The integrated case management process is a standardized approach used to assess, classify, treat and provide follow-up care for sick children ages 1 week to 5 years who present at first-level health facilities. It involves assessing the child for symptoms and danger signs, classifying illnesses using color-coded charts, identifying and providing treatments, counseling the mother, and arranging follow-up care. The goal is to effectively manage the major causes of childhood illness and reduce mortality and morbidity.
Integrated Management of Childhood Illness (IMCI) Lalit Kumar
Integrated Management of Childhood Illness (IMCI) is a cost-effective approach
Integrated Management of Childhood Illness (IMCI) - Focuses on the child and not on the illness
Integrated Management of Childhood Illness (IMCI) Lalit Kumar
Integrated Management of Childhood Illness (IMCI) is a cost-effective approach
Integrated Management of Childhood Illness (IMCI) - Focuses on the child and not on the illness
Hypothermia occurs when the newborn’s temperature drops below 36.3°C.
The smaller or more premature the newborn is, the greater the risk of heat loss. When heat loss exceeds the newborn’s ability to produce heat, its body temperature drops below the normal range and the newborn becomes hypothermic.
Early prevention measures are vital.
postpartum period Is the period beginning immediately after the birth of a child and extending for about six weeks.
The World Health Organization (WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies; most deaths occur during the postnatal period
It is the time after birth, a time in which the mother's body, including hormone levels and uterus size, returns to a non-pregnant state.
Postpartum Nursing Physical Assessment
Physical Assessment is necessary to identify individual needs or potential problems
Explain to pt purposes of the examination.
obtain her consent.
Record your findings and report results to the mother.
Avoid exposure to body fluids.
Teach pt as you assess – use every opportunity since there is limited time.
The purpose of community diagnosis is to define existing problems, determine available resources and set priorities for planning, implementing and evaluating health action, by and for the community.
This slide contain detail description of basic terminologies, neonatal (head to toe examination) assessment, neonatal reflexes, minor physiological handicaps of newborn
The EINC initiative of the Philippine Department of Health- Non Communicable Diseases Prevention and Control-Family Health Office (DOH-NCDPC-FHO) and DOH Center for Health Promotions (NCHP), supported by the Joint Programme on Maternal and Neonatal Health (JPMNH), and being funded by AusAID, was piloted in 11 hospitals in the Philippines, and has yielded favorable results.
The recommended EINC practices during the intrapartum period include continuous maternal support by having a companion of choice during labor and delivery, freedom of movement during labor, monitoring progress of labor using the partograph, non-drug pain relief before offering labor anesthesia, position of choice during labor and delivery, spontaneous pushing in a semi-upright position, non-routine episiotomy, and active management of the third stage of labor (AMTSL).
For newborns, four core steps were recommended in a time bound sequence. A social marketing handle, “The First Embrace,” accompanied the initiative for practice change among health workers.
Integrated management of Neonatal and Childhood illness among Infants of 0 to...Dhruvendra Pandey
Integrated management of Neonatal and Childhood illness among Infants of 0 to 2 months, Difference between IMCI and IMNCI, Objective, Elements, Management of Diarrhea, Bacterial Infections, Jaundice, Hypothermia, Feeding problem, counseling of mothers, followup
Hypothermia occurs when the newborn’s temperature drops below 36.3°C.
The smaller or more premature the newborn is, the greater the risk of heat loss. When heat loss exceeds the newborn’s ability to produce heat, its body temperature drops below the normal range and the newborn becomes hypothermic.
Early prevention measures are vital.
postpartum period Is the period beginning immediately after the birth of a child and extending for about six weeks.
The World Health Organization (WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies; most deaths occur during the postnatal period
It is the time after birth, a time in which the mother's body, including hormone levels and uterus size, returns to a non-pregnant state.
Postpartum Nursing Physical Assessment
Physical Assessment is necessary to identify individual needs or potential problems
Explain to pt purposes of the examination.
obtain her consent.
Record your findings and report results to the mother.
Avoid exposure to body fluids.
Teach pt as you assess – use every opportunity since there is limited time.
The purpose of community diagnosis is to define existing problems, determine available resources and set priorities for planning, implementing and evaluating health action, by and for the community.
This slide contain detail description of basic terminologies, neonatal (head to toe examination) assessment, neonatal reflexes, minor physiological handicaps of newborn
The EINC initiative of the Philippine Department of Health- Non Communicable Diseases Prevention and Control-Family Health Office (DOH-NCDPC-FHO) and DOH Center for Health Promotions (NCHP), supported by the Joint Programme on Maternal and Neonatal Health (JPMNH), and being funded by AusAID, was piloted in 11 hospitals in the Philippines, and has yielded favorable results.
The recommended EINC practices during the intrapartum period include continuous maternal support by having a companion of choice during labor and delivery, freedom of movement during labor, monitoring progress of labor using the partograph, non-drug pain relief before offering labor anesthesia, position of choice during labor and delivery, spontaneous pushing in a semi-upright position, non-routine episiotomy, and active management of the third stage of labor (AMTSL).
For newborns, four core steps were recommended in a time bound sequence. A social marketing handle, “The First Embrace,” accompanied the initiative for practice change among health workers.
Integrated management of Neonatal and Childhood illness among Infants of 0 to...Dhruvendra Pandey
Integrated management of Neonatal and Childhood illness among Infants of 0 to 2 months, Difference between IMCI and IMNCI, Objective, Elements, Management of Diarrhea, Bacterial Infections, Jaundice, Hypothermia, Feeding problem, counseling of mothers, followup
UiPath Test Automation using UiPath Test Suite series, part 3DianaGray10
Welcome to UiPath Test Automation using UiPath Test Suite series part 3. In this session, we will cover desktop automation along with UI automation.
Topics covered:
UI automation Introduction,
UI automation Sample
Desktop automation flow
Pradeep Chinnala, Senior Consultant Automation Developer @WonderBotz and UiPath MVP
Deepak Rai, Automation Practice Lead, Boundaryless Group and UiPath MVP
Encryption in Microsoft 365 - ExpertsLive Netherlands 2024Albert Hoitingh
In this session I delve into the encryption technology used in Microsoft 365 and Microsoft Purview. Including the concepts of Customer Key and Double Key Encryption.
JMeter webinar - integration with InfluxDB and GrafanaRTTS
Watch this recorded webinar about real-time monitoring of application performance. See how to integrate Apache JMeter, the open-source leader in performance testing, with InfluxDB, the open-source time-series database, and Grafana, the open-source analytics and visualization application.
In this webinar, we will review the benefits of leveraging InfluxDB and Grafana when executing load tests and demonstrate how these tools are used to visualize performance metrics.
Length: 30 minutes
Session Overview
-------------------------------------------
During this webinar, we will cover the following topics while demonstrating the integrations of JMeter, InfluxDB and Grafana:
- What out-of-the-box solutions are available for real-time monitoring JMeter tests?
- What are the benefits of integrating InfluxDB and Grafana into the load testing stack?
- Which features are provided by Grafana?
- Demonstration of InfluxDB and Grafana using a practice web application
To view the webinar recording, go to:
https://www.rttsweb.com/jmeter-integration-webinar
Software Delivery At the Speed of AI: Inflectra Invests In AI-Powered QualityInflectra
In this insightful webinar, Inflectra explores how artificial intelligence (AI) is transforming software development and testing. Discover how AI-powered tools are revolutionizing every stage of the software development lifecycle (SDLC), from design and prototyping to testing, deployment, and monitoring.
Learn about:
• The Future of Testing: How AI is shifting testing towards verification, analysis, and higher-level skills, while reducing repetitive tasks.
• Test Automation: How AI-powered test case generation, optimization, and self-healing tests are making testing more efficient and effective.
• Visual Testing: Explore the emerging capabilities of AI in visual testing and how it's set to revolutionize UI verification.
• Inflectra's AI Solutions: See demonstrations of Inflectra's cutting-edge AI tools like the ChatGPT plugin and Azure Open AI platform, designed to streamline your testing process.
Whether you're a developer, tester, or QA professional, this webinar will give you valuable insights into how AI is shaping the future of software delivery.
Key Trends Shaping the Future of Infrastructure.pdfCheryl Hung
Keynote at DIGIT West Expo, Glasgow on 29 May 2024.
Cheryl Hung, ochery.com
Sr Director, Infrastructure Ecosystem, Arm.
The key trends across hardware, cloud and open-source; exploring how these areas are likely to mature and develop over the short and long-term, and then considering how organisations can position themselves to adapt and thrive.
Essentials of Automations: Optimizing FME Workflows with ParametersSafe Software
Are you looking to streamline your workflows and boost your projects’ efficiency? Do you find yourself searching for ways to add flexibility and control over your FME workflows? If so, you’re in the right place.
Join us for an insightful dive into the world of FME parameters, a critical element in optimizing workflow efficiency. This webinar marks the beginning of our three-part “Essentials of Automation” series. This first webinar is designed to equip you with the knowledge and skills to utilize parameters effectively: enhancing the flexibility, maintainability, and user control of your FME projects.
Here’s what you’ll gain:
- Essentials of FME Parameters: Understand the pivotal role of parameters, including Reader/Writer, Transformer, User, and FME Flow categories. Discover how they are the key to unlocking automation and optimization within your workflows.
- Practical Applications in FME Form: Delve into key user parameter types including choice, connections, and file URLs. Allow users to control how a workflow runs, making your workflows more reusable. Learn to import values and deliver the best user experience for your workflows while enhancing accuracy.
- Optimization Strategies in FME Flow: Explore the creation and strategic deployment of parameters in FME Flow, including the use of deployment and geometry parameters, to maximize workflow efficiency.
- Pro Tips for Success: Gain insights on parameterizing connections and leveraging new features like Conditional Visibility for clarity and simplicity.
We’ll wrap up with a glimpse into future webinars, followed by a Q&A session to address your specific questions surrounding this topic.
Don’t miss this opportunity to elevate your FME expertise and drive your projects to new heights of efficiency.
Securing your Kubernetes cluster_ a step-by-step guide to success !KatiaHIMEUR1
Today, after several years of existence, an extremely active community and an ultra-dynamic ecosystem, Kubernetes has established itself as the de facto standard in container orchestration. Thanks to a wide range of managed services, it has never been so easy to set up a ready-to-use Kubernetes cluster.
However, this ease of use means that the subject of security in Kubernetes is often left for later, or even neglected. This exposes companies to significant risks.
In this talk, I'll show you step-by-step how to secure your Kubernetes cluster for greater peace of mind and reliability.
Dev Dives: Train smarter, not harder – active learning and UiPath LLMs for do...UiPathCommunity
💥 Speed, accuracy, and scaling – discover the superpowers of GenAI in action with UiPath Document Understanding and Communications Mining™:
See how to accelerate model training and optimize model performance with active learning
Learn about the latest enhancements to out-of-the-box document processing – with little to no training required
Get an exclusive demo of the new family of UiPath LLMs – GenAI models specialized for processing different types of documents and messages
This is a hands-on session specifically designed for automation developers and AI enthusiasts seeking to enhance their knowledge in leveraging the latest intelligent document processing capabilities offered by UiPath.
Speakers:
👨🏫 Andras Palfi, Senior Product Manager, UiPath
👩🏫 Lenka Dulovicova, Product Program Manager, UiPath
GenAISummit 2024 May 28 Sri Ambati Keynote: AGI Belongs to The Community in O...
IMCI
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2. INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS INTRODUCTION Pneumonia, diarrhea, dengue hemorrhagic fever, malaria, measles and malnutrition cause more than 70% of the deaths in children under 5 years of age. All these are preventable diseases in which when managed and treated early could have prevented these deaths. There are feasible and effective ways that health worker in health centers can care for children with these illnesses and prevent most of these deaths. WHO and UNICEF used updated technical findings to describe management of these illnesses in a set of integrated guidelines for each illness. They then developed this protocol to teach the integrated case management process to health worker who see sick children and know which problems are most important to treat. Therefore, effective case management needs to consider all of a child’s symptoms.
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6. The CASE MANAGEMENT PROCESS is used to assess and classify two age groups : age 1 week up to 2 months age 2 months up to 5 years And how to use the process shown on the chart will help us to identify signs of serious disease such pneumonia, diarrhea, malaria, measles, DHF, meningitis, malnutrition and anemia.
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8. THE CLASSIFICATION TABLE The classification tables on the assess and classify have 3 ROWS . COLOR of the row helps to IDENTIFY RAPIDLY whether the child has a SERIOUS DISEASE requiring URGENT ATTENTION.
17. SUMMARY OF THE INTEGRATED CASE MANAGEMENT PROCESS For all sick children age 1 week up to 5 years who are brought to a first-level health facility ASSESS the child: Check for danger signs (or possible bacterial infection). Ask about main symptoms. If a main symptom is reported, assess further. Check nutrition and immunization status. Check for other problems . CLASSIFY the child’s illnesses : Use a colour-coded triage system to classify the child’s main symptoms and his or her nutrition or feeding status. IF URGENT REFERRAL is needed and possible IF NO URGENT REFERRAL isneeded or possible IDENTIFY URGENT PRE-REFERRAL TREATMENT(S) needed for the child’s classifications. . IDENTIFY TREATMENT needed for the child’s classifications: Identify specific medical treatments and/or advice. TREAT THE CHILD: Give urgent pre-referral treatment (s) needed. TREAT THE CHILD: Give the first dose of oral drugs in the clinic and/or advise the child’s caretaker. Teach the caretaker how to give oral drugs and how to treat local infections at home. If needed, give immunizations. REFER THE CHILD: Explain to the child’s caretaker the need for referral. Calm the caretaker’s fears and help resolve any problems. Write a referral note. Give instructions and supplies needed to care for the child on the way to the hospital. COUNSEL THE MOTHER : Assess the child’s feeding, including breastfeeding practices, and solve feeding problems, if present. Advise about feeding and fluids during illness and about when to return to a health facility. Counsel the mother about her own health. FOLLOW-UP care: Give follow-up care when the child returns to the clinic and,if necessary, reassess the child for new problems.
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30. SELECTING THE APPROPRIATE CASE MANAGEMENT CHARTS FOR ALL SICK CHILDREN age 1 week up to 5 years who are brought to the clinic ASK THE CHILD’S AGE IF the child is from 1 week up to 2 months IF the child is from 2 months up to 5 years USE THE CHART: œ ASSESS, CLASSIFY AND TREAT THE SICK YOUNG INFANT USE THE CHART: œ ASSESS AND CLASSIFY THE SICK CHILD TREAT THE CHILD COUNSEL THE MOTHER
31. THE SICK CHILD AGE 2 MONTHS TO 5 YEARS: ASSESS AND CLASSIFY
32. Ask the mother or caretaker about the child’s problem. If this is an INITIAL VISIT for the problem, follow the steps below. (If this is a follow-up visit for the problem, give follow-up care according to PART VII) Check for general danger signs. Ask the mother or caretaker about the four When a main symptom is present: main symptoms: œ assess the child further for signs related to œ cough or difficult breathing, the main symptom, and œ diarrhoea, œ classify the illness according to the signs œ fever, and œ ear problem which are present or absent. Check for signs of malnutrition and anaemia and classify the child’s nutritional status Check the child’s immunization status and decide if the child needs any immunizations today. Assess any other problems. Then : Identify Treatment (PART IV), Treat the Child (PART V), and Counsel the Mother (PART VI) SUMMARY OF ASSESS AND CLASSIFY
33. SUMMARY OF ASSESS AND CLASSIFY Ask the mother or caretaker about the 4 main symptoms: cough or difficult breathing diarrhoea fever, and ear problem When a main symptom is present: Assess the child further for signs related to the main symptom, and Classify the illness according to the signs which are present or absent
34. FOR ALL SICK CHILDREN AGE 2 MONTHS UP TO 5 YEARS WHO ARE BROUGHT TO THE CLINIC GREET the mother appropriately and ask about her child. LOOK to see if the child’s weight and temperature have been recorded ASK the mother what the child’s problems are DETERMINE if this is an initial visit or a follow-up visit for this problem IF this is an INITIAL VISIT for the problem ASSESS and CLASSIFY the child following the guidelines in this part of the handbook (PART II) GIVE FOLLOW-UP CARE according to the guidelines in PART VII of this handbook When a child is brought to the clinic IF this is a FOLLOW-UP VISIT for the problem Use Good Communication skills: (see also Chapter 25) — Listen carefully to what the mother tells you . — Use words the mother understands — Give the mother time to answer the questions . ---Ask additional questions when the mother is not sure about her answer . Record Important Information
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36. GENERAL DANGER SIGNS For ALL sick children ask the mother about the child’s problem, then CHECK FOR GENERAL DANGER SIGNS CHECK FOR GENERAL DANGER SIGNS A child with any general danger sign needs URGENT attention; complete the assessment and any pre-referral treatment immediately so referral is not delayed ASK: LOOK: Is the child able to drink or breastfeed? See if the child is lethargic or unconscious Does the child vomit everything? Is the child had convulsions? Make sure that a child with any danger sign is referred after receiving urgent pre-referral treatment. Then ASK about main symptoms: cough and difficult breathing, diarrhoea, fever, ear problems. CHECK for malnutrition and anaemia, immunization status and for other problems.
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41. Diarrhea For ALL sick children ask the mother about the child’s problem, check for general danger signs, ask about cough or difficult breathing and then ASK: DOES THE CHILD HAVE DIARRHEA? If NO If YES Does the child have diarrhea? IF YES, ASK: LOOK, LISTEN, FEEL: œ For how long? œ Look at the child’s general condition. Is the child: œ Is there blood in the stool Lethargic or unconscious? Restless or irritable? œ Look for sunken eyes. œ Offer the child fluid. Is the child: Not able to drink or drinking poorly? Drinking eagerly, thirsty? œ Pinch the skin of the abdomen. Does it go back: Very slowly (longer than 2 seconds)? Slowly? CLASSIFY the child’s illness using the colour-coded classification tables for diarrhea. Then ASK about the next main symptoms: fever, ear problem, and CHECK for malnutrition and anaemia, immunization status and for other problems. Classify DIARRHEA
47. Fever For ALL sick children ask the mother about the child’s problem, check for general danger signs, ask about cough or difficult breathing, diarrhoea and then ASK: DOES THE CHILD HAVE FEVER? If NO If YES Does the child have fever? ( by history or feels hot or temperature 37.5 C** or above) IF YES: Decide the Malaria Risk: high or low THEN ASK: LOOK AND FEEL: œ For how long? œ Look or feel for stiff neck. œ If more than 7 days, has œ Look for runny nose. fever been present every day? Look for signs of MEASLES œ Has the child had measles within the last 3 months? œ Generalized rash and œ One of these: cough, runny nose, or red eyes. If the child has measles now or œ Look for mouth ulcers. within the last 3 months: Are they deep and extensive? œ Look for pus draining from the eye. œ Look for clouding of the cornea. CLASSIFY the child’s illness using the colour-coded classification tables for fever. Then ASK about the next main symptom: ear problem, and CHECK for malnutrition and anaemia, immunization status and for other problems.
59. Immunization Status THEN CHECK THE CHILD’S IMMUNIZATION STATUS For ALL sick children ask the mother about the child’s about cough or difficult breathing, diarrhoea, fever, ear problem, and then check for malnutrition and anaemia and CHECK IMMUNIZATION STATUS. OPV-0 OPV-1 OPV-2 OPV-3 VACCINE BCG DPT-1 DPT-2 DPT-3 Measles AGE Birth 6 weeks 10 weeks 14 weeks 9 months IMMUNIZATION SCHEDULE: DECIDE if the child needs an immunization today, or if the mother should be told to come back with the child at a later date for an immunization. Note: Remember there are no contraindications to immunization of a sick child if the child is well enough to go home. Then CHECK for other problems.
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62. THE SICK YOUNG INFANT AGE 1 WEEK UP TO 2 MONTHS: ASSESS AND CLASSIFY
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66. For ALL sick young infants check for signs of possible bacterial infection and then ASK: DOES THE YOUNG INFANT HAVE DIARRHOEA? IF YES: ASSESS AND CLASSIFY the young infant’s diarrhoea using the DIARRHOEA box in the YOUNG INFANT chart. The process is very similar to the one used for the sick child (see Chapter 8). Then CHECK for feeding problem or low weight, immunization status and other problems. How to assess and classify a young infant for diarrhea?
67. For ALL sick young infants check for signs of possible bacterial infection, ask about diarrhoea and then CHECK FOR FEEDING PROBLEM OR LOW WEIGHT . THEN CHECK FOR FEEDING PROBLEM OR LOW WEIGHT ASK: LOOK, LISTEN, FEEL: œ Is there any difficulty feeding? œ Determine weight for age. œ Is the infant breastfed? If yes,how many times in 24 hours? œ Does the infant usually receive any other foods or drinks? If yes, how often? œ What do you use to feed the infant? IF AN INFANT: Has any difficulty feeding, Is breastfeeding less than 8 times in 24 hours, Is taking any other foods or drinks, or Is low weight for age, AND Has no indications to refer urgently to hospital: ASSESS BREASTFEEDING: œ Has the infant If the infant has not fed in the previous hour, ask the mother to put her breastfed in the infant to the breast. Observe the breastfeed for 4 minutes. previous hour? (If the infant was fed during the last hour, ask the mother if she can wait and tell you when the infant is willing to feed again.) œ Is the infant able to attach? no attachment at all not well attached good attachment TO CHECK ATTACHMENT, LOOK FOR: — Chin touching breast — Mouth wide open — Lower lip turned outward — More areola visible above then below the mouth (All these signs should be present if the attachment is good.) Is the infant suckling effectively (that is, slow deep sucks, sometimes pausing)? no suckling at all not suckling effectively suckling effectively Clear a blocked nose if it interferes with breastfeeding. œ Look for ulcers or white patches in the mouth (thrush). CLASSIFY the infant’s nutritional status using the colour-coded classification table for feeding problem or low weight. Then CHECK immunization status and for other problems.
70. How will you prepare the ORS solution? Do you remember how to mix the ORS? GOOD CHECKING QUESTIONS POOR QUESTIONS How often should you breastfeed your child? Should you breastfeed your child? On what part of the eye do you apply Have you used ointment on your child the ointment? before? How much extra fluid will you give after each Do you know how to give extra loose stool? fluids? Why is it important for you to wash your hands? Will you remember to wash your hands?
74. FOLLOW-UP VISIT TABLE IN THE COUNSEL THE MOTHER CHART 30 days LOW WEIGHT FOR AGE 14 days PALOR VERY 5 days PERSISTENT DIARRHOEA ACUTE EAR INFECTION CHRONIC EAR INFECTION FEEDING PROBLEM ANY OTHER ILLNESS, if not improving 2 days PNEUMONIA DYSENTERY MALARIA, if fever persists FEVER—MALARIA UNLIKELY, if fever persists MEASLES WITH EYE OR MOUTH COMPLICATIONS Return for follow-up in: If the child has:
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77. TREAT Return for follow-up on _________________ Give any immunization/s needed today.
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80. TREAT Return for follow-up on ______________ Advise mother when to return immediately. Give any immunization/s needed today. Feeding Advice