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UNANG YAKAP CAMPAIGN <ul><li>launched DECEMBER 9, 2009 </li></ul><ul><li>aims to cut down infant mortality in the Philippi...
UNANG YAKAP CAMPAIGN <ul><li>ENC Protocol involves focusing on the first hours of life of the newborn </li></ul><ul><li>Th...
UNANG YAKAP CAMPAIGN <ul><li>Time bound procedures   should be routinely performed  </li></ul><ul><ul><li>first - immediat...
UNANG YAKAP CAMPAIGN <ul><li>Non time-bound intervention  s hould only be done after the first full breastfeed. These are ...
UNANG YAKAP CAMPAIGN <ul><li>Unnecessary procedures   include </li></ul><ul><ul><li>routine suctioning,  </li></ul></ul><u...
 
UNANG YAKAP CAMPAIGN <ul><li>Symposium with the theme &quot; Unang   Yakap :  Yakap  ng Ina.  Yakap  ng Buhay &quot; to ta...
MUSCULO-SKELETAL
ISOMETRIC ISOTONIC <ul><li>types of strength training characterized by contraction of a muscle without moving the joint. I...
Sprain strain <ul><li>Tear in LIGAMENTS </li></ul><ul><li>Muscle injury </li></ul>
ARTHROSCOPY <ul><li>Purpose: To allow direct visualization of the anatomic site, specifically to evaluate the knee for men...
ARTHROSCOPY <ul><li>PREPARATION: </li></ul><ul><ul><li>NPO after midnight before the test </li></ul></ul><ul><ul><li>Infor...
ARTHROSCOPY <ul><li>POST-PROCEDURE: </li></ul><ul><ul><li>Elevate knee when sitting and avoid over-bending so that swellin...
arthrocentesis <ul><li>PURPOSE: To diagnose infection, crystals-induced arthritis, synovitis or neoplasm </li></ul><ul><li...
electromyography <ul><li>PURPOSE: To monitor the electrical activity of the MUCLES. </li></ul><ul><li>PREPARATION: </li></...
tractions <ul><li>SKELETAL TRACTIONS  </li></ul><ul><ul><li>USE: to immobilize bones </li></ul></ul><ul><ul><li>EX: </li><...
SKELETAL SKIN <ul><li>Observe the PIN sites for signs of infection </li></ul><ul><li>teach how to use a TRAPEZE </li></ul>...
Mastery drill <ul><ul><ul><li>Buck’s traction </li></ul></ul></ul><ul><ul><ul><li>Crutchfield tongs </li></ul></ul></ul><u...
Mastery drill <ul><li>Pelvic belt traction </li></ul><ul><li>Ans: SKIN TRACTION </li></ul><ul><li>Balanced suspension trac...
MASTERY DRILL <ul><li>Rusell’s traction  </li></ul><ul><li>Ans: SKIN TRACTION </li></ul><ul><li>Cervical tongs </li></ul><...
CARPAL TUNNEL SYNDROME <ul><li>Compression of the MEDIAN NERVE  due to handheld type of jobs (typist) </li></ul><ul><li>s/...
CARPAL TUNNEL SYNDROME <ul><li>WHAT TO DO: </li></ul><ul><ul><li>Splint the wrist </li></ul></ul><ul><ul><li>Administer st...
FRACTURE (Hip leg) <ul><li>Initial s/sx: SADER </li></ul><ul><li>WHAT TO DO: </li></ul><ul><ul><li>surgery </li></ul></ul>...
FRACTURE (Hip leg) <ul><li>Crutches </li></ul><ul><ul><li>GOOD LEG GOES UP, BAD LEG GOES DOWN </li></ul></ul><ul><li>ORIF ...
Care of a client with cast <ul><li>CAST    to maintain proper alignment and immobilization </li></ul><ul><li>Support a pl...
Care of a client with cast <ul><li>Check for nerovascular status </li></ul><ul><li>report PAIN, PRESSURE, FEVER    means ...
Sling splints <ul><li>Made of SOFT FABRIC </li></ul><ul><li>ex: TRIANGULAR, SYNDER SLING </li></ul><ul><li>MGT: </li></ul>...
Restraints (types) <ul><li>For infants and small children during tx and exam involving the HEAD </li></ul><ul><li>Ans: MUM...
Restraints (types) <ul><li>To keep a child in a wheelchair </li></ul><ul><li>Ans: BELT RESTRAINT </li></ul><ul><li>For inf...
Restraints (types) <ul><li>Restraining an extremity by using gauze strips </li></ul><ul><li>Ans: CLOVE-HITCH DEVICE </li><...
Restraints (types) <ul><li>For children undergoing surgery on head, chest and abdomen. STRAPS are applied in the forehead,...
RHEUMATOID ARTHRITIS <ul><li>Inflammation of the SYNOVIAL LINING of the joints    UPPER EXTREMITY    common in WOMEN </l...
RHEUMATOID ARTHRITIS <ul><li>Laboratory    Elevated ESR </li></ul><ul><li>What to do: </li></ul><ul><ul><li>ASPIRIN regul...
GOUTY ARTHRITIS <ul><li>Metabolic d/o of URIC ACID FORMATION and EXCRETION  </li></ul><ul><li>Common in MEN </li></ul><ul>...
GOUTY ARTHRITIS <ul><li>What to do: </li></ul><ul><ul><li>avoid PURINE DIET </li></ul></ul><ul><ul><li>Increase fluid inta...
osteoarthritis <ul><li>DEGENERATIVE    AGING </li></ul><ul><li>affects BOTH MEN and WOMEN </li></ul><ul><li>S/sx: </li></...
osteoarthritis <ul><li>Priority: minimize discomfort </li></ul><ul><li>Implement: </li></ul><ul><li>W    weight control <...
NOTES <ul><li>DOC for RA    ASPIRIN </li></ul><ul><li>Avoid ASPIRIN intake in GOUTY </li></ul><ul><li>Synovium    affect...
notes <ul><li>GRATING SOUND    occur in OSTEO </li></ul><ul><li>highest priority in the mgt of osteo    DIET for weight ...
amputation <ul><li>Keep TORNIQUET at bedside    in case of bleeding </li></ul><ul><li>PHANTOM PAIN type of pain in amputa...
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Virtual Eli - Final Coaching

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Virtual Eli - Final Coaching

  1. 2. UNANG YAKAP CAMPAIGN <ul><li>launched DECEMBER 9, 2009 </li></ul><ul><li>aims to cut down infant mortality in the Philippines by at least half </li></ul><ul><li>he campaign employs Essential Newborn Care (ENC) Protocol as a strategy </li></ul>
  2. 3. UNANG YAKAP CAMPAIGN <ul><li>ENC Protocol involves focusing on the first hours of life of the newborn </li></ul><ul><li>The guidelines categorize procedures into </li></ul><ul><ul><li>time-bound, </li></ul></ul><ul><ul><li>non time-bound and </li></ul></ul><ul><ul><li>unnecessary procedures </li></ul></ul>
  3. 4. UNANG YAKAP CAMPAIGN <ul><li>Time bound procedures   should be routinely performed </li></ul><ul><ul><li>first - immediate drying, </li></ul></ul><ul><ul><li>skin-to-skin contact followed by clamping of the cord after one to three minutes, </li></ul></ul><ul><ul><li>non-separation of the newborn from the mother and breastfeeding initiation . </li></ul></ul>
  4. 5. UNANG YAKAP CAMPAIGN <ul><li>Non time-bound intervention s hould only be done after the first full breastfeed. These are </li></ul><ul><ul><li>immunizations, </li></ul></ul><ul><ul><li>eye care, </li></ul></ul><ul><ul><li>Vitamin K administration and weighing. </li></ul></ul><ul><ul><li>Washing must be postponed by at least 6 hours . </li></ul></ul>
  5. 6. UNANG YAKAP CAMPAIGN <ul><li>Unnecessary procedures  include </li></ul><ul><ul><li>routine suctioning, </li></ul></ul><ul><ul><li>routine separation of newborns for observations, </li></ul></ul><ul><ul><li>administration of prelacteals like glucose, </li></ul></ul><ul><ul><li>water formula and </li></ul></ul><ul><ul><li>footprinting. </li></ul></ul>
  6. 8. UNANG YAKAP CAMPAIGN <ul><li>Symposium with the theme &quot; Unang   Yakap :  Yakap  ng Ina.  Yakap  ng Buhay &quot; to tackle the New  DOH -WHO ENC Protocol </li></ul><ul><li>The ENC is currently being practiced by three hospitals in Metro Manila: </li></ul><ul><ul><li>Quirino Memorial Medical Center in Quezon City, and </li></ul></ul><ul><ul><li>Fabella Memorial Medical Center and </li></ul></ul><ul><ul><li>Philippine General Hospital in Manila. </li></ul></ul>
  7. 9. MUSCULO-SKELETAL
  8. 10. ISOMETRIC ISOTONIC <ul><li>types of strength training characterized by contraction of a muscle without moving the joint. It good for clients with ARTHRITIS. </li></ul><ul><li>Exercises that strengthen the muscle by moving the joint. </li></ul>
  9. 11. Sprain strain <ul><li>Tear in LIGAMENTS </li></ul><ul><li>Muscle injury </li></ul>
  10. 12. ARTHROSCOPY <ul><li>Purpose: To allow direct visualization of the anatomic site, specifically to evaluate the knee for meniscus cartilage or ligaments tears </li></ul>
  11. 13. ARTHROSCOPY <ul><li>PREPARATION: </li></ul><ul><ul><li>NPO after midnight before the test </li></ul></ul><ul><ul><li>Inform px that hair will be shaved 6 inches above and below the joint before test </li></ul></ul><ul><ul><li>FOOT of table is lowered so that the client </li></ul></ul><ul><ul><li>THUMPIN SENSATION  maybe felt upon insertion </li></ul></ul>
  12. 14. ARTHROSCOPY <ul><li>POST-PROCEDURE: </li></ul><ul><ul><li>Elevate knee when sitting and avoid over-bending so that swelling minimized </li></ul></ul>
  13. 15. arthrocentesis <ul><li>PURPOSE: To diagnose infection, crystals-induced arthritis, synovitis or neoplasm </li></ul><ul><li>PREPARATION: </li></ul><ul><ul><li>NPO after midnight </li></ul></ul>
  14. 16. electromyography <ul><li>PURPOSE: To monitor the electrical activity of the MUCLES. </li></ul><ul><li>PREPARATION: </li></ul><ul><ul><li>avoid stimulants and sedatives before the procedure </li></ul></ul><ul><ul><li>inform the client that a needle will be inserted into the muscles </li></ul></ul>
  15. 17. tractions <ul><li>SKELETAL TRACTIONS </li></ul><ul><ul><li>USE: to immobilize bones </li></ul></ul><ul><ul><li>EX: </li></ul></ul><ul><ul><ul><li>Gardner wells </li></ul></ul></ul><ul><ul><ul><li>Crutchfield tongs </li></ul></ul></ul><ul><ul><ul><li>Halo-vest </li></ul></ul></ul><ul><ul><ul><li>Kirschner wire </li></ul></ul></ul><ul><ul><ul><li>Steinmann pin </li></ul></ul></ul><ul><li>SKIN TRACTIONS </li></ul><ul><ul><li>to decrease muscle spasm </li></ul></ul><ul><ul><li>EX: </li></ul></ul><ul><ul><ul><li>Buck’s traction </li></ul></ul></ul><ul><ul><ul><li>Russel’s traction </li></ul></ul></ul><ul><ul><ul><li>Bryant’s traction </li></ul></ul></ul><ul><ul><ul><li>Cotrel’s traction </li></ul></ul></ul>
  16. 18. SKELETAL SKIN <ul><li>Observe the PIN sites for signs of infection </li></ul><ul><li>teach how to use a TRAPEZE </li></ul><ul><li>Clean the pin site with NORMAL SALINE or HYDROGEN PEROXIDE </li></ul><ul><li>Check to ensure that the ropes are in the wheel groves and that knots do not interfere with the traction </li></ul>
  17. 19. Mastery drill <ul><ul><ul><li>Buck’s traction </li></ul></ul></ul><ul><ul><ul><li>Crutchfield tongs </li></ul></ul></ul><ul><ul><ul><li>Russel’s traction </li></ul></ul></ul><ul><ul><ul><li>Kirschner wire </li></ul></ul></ul><ul><ul><ul><li>Bryant’s traction </li></ul></ul></ul><ul><ul><ul><li>Cotrel’s traction </li></ul></ul></ul><ul><ul><ul><li>Steinmann pin </li></ul></ul></ul>
  18. 20. Mastery drill <ul><li>Pelvic belt traction </li></ul><ul><li>Ans: SKIN TRACTION </li></ul><ul><li>Balanced suspension traction </li></ul><ul><li>Ans: SKELETAL TRACTION </li></ul><ul><li>Buck’s traction </li></ul><ul><li>Ans: SKIN TRACTION </li></ul><ul><li>Overhead 90-90 traction </li></ul><ul><li>Ans: SKELETAL TRACTION </li></ul>
  19. 21. MASTERY DRILL <ul><li>Rusell’s traction </li></ul><ul><li>Ans: SKIN TRACTION </li></ul><ul><li>Cervical tongs </li></ul><ul><li>Ans: SKELETAL TRACTION </li></ul><ul><li>Cervical halter </li></ul><ul><li>Ans: SKIN </li></ul>
  20. 22. CARPAL TUNNEL SYNDROME <ul><li>Compression of the MEDIAN NERVE due to handheld type of jobs (typist) </li></ul><ul><li>s/sx: </li></ul><ul><ul><li>PARESTHESIA, numbness, pain radiating to forearm </li></ul></ul><ul><li>Laboratory data  TINEL’s sign and PHALEN’s sign are (+) </li></ul>
  21. 23. CARPAL TUNNEL SYNDROME <ul><li>WHAT TO DO: </li></ul><ul><ul><li>Splint the wrist </li></ul></ul><ul><ul><li>Administer steroids </li></ul></ul><ul><ul><li>Surgery: DECOMPRESSION </li></ul></ul><ul><ul><ul><li>POST-OP: Elevate the hand and arm for 24 hr </li></ul></ul></ul><ul><ul><ul><li>resume ADL 2-3 days after </li></ul></ul></ul>
  22. 24. FRACTURE (Hip leg) <ul><li>Initial s/sx: SADER </li></ul><ul><li>WHAT TO DO: </li></ul><ul><ul><li>surgery </li></ul></ul><ul><ul><li>Post-op care: maintain ABDUCTION by placing a trochanter roll and wedge pressure </li></ul></ul><ul><ul><li>NO FLADIR </li></ul></ul><ul><ul><li>YES to SADER </li></ul></ul><ul><ul><li>FAT/PULMONARY embolism  _______ </li></ul></ul>
  23. 25. FRACTURE (Hip leg) <ul><li>Crutches </li></ul><ul><ul><li>GOOD LEG GOES UP, BAD LEG GOES DOWN </li></ul></ul><ul><li>ORIF </li></ul><ul><ul><li>PRE-OP: </li></ul></ul><ul><ul><ul><li>immobilize </li></ul></ul></ul><ul><ul><ul><li>cover open fractures with gauze </li></ul></ul></ul><ul><ul><li>POST-OP: </li></ul></ul><ul><ul><ul><li>monitor 6 P’s </li></ul></ul></ul><ul><ul><ul><li>monitor neuromuscular status </li></ul></ul></ul>
  24. 26. Care of a client with cast <ul><li>CAST  to maintain proper alignment and immobilization </li></ul><ul><li>Support a plaster cast with pillow  to promote drying </li></ul><ul><li>PLASTER of PARIS  72 hours drying time </li></ul><ul><li>FIBERGLASS  24 hours drying time </li></ul>
  25. 27. Care of a client with cast <ul><li>Check for nerovascular status </li></ul><ul><li>report PAIN, PRESSURE, FEVER  means infection </li></ul><ul><li>2 and 4 point gaits  weight bearing are allowed on BOTH legs </li></ul><ul><li>3 point gait  weight bearing is permitted on ONE extremity </li></ul><ul><li>swing to and swing through  use if BOTH legs are paralize </li></ul>
  26. 28. Sling splints <ul><li>Made of SOFT FABRIC </li></ul><ul><li>ex: TRIANGULAR, SYNDER SLING </li></ul><ul><li>MGT: </li></ul><ul><ul><li>Perform passive ROM </li></ul></ul><ul><ul><li>Check for signs of nerve impairment </li></ul></ul><ul><li>Made of LEATHER, metal and hard plastic </li></ul><ul><li>Ex: DENIS BROWNE SPLINT, THOMAS SPLINT </li></ul><ul><li>MGt: </li></ul><ul><ul><li>Clean it DAILY </li></ul></ul><ul><ul><li>check areas for skin breakdown </li></ul></ul>
  27. 29. Restraints (types) <ul><li>For infants and small children during tx and exam involving the HEAD </li></ul><ul><li>Ans: MUMMY RESTRAINT </li></ul><ul><li>To keep a child in a wheelchair or crib and to ensure safety of a suicidal client </li></ul><ul><li>Ans: JACKET RESTRAINT </li></ul>
  28. 30. Restraints (types) <ul><li>To keep a child in a wheelchair </li></ul><ul><li>Ans: BELT RESTRAINT </li></ul><ul><li>For infants and children receiving IV infusion in the SCALP, post CLEFT LIP and CLEFT PALATE repair EYE SURGERY </li></ul><ul><li>Ans: ELBOW RESTRAINT </li></ul>
  29. 31. Restraints (types) <ul><li>Restraining an extremity by using gauze strips </li></ul><ul><li>Ans: CLOVE-HITCH DEVICE </li></ul><ul><li>For children with skin conditions like ECZEMA and BURNS to prevent scratching </li></ul><ul><li>Ans: MITTS </li></ul>
  30. 32. Restraints (types) <ul><li>For children undergoing surgery on head, chest and abdomen. STRAPS are applied in the forehead, lower arms and thighs and attached to a board </li></ul><ul><li>Ans: PAPOOSE BOARD </li></ul><ul><li>for CONFUSED ELDERLY </li></ul><ul><li>Ans: VEST </li></ul><ul><li>to secure the client’s ankle and wrists to the bed side  POSEY </li></ul>
  31. 33. RHEUMATOID ARTHRITIS <ul><li>Inflammation of the SYNOVIAL LINING of the joints  UPPER EXTREMITY  common in WOMEN </li></ul><ul><li>s/sx: MORNING STIFFNESS </li></ul><ul><li>What to do: WARM bath </li></ul><ul><li>other s/sx: </li></ul><ul><ul><li>SWAN-neck deformity </li></ul></ul><ul><ul><li>Ankylosis </li></ul></ul><ul><ul><li>Ulnar deviation </li></ul></ul>
  32. 34. RHEUMATOID ARTHRITIS <ul><li>Laboratory  Elevated ESR </li></ul><ul><li>What to do: </li></ul><ul><ul><li>ASPIRIN regularly even in the absence of s/sx </li></ul></ul><ul><ul><li>ICE PACK  acute (first 24 hours) </li></ul></ul><ul><ul><li>HOT COMPRESS  beyond 24 hours Apply moist heat 15-30 mins </li></ul></ul>
  33. 35. GOUTY ARTHRITIS <ul><li>Metabolic d/o of URIC ACID FORMATION and EXCRETION </li></ul><ul><li>Common in MEN </li></ul><ul><li>S/sx: </li></ul><ul><ul><li>DUSKY RED-HOT SWOLLEN JOINTS  BIG TOE </li></ul></ul><ul><ul><li>TOPHI  accumulation of urate crystals </li></ul></ul>
  34. 36. GOUTY ARTHRITIS <ul><li>What to do: </li></ul><ul><ul><li>avoid PURINE DIET </li></ul></ul><ul><ul><li>Increase fluid intake </li></ul></ul><ul><ul><li>use bed cradle  to prevent linen touching the inflamed joints </li></ul></ul><ul><ul><li>AVOID or ENCOURAGE ASPIRIN? </li></ul></ul><ul><ul><ul><li>AVOID </li></ul></ul></ul>
  35. 37. osteoarthritis <ul><li>DEGENERATIVE  AGING </li></ul><ul><li>affects BOTH MEN and WOMEN </li></ul><ul><li>S/sx: </li></ul><ul><ul><li>PAIN and SWELLING in a weight bearing joints </li></ul></ul><ul><ul><li>HEBERDEN’s NODES </li></ul></ul><ul><ul><li>BOUCHARD’s NODES </li></ul></ul><ul><ul><li>Increase pain in a cold weather </li></ul></ul>
  36. 38. osteoarthritis <ul><li>Priority: minimize discomfort </li></ul><ul><li>Implement: </li></ul><ul><li>W  weight control </li></ul><ul><li>H  hot compress or ice packs </li></ul><ul><li>A  aspirin use </li></ul><ul><li>T  trunk assistive devices (cane) </li></ul>
  37. 39. NOTES <ul><li>DOC for RA  ASPIRIN </li></ul><ul><li>Avoid ASPIRIN intake in GOUTY </li></ul><ul><li>Synovium  affected part in RA </li></ul><ul><li>TINNITUS  aspirin toxicity </li></ul><ul><li>JOINT SWELLING  RA </li></ul><ul><li>Obesity  increase risk for OSTEOARTHRITIS </li></ul><ul><li>Ibuprofen  take it with meals or immediately after a meal </li></ul>
  38. 40. notes <ul><li>GRATING SOUND  occur in OSTEO </li></ul><ul><li>highest priority in the mgt of osteo  DIET for weight control </li></ul>
  39. 41. amputation <ul><li>Keep TORNIQUET at bedside  in case of bleeding </li></ul><ul><li>PHANTOM PAIN type of pain in amputation </li></ul><ul><li>NOTE  It is best to keep the stump elevated  in 24 hours </li></ul><ul><li>NOTE  keep PRONE for 20 minutes several times a day after 24 hours </li></ul>

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