Imci in Service Mod04

7/31/2019 Imci in Service Mod04

1/66


2/66


3/66


4/66


5/66


6/66


7/66


8/66


9/66


10/66


11/66


12/66


13/66


14/66


15/66


16/66


17/66


18/66


19/66


20/66


21/66


22/66


23/66


24/66


25/66


26/66


27/66


28/66


29/66


30/66


31/66


32/66


33/66


34/66


35/66


36/66


37/66


38/66


39/66


40/66


41/66


42/66


43/66


44/66


45/66


46/66


47/66


48/66


49/66


50/66


51/66

48

EXAMPLE

In this example, your facilitator will continue the demonstration of communicationskills begun earlier in this module. He or she will continue to advise the mother of Akono, the 8-month-old child who has:

NO PNEUMONIA: COUGH OR COLDMALARIA

NO ANAEMIA AND NOT VERY LOW WEIGHT

The health worker has already counselled the mother about feeding. Thisdemonstration will include advice on increasing fluid and when to return.

Tell the facilitator when you are ready for the demonstration to begin.


52/66

49

EXERCISE E

In this exercise, there will be a role play of the entire process covered by theCOUNSEL chart: assessing feeding, identifying feeding problems, counselling aboutfeeding, advising about fluid, and advising about when to return.

HEALTH WORKER: Assess feeding, identify feeding problems, and counsel themother on feeding, fluid, and when to return. Use good communication skills. Use theSick Child Recording Form given in this exercise. Also use the Mother's Card.

MOTHER: Try to behave as a real mother might behave. For example, you may beworried, timid, confused, or anxious to leave the clinic. You will be given a card withdetails about your child's illness, age, and diet, and other information.

OBSERVERS: Listen and watch carefully. On the recording form given in thisexercise, write the answers to the feeding questions and any feeding problems. Noticewhether the feeding questions are used, advice is correct and complete, and goodcommunication skills are used. Be prepared to discuss the questions given on the next

page.

Role Play:

Felice is 2 years and 2 months old. Her Sick Child Recording Form follows. She hasVERY LOW WEIGHT (but no palmar pallor) and an ACUTE EAR INFECTION.

The health worker has already given the mother instructions on wicking the ear andgiving an antibiotic for the ear infection. Now the health worker will assess feedingand counsel the mother about FOOD, FLUID, and WHEN TO RETURN.


53/66


54/66

51

{Module 05 page 051.jpg}


55/66

52



56/66

53

6.0 COUNSEL THE MOTHER ABOUT HER OWNHEALTH

During a sick child visit, listen for any problems that the mother herself may behaving. The mother may need treatment or referral for her own health problems.



57/66

54

EXERCISE F

Your course facilitator will lead a group discussion of common local feeding problemsobserved during the previous clinical session.

You will discuss the following questions:

- Have the major local feeding problems been described in this module? If not,what are additional or different problems that you have observed?

- Is the recommended advice for local feeding problems practical? Are mothers

likely to follow the advice? If not, can you think of alternative suggestionsthat would improve feeding, be practical, and be followed by mothers?


58/66

55

ANNEX:

MOTHER'S CARD


59/66

56


60/66


61/66

58



62/66

59

ANSWERS TO SHORT ANSWER EXERCISES:COUNSEL THE MOTHER


63/66

60


64/66


65/66

62

3. a.

b.

c. No tick. This comment may make the mother feel guilty. It is better tostate this as in "d" below.

d.

e.

4. 1st row: What kinds of thick, nutritious foods will you give? What are someexamples of foods you will give?

2nd row: How will you know when your baby is ready for these foods? Whatsigns will you look for?

Answers to Short Answer Questions, Page 46

1. F/up: 2 days

Return immediately if:- Not able to drink (since child is 3 years old, there is no need to say "or

breastfeed")- Becomes sicker - Develops a fever

2. F/up: 2 days for dysentery

Return immediately if:-Not able to drink or breastfeed-Becomes sicker -Drinking poorly

Since the child already has a fever and blood in the stool, these signs are not

listed. You may have combined the signs, "not able to drink or breastfeed" and "drinking poorly."

Additional follow-up: 5 days for ear infection

3. F/up: 5 days for feeding problem


66/66

Documents

Imci in Service Mod04