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Family Case Presentation of a Child with Upper Respiratory Tract Infection

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.

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Family Case Presentation of a Child with Upper Respiratory Tract Infection

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  1. Family Case Presentation of a Child with Upper Respiratory Tract Infection ABAD TJ. IMPERIAL AS. JAVATE KR. PALMA RS. Uy RC. VALENCIA RP.

  2. Community Pediatrics

  3. Purpose of Presentation Introduction

  4. House visits are possible

  5. Chance to show a family in a community setting

  6. Cooperative family

  7. Introduction • SYP • 10 months old • Male • Ilugin Phase I, Barangay Pinagbuhatan, Pasig • Filipino • Roman Catholic

  8. Introduction • Chief Complaint: cough

  9. Clinical History • 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

  10. Clinical History • Physical examination of patient was normal • Patient was prescribed multivitamins • Mother was advised to give supportive treatment to patient

  11. Course of Illness • 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

  12. Diagnosis: Upper Respiratory Tract Infection

  13. Family Assessment Tools • Family Life Line • Family Life Cycle • Family Genogram • Family APGAR • Family Map • SCREEM

  14. Family Life Line Son from grandmother’s husband decided to live with the rest of the family Unwanted pregnancy of patient’s mother Child’s first incidence with URTI Uncle started drinking heavily Grandfather left Whole family take turns watching the child. Pooling of resources 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

  15. Family Life Cycle • 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.

  16. Family Genogram

  17. Family Profile

  18. Family APGAR

  19. Family Map Gm U A M U 10 mos

  20. Family Map / Genogram

  21. SCREEM

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