Its Assessment and Management

1. Its Assessment & Management
 PREPARED BY: REVIEWED BY:
IRISH S. NAVARRO RN DR. DAVID HALI DE JESUS,RN, PGDIP, FISQUA
ASSOCIATE PROFESSOR, SCHOOL OF NURSING
PHILIPPINE WOMEN’S UNIVERSITY


2. Disclosure:
I HAVE NO CONFLICT OF INTEREST TO DISCLOSE CONCERNING THE PRESENTATION.

3. Objectives:
1. Understand the key aspects related to CoVid-19 emergence,
epidemiology and know measures to contain its further spread.
2. Identify and understand the role of nurses in managing
CoVid-19 patients.
3. Identify the Mental Health Challenges and Strategies to
address the impact of CoVid-19 Pandemic to a Health Care
Worker.

4. Corona Virus
Disease 2019
(CoVid-19)
Is a novel (new) strain of Corona virus
that was first identified in Wuhan, Hubei
Province, China at the end of 2019.
It is considered as very similar to many
corona viruses that transmitted from
animals to humans with course of illness
from mild to moderate or even severe
complications from high risk groups.

5. Transmission:
A CoVid-19 is a respiratory virus which spreads primarily through
contact with an infected individuals through respiratory droplets
through coughs or sneeze. It can be through saliva or nasal discharge.
It can also be transmitted by touching contaminated surfaces or objects
then touching their eyes, nose or mouth.
It is a Universal Airborne precaution to aerosol generating

6. World Health Organization announces CoVid-19 as a Pandemic (WHO; March2020)

7. CoVid 19 Case Tracker:
Global Tally: As of 13 May 2020
Confirmed Cases : 4,179,470
Confirmed Deaths: 287,525
Countries, areas or territories with confirmed cases: 215
Philippines Corona Virus cases: As of 14 May 2020
0512H
Confirmed Cases: 11,618
Confirmed Deaths: 772
Recoveries: 2,251
 Source from WHO and DOH (Philippines) As of 14
May 2020

8. Updates:
According to WHO, as of May 2020, There where no
specific vaccines or treatment for CoVid-19.
However there are many ongoing clinical trials
evaluating potential treatments. The World Health
Organization continued to provide updates as soon
as clinical findings will become available.

9. Assessment:
High Risk Groups
 Older Adults
 People who have serious chronic
medical conditions like:
• Heart Disease
• Diabetes
• Lung Disease
• Kidney Disease
• Immunocompromised

10. Signs & Symptoms
MOST COMMON
SYMPTOMS
FEVER DRY COUGH TIREDNESS

11. Signs & Symptoms
Less
Common
Symptoms
Body Aches and Pains Sore throat Diarrhea
Conjuctivitis Headache Loss of taste and smell
Skin rash or discoloration
of fingers and toes

12. Signs & Symptoms
SERIOUS
SYMPTOMS
DIFFICULTY OF BREATHING
OR SHORTNESS OF BREATH
CHEST PAIN OR PRESSURE LOSS OF SPEECH OR
MOVEMENT
*SEEK MEDICAL ATTENTION
IF SERIOUS SYMPTOMS
SHOWS.

13. Management:
There’s currently no treatment specifically
approved for COVID-19, and no cure for
an infection, although treatments and
vaccines are currently under study.
Instead, treatment focuses on managing
symptoms as the virus runs its course.

14. A Reminder:
Always
Practice
Good Hand
Hygiene

15. Treatment Used:
1. Antiviral or retroviral medications
2. Breathing support, such as
mechanical ventilation and
extracorporeal membrane oxygenation
(ECMO)
3. Steroids to reduce lung swelling
4. Blood plasma transfusions

16. Preventive Measures Works
Regularly wash you hands with
soap and running water or with
alcohol-based hand rub.
Maintain at least 1 meter (3
feet) between yourself and
others.
Avoid going to crowded places.
Avoid touching eyes, nose and
mouth.

17. Preventive Measures Works
 Clean contaminated surfaces
regularly.
 Follow good respiratory hygiene/
cough etiquette.
 Refrain from smoking
 Stay at home and self isolate
even with minor symptoms such
as cough, headache, mild fever
until recovery.
 Seek Medical Attention if with
fever, cough and difficulty of
breathing.

18. Global Healthcare is United Against Covid-19

19. My Covid-19 Encounter
 Nursing can be defined as being an advocate and being
caring with a compassionate heart.
 With this current situation of CoVid-19, we are facing a lot
of challenges from healthcare work related issues to
personal concerns pertaining to health and safety for our
love ones. It will test our beliefs in life. Hence this issues,
triggers us to believe that everything happens for a reason
and has its own purpose.
 Providing service to those who are in need without
compromising safety is greatly important and needed
today.
 We pay tribute to all the man at the frontlines who are
tirelessly working through night and day. As we said, ”Not
all heroes wear capes, most of them are at the frontlines.”
 And May the good Lord bless and guide us a we are
battling this foe. Stay Brave Fellas.

20. The Crucial Role of Nurses in containing
CoVid-19 Pandemic
 Strict adherence to infection
Control protocols and proper use
of Personal Protective Equipment
(PPE).
 Health Education and follow up
on Disease prevention measures
to control CoVid-19 for patients
and their families.

21. The Crucial Role of Nurses in containing
CoVid-19 Pandemic
 Provision and monitoring of
Clinical Pathway Guidelines for
confirmed CoVid-19 patients.
 Surveillance of Staff exposure
pathways
 Regular environmental
disinfection.

22. Mental Health Challenges for Health
care workers during CoVid-19
Pandemic
 Shortages of Personal Protection Equipment
and lack of clarity around indication for its
use.
 Isolation from family and other support.
 Fears of transmitting the virus to family and
others.
 Rapidly expanding workload with an
increasing number of suspected and
confirmed cases.
 Progressively depleted workforce due to
illness and isolation of staff.
 Lack of effective treatments for unwell
patients.
 Fear of the unknown on until when the
CoVid-19 Pandemic will be resolved.

23. Strategies to Address the Impact of CoVid-19
Pandemic on a Health Care Worker
 Reduce specific workplace stressors
1. Prepare Staff for the job and associated challenges. Avoid
false reassurances.
2. Open discussion of emotional responses, create a culture
of normalizing disclosures of vulnerability.
3. Allow reflection and discussions about emotional and
social challenges. Reaching out to vulnerable staffs.
4. A well defined and easily accessible protocols and
expectation for staff. Clear guidelines for the use of
personal protective equipment and its availability.
5. Establish an alternating shift system to allow front liners
periods of rest and rotation on high pressure roles.
6. Reduce of non-critical work activities and non-essential
administrative task.

24.  Supports for general welfare of a Health Care
Worker
1. Supplies of basic provisions such as food,
water, accommodation for temporary isolation
and other basic needs.
2. Adequate information on stress management,
identification of burnout and availability of
support systems.
3. Monitoring of staff health condition on regular
basis.
4. Specialized hotlines/ face to face programs to
provide support for staff who are experiencing
psychological distress.
5. Online courses to help the staff manage
common psychological problems.
6. Peer support programs

25. We Are
Staying at
Work for You!
Please Stay at
Home for Us!

26. References
 https://www.who.int/health-
topics/coronavirus#tab=tab_1
 https://www.cdc.gov/coronavirus/2019-
ncov/index.html
 https://www.doh.gov.ph/covid-19/case-tracker
 https://www.moph.gov.qa/english/Pages/Coronavir
us2019.aspx
Disclaimer
This presentation is intended for educational
purposes only.
As a partial requirement by PWU to complete my
MAN.
Any information presented herein does not aim to
replace individual professional judgment.