Pre operative care-at_cbr_centre_kordelia_fischer-borchert
Pre-operative Care for children with SB/H at a CBR CentreIF Conference Kampala, 2. 11. 2011 Kordelia Fischer-Borchert
What is the role of CBR in pre-operative care for children with SB/H?•Medical care and referral for the child•To inform and encourage parentsSuccessful pre-operative care for children with SB/H can onlybe achieved, when professionals, children and parents arecollaborating together.
Preoperative care for children with SB/H at a CBR Centre1. Clinical examination including:•Measure head circumference•Assess the fontanels•Body temperature•General condition•Assess the wound•Deformities?
Preoperative care for children with SB/H at a CBR Centre2. Wound care:•Keep it clean, use “Normal Saline” for cleaning openwounds and cover with sterile dressing•Keep wound open, when Baby is not laying on No preventive antibiotics, without clinical signs of sepsis, like fever or other signs of infections
Preoperative care for children with SB/H at a CBR Centre3. Documentation•Open a clients file•Referral Note
Preoperative care for children with SB/H at a CBR Centre4. Referral•Medical (Pediatric) Consultation•Surgical Hospital Ensure, that baby and mother are stable enough to travel
How can parents be encouraged?•Listen to the parents and counsel accordingly•Inform about the condition of the baby•Inform about the next steps for treatment•Encourage parents•Inform about review and rehabilitation at theCBR Centre•Provide information material about SB/HC•Discuss financial matters
Pre-operative care for children with SB/H at a CBR CBR Staff Care for childrenEncouragement Network of parents