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
ABAD TJ. IMPERIAL AS. JAVATE KR. PALMA RS.
Uy RC. VALENCIA RP.
Family Case Presentation of a Child with Upper Respiratory
Tract Infection
Community Pediatrics
Purpose of PresentationIntroduction
House visits are possible
Chance to show a family in a community setting
Cooperative family
SYP 10 months old Male Ilugin Phase I, Barangay Pinagbuhatan, Pasig Filipino Roman Catholic
Introduction
Chief Complaint: cough
Introduction
• 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
Physical examination of patient was normalPatient was prescribed multivitaminsMother was advised to give supportive
treatment to patient
Clinical History
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
Diagnosis:
Upper Respiratory Tract Infection
Family Life LineFamily Life CycleFamily GenogramFamily APGARFamily MapSCREEM
Family Assessment Tools
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
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
Family Genogram
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
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
Family MapGm
A M U U
10 mos
Family Map / Genogram
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