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Preventive Pediatrics

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Under the guidance of our HOD Asso:Professor Mrs.Deepa Danieal

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Preventive Pediatrics

  1. 1. Presented ByMable Susan MathewSukanya K.SUnder The Guidance OfMrs. Deepa DaniealAssociate ProfessorHOD ,Pediatric NursingDr.M.V.Shetty College Of NursingVidyanagar,Mangalore,Karnataka,India
  2. 2. Definition of preventive pediatricsClassificationMCHRCHBreast feedingBFHIWeaningICDSUNDERFIVE ClinicImmunizationSchool health services
  3. 3.  Allied child International and national organization Role of a nurse
  4. 4.  Preventive pediatrics is defined as theprevention of disease and promotion ofphysical, mental and social wellbeing ofchildren with the aim of attaining a positivehealth
  5. 5.  Antenatal preventive pediatrics Postnatal preventive pediatrics Social preventive pediatrics
  6. 6. CARE OF ANTENATAL MOTHERS ADEQUATE NUTRITION PREVENTION OF COMMUNICABLEDISEASES PREPARATION FOR DELIVERY ANDBREAST FEEDING MOTHERCRAFT TRAINING
  7. 7.  PROMOTION OF BREAST FEEDING INTRODUCTION OF COMPLEMENTARYFEEDING IN APPROPRIATE AGE IMMUNIZATION PREVENTION OF ACCIDENTS GROWTH MONITORING PERIODIC HEALTHCHECK UP
  8. 8. DEFINITION IT IS DEFINED AS THE APPLICATION OFPRINCIPLES OF SOCIAL MEDICINE TOPEDIATRICS TO OBTAIN A MORECOMPLETE UNDERSTANDING OF THEPROBLEMS OF CHILDREN INORDER TOPREVENT AND TREAT DISEASE ANDPROMOTE ADEQUATE GROWTH
  9. 9.  Maternal and child health refers tothe promotive, preventive, curativeand rehabilitative health care formothers and children
  10. 10.  Maternal health Child heath Family planning School health Handicapped children Adolescents Health care in different settings
  11. 11.  Reduction in the maternal, perinatal, infantand child mortality and morbidity Promotion of reproductive health Promotion of physical and psychologicaldevelopment of child and adolescents withinthe family
  12. 12. REPRODUCTIVE CHILD HEALTHIntroductionProgramme is formally launched by government ofIndia in October 1997 as per the recommendations ofInternational conference on population developmentat Cairo in 1994.
  13. 13. REPRODUCTIVE CHILD HEALTHDEFINITIONRCH is defined as people havethe ability to reproduce andregulate their fertility, womenare able to go throughpregnancy and child birthsafely, the outcome ofpregnancy is successful in
  14. 14. Question no:1RCH-II STARTED IN THE YEAR20042OO52006
  15. 15.  BREASTFEEDING IS THE FEEDING OFAN INFANT OR YOUNG CHILD WITHBREAST MILK DIRECTLY FROMFEMALE BREASTS RATHER THAN ABABY BOTTLE OR CONTAINER
  16. 16.  Initiation of breast feeding within one hourafter birth. Exclusive breastfeeding for first six months. Continue breastfeeding upto first two years ormore
  17. 17. •Promotes bonding•Helps in involution process•Lower rates of breast andovarian cancer•Reduces the risk ofcardiovascular disease
  18. 18.  Environment friendly Does not requirepackaging,storage,transportationand refrigeration Decreases the burden onsocieties health caresystem
  19. 19. GOOD ATTACHMENTPOORATTACHMENT
  20. 20. Definition Exclusive breastfeeding idsdefined as “an infant’sconsumption of human milkwith no supplementation ofany type except for vitamins,minerals and medication
  21. 21. QUESTION NO:2Which International Organizations Initiated BFHIWHO AND UNICEF
  22. 22. BFHIIt is a global initiative ofWHO and UNICEF.It was launched in 1991
  23. 23. AIMS OF BFHITo initiate global assessment andaccreditationTo enable the mother to acquire the skillsneeded for breastfeedingTo assist the mothers who are notbreastfeedingTo implement BFHI in the curriculum forthe health worker
  24. 24. 10 STEPS TO SUCCESSSFULBREASTFEEDINGMaintain a writtenbreastfeeding policy to allhealth care staffsTrain all health care staffsInform all the pregnantwomen about the benefits ofbreastfeeding
  25. 25. Practice rooming inEncourage unrestrictedbreastfeedingGive no pacifiers or artificialnipplesFoster the establishment ofbreast feeding support groups
  26. 26. Help the mother to initiatebreastfeeding within one hourof birthShow mothers how tobreastfeed and how tomaintain lactationGive infants no food or drinkother than breast milk
  27. 27. Definition Weaning or complementary feeding is theprocess of gradual and progressive transfer ofthe baby from the breastfeeding to usualfamily diet Weaning foods are given along with breastfeeding.
  28. 28.  Introduce gradually from liquid atstarting to semisolid and solid form Clean fresh and hygenic Easy to prepare Easily digestable High in energy Well balanced
  29. 29.  4-6 months
  30. 30. Pulses Rice DhalBoiled potato Bread in milk Mashed fruits
  31. 31. EGG YOLK CURD BISCUITSCARROT CUCUMBER
  32. 32.  Started in the year 1975 byGovernment of India under theMinistry Of social and womenwelfare Initiated for the welfare of thechildren and for thedevelopment of humanresources
  33. 33. OBJECTIVES To improve the nutrition and health status ofchildren in the age group of 0-6 years To lay foundations for properpsychological ,physical and socialdevelopment of child To reduce mortality morbidity,malnutritionand school drop out To achieve effective coordination of policyand implementation among various workingdepartments To enhance the capability of mother toprovide nutrition to child
  34. 34. BENEFICIARIES BENEFITSCHILDREN <3YEARSSUPPLEMENTARYNUTRITIONIMMUNIZATION HEALTHCHECK UPREFERRALSERVICESCHILDREN AGEGROUP 3-6YEARSSUPPLEMENTARYNUTRITIONIMMUNIZATION HEALTHCHECK UPREFERRALSERVICESNON FPRESCEDUCADOLESCENTGIRLSSUPPLEMENTARYNUTRITIONNUTRITION ANDHEALTHEDUCATIONPREGNANTMOTHERSUPPLEMENTARYNUTRITIONIMMUNIZATION HEALTHCHECK UPNUTRITIONAND HEALTHEDUCATIONNURSINGMOTHERSSUPPLEMENTARYNUTRITIONNUTRITION ANDHEALTHEDUCATIONHEALTHCHECK UPOTHER WOMENOF 15-45 YEARSNUTRITION ANDHEALTHEDUCATION
  35. 35.  Services are delivered by AWW at ICDS center Population coverage is1000 AWW has 4 months training Activities of every 20-25 AWW are supervisedby Mukyasevikas and supervisors aresupervised CDPO
  36. 36. Care inillnessGrowthmonitoringPreventivecareFamily planning
  37. 37. 1. Care in illness: it is mothers felt need.70%-80% ofillnesses can be treated with trained nurses.a. Diagnosis and treatment of acute illness, chronicillnesses and disorders of growth anddevelopment.b. X ray and laboratory servicesc. Referral services
  38. 38. 2. Preventive care :a. Immunizationb. Nutritional surveillance- sub clinical nutrition- Food supplementationc. Health check ups – every 3-6 months. Thechild health card is maintained.d. Oral rehydration solution for diarrhea .The child gets 2-6 attacks in a year.e. Family planningf. Health education
  39. 39. 3. Growth monitoringon growth chart also called as Road to healthcard. Every month – up to 1 year 2 monthly – up to 2 years 3 monthly – up to 5 years The weight is plotted according to the age ofchild.
  40. 40.  Immunization is the process of protecting anindividual from a disease throughintroduction of live or killed organisms in theindividual system
  41. 41. Age vaccinesAT BIRTH BCG,OPV-ZERO DOSE,HEP B-IAT 6 WEEKS OPV-1,DPT-1,HEP B-2,HIB-1AT 10 WEEKS OPV-2,DPT-2,HIB-2AT 14 WEEKS OPV-3,DPT-3,HEP B-3,HIB-39 MONTHS MEASLES18 M0NTHS OPV-4,DPT-BOOSTER-1,HIB-BOOSTER,MMR,TYPHOID,OPV-5,DPT-BOOSTER-22NDDOSE OF MMRVACCINE GIVEN AT ANY TIME 8 WEEKSAFTER THE FIRST DOSE10 YEARS TdapHPV IN GIRLS
  42. 42. School healthservicesAppraisal aspects Preventive Aspects Curative aspects
  43. 43. Appraisal aspectsThese are organized activities, carriedout to assess the physical, mental,emotional and social status of school pupils.
  44. 44. Components ofAppraisalHistoryObservationScreening testsExaminationLaboratory investigations
  45. 45. I-Prevention and control of communicablediseasesII- Early detection and correction of non-communicable diseasesiii-Early identification and education ofchildren with special disabilitiesiV-Emergency care and first aid servicesPreventive Aspects
  46. 46. C- Curative aspectsSchool Health Program provides curative servicesto school pupils.This service is provided in•School clinics provided by generalpractitioners (GP)• A number of affiliated hospitals or services
  47. 47. School health EducationIt is the part of health education that isgiven in the school and by school healthpersonnel.Methods of school Health Education: Formal health education. Correlated or integrated health education Health. Incidental health education
  48. 48. I- Psychosocial and emotional EnvironmentThis includes• School schedules,•Duration and timing of school day,•Amount and timing of homework……..etc.•Healthful emotional environment: through teacher-pupil relationship or pupils –pupils relationship2- Physical EnvironmentSafe and sanitary school facilities:Classroom ventilation, lighting, furniture……..Play facilities …….Garbage disposal
  49. 49.  Delinquent is a childwho has committed anoffence Juvenile means a boywho has not attainedthe age 16 years and agirl who has notattained the age of 18years
  50. 50.  Improvement of family life Schooling Social welfare
  51. 51.  Also known as battered baby syndrome It refers to the injuries sustained by a child as aresult of physical, emotional, sexual abuse Factors predisposing Parental Child related Environmental
  52. 52.  Identify the abusers Inform the referral services Prepare the parents Educating the children Guidance and counselling to parents Identify the danger signs
  53. 53.  A large number of children live andwork on the streets At risk of malnutrition,HIV,infestations, skin diseases andvulnerable group, drug abuse,prostitution etc PREVENTION Rehabilitation by the Government andNon Govt Voluntary agencies Counseling centers Free education Facilitating adoption of street children Job opportunity
  54. 54. CHILD LABOUR Child labour is work for children that harms them orexploit them physically,mentally,morally or blockingaccess to educationCauses Poverty Unemployment Lack of educationChild labour act-1986 Except in the process of family based work orrecognized school based activities,children are notpermitted to work in any of the occupationsconcernedCHILD LABOUR Child labour is work for children that harms them orexploit them physically,mentally,morally or blockingaccess to educationCauses Poverty Unemployment Lack of educationChild labour act-1986 Except in the process of family based work orrecognized school based activities,children are notpermitted to work in any of the occupationsconcerned
  55. 55.  Started in Chicago in 1909 Deals with problems of allchildrenn or adolescents for oneor other reason, are not fullyadjusted to their environment Objective Prevent from becomingneurotics and psychotics Services Psychotherapy Play therapy Counseling Reconstruction of parentalattitudes Change in the physicalenvironment
  56. 56.  Psychiatrist Clinical psychologist Social workers Public health nurses Paediatrician Speech therapist Occupational therapist Neurologist
  57. 57. IntroductionA specialized non political healthagency of UNEstablished On 7thApril 1948Head quarters at GenevaOBJECTIVESHEALTH FOR ALLFUNCTIONSPrevention and control of specificdisease.Develop comprehensive health serviceFamily health servicesEnvironmental health servicesHealth statisticsBiomedical researchHealth literature and informationCooperations with other organizations
  58. 58. INTRODUCTIONEstablished in 1946 by UNgeneral assemblyUnited nations childrens fundOBJECTIVERehabilitation of children inravaged countriesFUNCTIONSChild healthChild nutritionFamily and child welfareFormal and non fornal education
  59. 59. GOBIGROWTH MONITORINGORAL REHYDRATIONBRAEST FEEDINGIMMUNIZATION
  60. 60. Established in 1966Help children of poor nationsProvide educationEstablished in 1961 in NEW DELHIFUNCTIONSImmunization programmesORTFamily planning programmeWater supply and sanitation
  61. 61. Established in the year 1945FunctionsEarly childhood literacyLiteracy training for girls, womenand handicappedEstablished in the year 1945 inNorth America and 1950 in IndiaObjective• Until 1980’s-to provide food forchildren till the age group of 6-11years• From mid 1980’s- to support ICDSHealth development programIncome supplementation
  62. 62. Founded in1863Head quarters in GENEVA Largely confined to humanitarianservices on behalf of victims of war
  63. 63. CENTRE FOR INTERNATIONAL CHILDHEALTHCICH was created in 2004Is research and teaching unitContribute to the improvement ofthe health, nutrition anddevelopment of children in poorcommunities
  64. 64.  INDIAN COUNCIL FOR CHILDRENWELFARE Established in the year 1952 Head quarters in Chennai ICCW are devoted to secure theindian children by initiating services for childwelfare and development promoting enactment of legislationand reforms to meet the needs ofthe childrena
  65. 65.  A semisocial organization started bygovernment of India in august 1953 Initiated Family And Child Welfare Services in1968Activities in rural areas Teaching craft Social education Distribution of milk Balwadis Organization of play centers
  66. 66.  Established in the year 1944 Objective Improvement of women andchildren They establishedi. Hospital diapensariesii.Cottage industriesiii.Training campaigns in firstaid, home nursing Established in the year 1944 Objective Improvement of women andchildren They establishedi. Hospital diapensariesii.Cottage industriesiii.Training campaigns in firstaid, home nursing
  67. 67.  Started in the year 1975BENEFICIERIES Preschool children Pregnant and lactating mothersPACKAGES Supplementary nutrition Immunization Health checkup Nutrition and health education Non formal education
  68. 68.  Established in the year 1920 Objectives Improvement of health Prevention of diseases Mitigation of suffering among people Functions Relief work Milk and medical supplies Armed forces Maternal and child welfare services Family planning Blood bank and first aid
  69. 69. Providespreventive,promotive,curative andrehabilitative care inall levels of healthservicesCare of sick childrencomfort feeding,bathing, safety etc
  70. 70.  Deliver planned andincidental health teachingand informations to theparents and significant others Create awareness abouthealthy life styles andpractices regarding child care
  71. 71.  Help the parents and familymembers for independentdecision making in differentsituations Problem solving approach
  72. 72.  Alleviate the social problemsrelated to child health Refer the child and family forsocial support Participate in social services
  73. 73.  Work along with other healthteam members Maintains good interpersonalrelationships Coordinate the nursing servicesfor the child
  74. 74.  Organizes the care for thesuccessful outcome in thepediatric care units inhospitals, clinics andcommunity
  75. 75.  Assist the child to obtainbest care possible fromthe particular units Advocacy ranges fromdietary care to discussionof plan of care
  76. 76.  Participates in researchprojects related to childhealth Provides the basis for thechanges in the nursingpractice and care of thechildren
  77. 77.  It is an expanded role Jointly practicing with thephysician or independently Works in rural areas asnurse mid-wives andprimary care giver
  78. 78.  Protect the rights of the child Minimizes or prevent theharm Promote the well being andjustice
  79. 79.  Interdisciplinary approach Collaborates with otherspecialists to provide highquality health services
  80. 80.   Establishment oftherapeutic relationship Identifies the problrmareas in their interactionwith the family and child
  81. 81.  Monitor, anticipate, andrespond to public healthproblems in populationgroups Evaluate health risk factors ofpopulation groups Participate in assessing andevaluating health careservices

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