmother took a job while eldest looked after the family
Family had to adjust to new member of the family
Family advised uncle to stop but uncle refuses to listen. Unresolved
Mother stayed at home while the other family members took jobs. Aunt started training as community health worker
Whole family take turns watching the child. Pooling of resources
![Page 15: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/15.jpg)
Family with young children (nuclear family: patient and his mother)
However considering the family structure at home is extended, the family life cycle is launching family.
Family Life Cycle
![Page 16: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/16.jpg)
Family Genogram
![Page 17: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/17.jpg)
Family Member Age/ Sex
Relation to Patient
Occupation
1) JP 26/F Mother Unemployed2) CyP 21/M Uncle Current looking for
a new job3) ChP 23/M Uncle Factory employee4) LO 32/F Aunt Community Health
Worker5) NP 67/F Grandmother Laundry Washer
(“labandera”)
Family Profile
![Page 18: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/18.jpg)
APGAR SCORE REASONAdaptation 2 Extended family, two members have jobs
while one is looking for a jobPartnership 1 One uncle refuses to communicate and
cooperate with the family.Growth 2 Family seems well adapted to change
when neededAffection 1 Family members cannot seem to reach
out to the uncle mentioned above.Resolve 2 Members of the family do not seem to
mind their living conditions.
Family APGAR
![Page 19: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/19.jpg)
Family MapGm
A M U U
10 mos
![Page 20: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/20.jpg)
Family Map / Genogram
![Page 21: Family Case Presentation of a Child with Upper Respiratory Tract Infection](https://reader035.vdocuments.mx/reader035/viewer/2022062816/568156cd550346895dc4646b/html5/thumbnails/21.jpg)
Resource PathologySocial Good relationship with
family overallAble to socialize well with other people
One of the family members is isolated because of his refusal to change his drinking and smoking habits
Cultural Proud of who they are and where they came from
(-)
Religious Religious family lead by grandmother.
(-)
Economic Manage to get by with the income of the family
However, if crisis occurs, budget will be constrained
Education Has clear idea on how problems arise and their solution
Grandmother is a grade school graduate. Mother, Aunt and uncles are high school graduates
Medical Aunt is training to be a community health worker
Residence near the community health center
OPD at the health center is only open during Wednesdays; have to look for other source of healthcare
SCREEM