IMCI

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Integrated Management of Childhood Illness
(trip to Honduras)

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  • IMCI

    1. 1. INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS Micah Holden | San Pedro Sula, Honduras | The Global Mission Health Institute - Mercy Ships
    2. 2. HONDURAS (CENTRAL AMERICA)
    3. 3. HONDURAN CHILDREN
    4. 4. WHAT IS IMCI? <ul><li>The Integrated Management of Childhood Illness (IMCI) is a program established by the World Health Organization (WHO) to provide simple effective methods to prevent and manage the leading causes of serious illness and mortality in young children. </li></ul><ul><li>IMCI is designed for use in outpatient clinical settings with limited diagnostic tools, limited medications, and limited opportunities to practice complicated clinical procedures (ie. rural areas- specifically in developing countries) </li></ul>
    5. 5. BRIEF HISTORY OF IMCI <ul><li>IMCI was first developed in 1992 by UNICEF and the World Health Organization (WHO) with the aim of prevention, or early detection and treatment of the leading childhood killers. </li></ul><ul><li>The IMCI initiative adopted a broad, cross-cutting approach recognizing that in most cases, more than one underlying cause contributes to the illness of the child. A great deal has been learned from disease-specific control programs over the past 15 years. IMCI attempts to combine the lessons learned into an effective approach for managing the sick child. </li></ul>
    6. 6. WHAT ARE THE LEADING CHILDHOOD KILLERS (ILLNESSES) ?
    7. 7. THE GOAL OF IMCI IS TO ASSESS, CLASSIFY, AND TREAT THE IDENTIFIED ILLNESSES
    8. 8. ASSESS FOR: <ul><li>General Danger Signs </li></ul><ul><li>Difficulty Breathing </li></ul><ul><li>Diarrhoea </li></ul><ul><li>Fever (Malaria?) </li></ul><ul><li>Ear Problems </li></ul><ul><li>Malnutrition </li></ul><ul><li>Aneamia </li></ul><ul><li>HIV Infection </li></ul><ul><li>Vaccinations </li></ul><ul><li>Feeding Problems </li></ul>
    9. 9. CLASSIFY: <ul><li>Severe Pneumonia or Very Severe Disease </li></ul><ul><li>Pneumonia </li></ul><ul><li>Cough or Cold </li></ul><ul><li>Severe Dehydration </li></ul><ul><li>Some Dehydration </li></ul><ul><li>No Dehydration </li></ul><ul><li>Severe Persistent Diarrhoea </li></ul><ul><li>Persistent Diarrhoea </li></ul><ul><li>Dysentery </li></ul><ul><li>Very Severe Febrile Disease </li></ul><ul><li>Malaria </li></ul><ul><li>Fever – Malaria Unlikely </li></ul><ul><li>Severe Complicated Measles </li></ul><ul><li>Measles with Eye or Mouth Complications </li></ul><ul><li>Measles </li></ul><ul><li>Mastoiditis </li></ul><ul><li>Acute Ear Infection </li></ul><ul><li>Chronic Ear Infection </li></ul><ul><li>No Ear Infection </li></ul><ul><li>Severe Malnutrition </li></ul><ul><li>Very Low Weight </li></ul><ul><li>Not Very Low Weight </li></ul><ul><li>Severe Aneamia </li></ul><ul><li>Anaemia </li></ul><ul><li>No Aneamia </li></ul><ul><li>HIV Status (many classifications) </li></ul>
    10. 10. TREAT (BASED ON CLASSIFICATION): <ul><li>Appropriate Antibiotics (IM/ PO) (Ex. Ciprofloxacin for Dysentery, Quinine or other anti-malarial for Malaria) </li></ul><ul><li>Bronchodilators </li></ul><ul><li>IV Fluids </li></ul><ul><li>ORS (Oral Rehydration Salts) </li></ul><ul><li>Zinc Supplements </li></ul><ul><li>Vitamin A </li></ul><ul><li>Gentian Violet </li></ul><ul><li>Nystatin </li></ul><ul><li>Paracetamol (Acetaminophen) </li></ul><ul><li>Ear Wicking </li></ul><ul><li>Mebendazole </li></ul><ul><li>Iron supplements </li></ul><ul><li>Appropriate Vaccines for Age </li></ul><ul><li>Counsel Mother (about medications, feeding, etc.) </li></ul><ul><li>Follow up in X days with mom and child (very important) </li></ul>
    11. 11. SO… WHAT DID I REALLY DO IN HONDURAS? <ul><li>? </li></ul>
    12. 12. CLASSROOM LEARNING (ABOUT IMCI)
    13. 13. HOMEWORK / REVIEW
    14. 14. CLINICAL PRACTICUM
    15. 15. CLINICAL PRACTICUM CONTINUED…
    16. 16. HOSPITAL VISIT
    17. 17. HOSPITAL CONTINUED
    18. 18. HOSPITAL CONTINUED…
    19. 19. HOSPITAL (PED’S NEUROLOGY WARD)
    20. 20. HOSPITAL (PEDIATRIC ER)
    21. 21. LAST HOSPITAL PICTURES
    22. 22. TRAVELING
    23. 23. SIGHTSEEING
    24. 24. MORE SIGHTSEEING
    25. 25. EATING!!!
    26. 26. SPENDING TIME WITH MY SISTER, ELIZA
    27. 27. MAKING NEW FRIENDS
    28. 28. AND… JUST GOOFING OFF
    29. 29. A GREAT TRIP OF LEARNING, LAUGHING, PRACTICING NURSING, AND TRAVELING
    30. 30. THE END

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