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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 ABAD TJ. IMPERIAL AS. JAVATE KR. PALMA RS. Uy RC. VALENCIA RP.
Purpose of Presentation Introduction
Introduction • SYP • 10 months old • Male • Ilugin Phase I, Barangay Pinagbuhatan, Pasig • Filipino • Roman Catholic
Introduction • Chief Complaint: cough
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
Clinical History • Physical examination of patient was normal • Patient was prescribed multivitamins • Mother was advised to give supportive treatment to patient
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
Family Assessment Tools • Family Life Line • Family Life Cycle • Family Genogram • Family APGAR • Family Map • SCREEM
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
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.
Family Map Gm U A M U 10 mos