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Bag Technique
Breastfeeding or Lactation Management Education Training
Communicable Disease (Vector Borne)
Communicable Diseases (Chronic)
Control of Acute Respiratory Infections (CARI)
Control of Diarrheal Diseases (CDD)
Expanded Program for Immunization (EPI)
Herbal Medicine Plants Approved by the DOH
Integrated Management of Childhood Illnesses (IMCI)
Management of a Child with an Ear Problem
Maternal and Child Health Nursing Program
nursing procedures with ease and deftness, saving time and effort with the end in view of rendering effective nursing care.
Public health bag – is an essential and indispensable equipment of the public health nurse which he/she has to carry
along when he/she goes out home visiting. It contains basic medications and articles which are necessary for giving care.
Rationale
To render effective nursing care to clients and /or members of the family during home visit.
Principles
1. The use of the bag technique should minimize if not totally prevent the spread of infection from individuals to families, hence, to the
community.
2. Bag technique should save time and effort on the part of the nurse in the performance of nursing procedures.
3. Bag technique should not overshadow concern for the patient rather should show the effectiveness of total care given to an individual
or family.
4. Bag technique can be performed in a variety of ways depending upon agency policies, actual home situation, etc., as long as principles
of avoiding transfer of infection is carried out.
Steps/Procedures
Actions Rationale
2. Ask for a basin of water and a glass of water if faucet is not To be used for handwashing.
available. Place these outside the work area. To protect the work field from being wet.
3. Open the bag, take the linen/plastic lining and spread over
work field or area. The paper lining, clean side out (folded part
out). To make a non-contaminated work field or area.
4. Take out hand towel, soap dish and apron and the place
them at one corner of the work area (within the confines of the
linen/plastic lining). To prepare for handwashing.
6. Put on apron right side out and wrong side with crease
touching the body, sliding the head into the neck strap. Neatly
tie the straps at the back. To protect the nurses’ uniform. Keeping the crease creates aesthetic appearance
7. Put out things most needed for the specific case (e.g.)
thermometer, kidney basin, cotton ball, waste paper bag) and
place at one corner of the work area. To make them readily accessible.
8. Place waste paper bag outside of work area. To prevent contamination of clean area.
9. Close the bag. To give comfort and security, maintain personal hygiene and hasten recovery.
10. Proceed to the specific nursing care or treatment. To prevent contamination of bag and contents.
13. Open the bag and put back all articles in their proper
places.
14. Remove apron folding away from the body, with soiled
sidefolded inwards, and the clean side out. Place it in the bag.
15. Fold the linen/plastic lining, clean; place it in the bag and
close the bag.
17. Make appointment for the next visit (either home or clinic),
taking note of the date, time and purpose. For follow-up care.
After Care
1. Before keeping all articles in the bag, clean and alcoholize them.
2. Get the bag from the table, fold the paper lining ( and insert), and place in between the flaps and cover the bag.
1. Record all relevant findings about the client and members of the family.
2. Take note of environmental factors which affect the clients/family health.
3. Include quality of nurse-patient relationship.
4. Assess effectiveness of nursing care provided.
Breastfeeding or Lactation Management
Education Training
Introduction
Breastfeeding practices has been proved to be very beneficial to both mother and baby thus the creation of the following
Executive Order 51
Republic Act 7600
The Rooming-In and Breastfeeding Act of 1992
a. EO 51 THE MILK CODE – protection and promotion of breastfeeding to ensure the safe and adequate nutrition of
infants through regulation of marketing of infant foods and related products. (e.g. breast milk substitutes, infant formulas,
An act providing incentives to government and private health institutions promoting and practicing rooming-in and breast-feeding.
Provision for human milk bank.
Information, education and re-education drive
Sanction and Regulation
Advantages of Breastfeeding:
Mother
Baby
Provides Antibodies
Contains Lactoferin (binds with Iron)
Leukocytes
Contains Bifidus factorpromotes growth of the Lactobacillusinhibits the growth of pathogenic bacilli
ECONOMICAL
ANTIBODIES PRESENT
EMOTIONALLY BONDING
DIGESTED EASILY
IMMEDIATELY AVAILABLE
NUTRITIONALLY OPTIMAL
GASTROENTERITIS GREATLY REDUCED
Communicable Disease (Vector Borne)
Leptospirosis (Weil’s disease)
An infectious disease that affects humans and animals, is considered the most common zoonosis in the world
Causative Agent:
Leptospira interrogans
Sign/Symptoms:
High fever
Chills
Vomiting
Red eyes
Diarrhea
Severe headache
muscle aches
may include jaundice (yellow skin and eyes)
abdominal pain
Treatment:
Malaria
Malaria (from Medieval Italian: mala aria – “bad air”; formerly called ague or marsh fever) is an infectious disease that is widespread
in many tropical and subtropical regions.
Causative Agent:
Treatment:
Chemoprophylaxis – chloroquine taken at weekly interval, starting from 1-2 weeks before entering the endemic area.
Anti-malarial drugs – sulfadoxine, quinine sulfate, tetracycline, quinidine
Insecticide treatment of mosquito nets, house spraying, stream seeding and clearing, sustainable preventive and vector control meas
Filariasis
name for a group of tropical diseases caused by various thread-like parasitic round worms (nematodes) and their larvae
larvae transmit the disease to humans through a mosquito bite
can progress to include gross enlargement of the limbs and genitalia in a condition called elephantiasis
Sign/Symptoms:
Asymptomatic Stage
Acute Stage
Chronic Stage
Management:
Diethylcarbamazine citrate or Hetrazan
Ivermectin,
Albendazolethe
No treatment can reverse elephantiasis
Schistosomiasis
Causative Agent:
Preventive measures
health education regarding mode of transmission and methods of protection; proper disposal of feces and urine; improvement of
irrigation and agriculture practices
Control of patient, contacts and the immediate environment
Treatment:
Diethylcarbamazepine citrate (DEC) or Praziquantel (drug of choice)
Dengue
DENGUE is a mosquito-borne infection which in recent years has become a major international public health concern..
It is found in tropical and sub-tropical regions around the world, predominantly in urban and semi-urban areas.
Sign/Symptoms: (VLINOSPARD)
Vomiting
Low platelet
Nausea
Onset of fever
Severe headache
Pain of the muscle and joint
Abdominal pain
Rashes
Diarrhea
Treatment:
The mainstay of treatment is supportive therapy.
Intravenous fluids
A platelet transfusion
Causative Agent:
Mycobacterium Tuberculosis
Sign/Symptoms:
cough
afternoon fever
weight loss
night sweat
blood stain sputum
Prevalence/Incidence:
ranks sixth in the leading causes of morbidity (with 114,221 cases) in the Philippines
Sixth leading cause of mortality (with 28507 cases) in the Philippines.
Preventing Tuberculosis
BCG vaccination
Adequate rest
Balanced diet
Fresh air
Adequate exercise
Good personal Hygiene
Leprosy
Prevalence Rate
Metro Manila, the prevalence rate ranged from 0.40 – 3.01 per one thousand population.
Management:
Dapsone, Lamprene
clofazimine and rifampin
Multi-Drug-Therapy (MDT)
six month course of tablets for the milder form of leprosy and two years for the more severe form
1. No chest in drawing
2. No fast breathing ( <2 mos. – <60/min,2-12 mos. – less than 50 per minute; 12 mos. – 5 years – less than 40 per minute)
Treatment:
Home Care:
2. Increase Fluids
3. Soothe the throat and relieve the cough with a safe remedy
4. Watch for the following signs and symptoms and return quickly if they occur
B. Pneumonia
1. No chest in drawing
2. Fast breathing (less than 2 mos- 60/min or more ; 2-12 mos. – 50/min or more; 12 mos. – 5 years – 40/min or more)
Treatment
C. Severe Pneumonia
1. Chest indrawing
2. Nasal flaring
3. Grunting ( short sounds made with the voice)
4. Cyanosis
Treatment
Treatment
Look, Listen
3. Look and listen for stridor. Stridor occurs when there is a narrowing of the larynx, trachea or epiglottis which interferes
Control of Diarrheal
Diseases (CDD)
Management of the Patient with Diarrhea
A. No Dehydration
Condition – well, alert
Mouth and Tongue – moist
Eyes – normal
Thirst – drinks normally, not thirsty
Tears – present
Skin pinch – goes back quickly
TREATMENT PLAN A- HOME Treatment.
Oresol Treatment
Age Amount of ORS to give after each loose stool Amount of ORS to provide for use at home
B. Some Dehydration
Condition – restless, irritable
Mouth and Tongue – dry
Eyes – sunken
Thirst – thirsty, drinks eagerly
Tears – absent
Skin pinch – goes back slowly
WEIGH PT, TTT. PLAN B
C. Severe Dehydration
Condition – lethargic or unconscious; floppy
Eyes – very sunken and dry
Tears – absent
Mouth and tongue – very dry
Thirst- drinks poorly or not able to drink
Skin pinch – goes back very slowly
Treatment PLAN C- treat quickly
1. Bring pt. to hospital
2. IVF – Lactated Ringers Solution or Normal Saline
3. Re-assess pt. Every 1-2 hrs
4. Give ORS as soon as the pt. can drink
Role of Breastfeeding in the Control of Diarrheal Diseases Program
Breastfeeding
1. Risk of severe diarrhea 10-30x higher in bottle fed infants than in breastfed infants.
2. Advantages of breastfeeding in relation to CDD
3. Breastfeeding decreases incidence rate by 8-20% and mortality by 24- 27% in infants under 6 months of age.
4. When to wean?
Exclusive breastfeeding for the first 4-6 months of life and partially for at least one year.
Improved weaning practices
handwashing
use of latrines
proper disposal of stools of young children
4. Measles immunization
Expanded Program for Immunization
(EPI)
Principles of EPI
1. Epidemiological situation
2. Mass approach
3. Basic Health Service
Target Setting
Objectives of EPI
To reduce morbidity and mortality rates among infants and children from six childhood immunizable disease
Elements of EPI
Target Setting
Cold chain Logistic Management- Vaccine distribution through cold chain is designed to ensure that the vaccines were maintained
under proper environmental condition until the time of administration.
Information, Education and Communication (IEC)
Assessment and evaluation of Over-all performance of the program
Surveillance and research studies
Administration of vaccines
Freeze dried
Infant- 0.05ml
Live attenuated
BCG (Bacillus Calmette Guerin) bacteria Preschool-0.1ml 1 ID
DT- weakened toxin
DPT (Diphtheria Pertussis
Tetanus) P-killed bacteria liquid-0.5ml 3 IM
Schedule of Vaccines
BCG is given at the earliest possible age protects against the possibility of TB
BCG At birth infection from the other family members
DPT 6 weeks 4 weeks An early start with DPT reduces the chance of severe pertussis
OPV 6weeks 4weeks The extent of protection against polio is increased the earlier OPV is given.
9m0s.-
Measles 11m0s. At least 85% of measles can be prevented by immunization at this age.
There is no contraindication to immunization except when the child is immunosuppressed or is very, very ill (but not slight fever or
cold). Or if the child experienced convulsions after a DPT or measles vaccine, report such to the doctor immediately.
Malnutrition is not a contraindication for immunizing children rather; it is an indication for immunization since common childhood
diseases are often severe to malnourished children.
Cold Chain is a system used to maintain potency of a vaccine from that of manufacture to the time it is given to child or pregnant
woman.
The allowable timeframes for the storage of vaccines at different levels are:
6months- Regional Level
3months- Provincial Level/District Level
1month-main health centers-with ref.
Not more than 5days- Health centers using transport boxes.
Most sensitive to heat: Freezer (-15 to -25 degrees C)
OPV
Measles
Sensitive to heat and freezing (body of ref. +2 to +8 degrees Celsius)
BCG
DPT
Hepa B
TT
Use those that will expire first, mark “X”/ exposure, 3rd- discard,
Transport-use cold bags let it stand in room temperature for a while before storing DPT.
Half life packs: 4hours-BCG, DPT, Polio, 8 hours-measles, TT, Hepa B.
FEFO (“first expiry and first out”) – vaccine is practiced to assure that all vaccines are utilized before the expiry date. Proper
arrangement of vaccines and/or labeling of vaccines expiry date are done to identify those near to expire vaccines.
Herbal Medicine Plants Approved by the
DOH
Asthma, Cough & Fever – Decoction ( Boil raw fruits or leaves in 2 glasses of water for 15 minutes)Dysentery, Colds & Pain –
Decoction ( Boil a handful of leaves & flowers in water to produce a glass, three times a day)
Skin diseases (dermatitis, scabies, ulcer, eczema) -Wash & clean the skin/wound with the decoction
Headache – Crush leaves may be applied on the forehead
Rheumatism, sprain, contusions, insect bites – Pound the leaves and apply on affected area
Akapulko
(Cassia alata L.)
Goal
By 2010, to reduce the infant and under five mortality rate at least one third, in pursuit of the goal of reducing it by two thirds by
2015.
Aim
To reduce death, illness and disability, and to promote improved growth and development among children under 5 years of age.
IMCI includes both preventive and curative elements that are implemented by families and communities as well as by health
facilities.
IMCI Objectives
To reduce significantly global mortality and morbidity associated with the major causes of disease in children
To contribute to the healthy growth & development of children
**For many sick children a single diagnosis may not be apparent or appropriate
Presenting complaint:
Cough and/or fast breathing
Lethargy/Unconsciousness
Measles rash
“Very sick” young infant
Respiratory infections can occur in any part of the respiratory tract such as the nose, throat, larynx, trachea, air passages or lungs.
Remember:
** If the child is 2 months up to 12 months the child has fast breathing if you count 50 breaths per minute or more
** If the child is 12 months up to 5 years the child has fast breathing if you count 40 breaths per minute or more.
Color Coding
YELLOW
PINK (Treatment at outpatient health GREEN
(URGENT REFERRAL) facility) (Home management)
HOME
OUTPATIENT HEALTH FACILITY
OUTPATIENT HEALTH FACILITY Caretaker is counseled on:
Treat local infection Home treatment/s
Pre-referral treatments Give oral drugs Feeding and fluids
Advise parents Advise and teach caretaker When to return immediately
Refer child Follow-up Follow-up
Classify DYSENTERY
Child with diarrhea and blood in the stool
If child has no other severe classification:
Give fluid for severe dehydration ( Plan C ) OR
If child has another severe classification :
Two of the following signs? Refer URGENTLY to hospital with mother giving frequent sips of
Abnormally sleepy or difficult to awaken ORS on the way
Sunken eyes Advise the mother to continue breastfeeding
Not able to drink or drinking poorly SEVERE DEHYDRATION If child is 2 years or older and there is cholera in your area, give
Skin pinch goes back very slowly antibiotic for cholera
Two of the following signs : Give fluid and food for some dehydration ( Plan B )
If child also has a severe classification :
Restless, irritable Refer URGENTLY to hospital with mother giving frequent sips of
Sunken eyes ORS on the way
Drinks eagerly, thirsty SOME DEHYDRATION Advise mother when to return immediately
Skin pinch goes back slowly Follow up in 5 days if not improving
Home Care
Give fluid and food to treat diarrhea at home ( Plan A )
Not enough signs to classify as some or NO DEHYDRATION Advise mother when to return immediately
severe dehydration Follow up in 5 days if not improving
PERSISTENT DIARRHEA Advise the mother on feeding a child who has persistent diarrhea
No dehydration Give Vitamin A
Follow up in 5 days
**Decide:
Malaria Risk
No Malaria Risk
Measles
Dengue
Malaria Risk
Give first dose of quinine ( under medical supervision or if a hospital is not
accessible within 4hrs )
Give first dose of an appropriate antibiotic
VERY SEVERE FEBRILE Treat the child to prevent low blood sugar
Give one dose of paracetamol in health center for high fever (38.5oC) or abov
Any general danger sign or DISEASE / MALARIA Send a blood smear with the patient
Stiff neck Refer URGENTLY to hospital
Blood smear ( + )
If blood smear not done: Treat the child with an oral antimalarial
Give one dose of paracetamol in health center for high fever (38.5oC) or abov
NO runny nose, and Advise mother when to return immediately
NO measles, and MALARIA Follow up in 2 days if fever persists
NO other causes of fever If fever is present everyday for more than 7 days, refer for assessment
Blood smear ( – ), or Give one dose of paracetamol in health center for high fever (38.5oC) or abov
Runny nose, or FEVER : MALARIA Advise mother when to return immediately
Measles, or Other causes of UNLIKELY Follow up in 2 days if fever persists
fever If fever is present everyday for more than 7 days, refer for assessment
No Malaria Risk
Give first dose of an appropriate antibiotic
Treat the child to prevent low blood sugar
VERY SEVERE FEBRILE Give one dose of paracetamol in health center for high fever (38.5 oC) or
Any general danger sign or DISEASE above
Stiff neck Refer URGENTLY to hospital
Give one dose of paracetamol in health center for high fever (38.5 oC) or
above
Advise mother when to return immediately
No signs of very severe febrile FEVER : NO MALARIA Follow up in 2 days if fever persists
disease If fever is present everyday for more than 7 days, refer for assessment
Measles
Give Vitamin A
Clouding of cornea or SEVERE COMPLICATED MEASLES Give first dose of an appropriate antibiotic
Deep or extensive mouth ulcers If clouding of the cornea or pus draining from the eye, apply
tetracycline eye ointment
Refer URGENTLY to hospital
Dengue Fever
Bleeding from nose or gums or
Bleeding in stools or vomitus or
Black stools or vomitus or
Skin petechiae or If skin petechiae or Tourniquet test,are the only positive signs
Cold clammy extremities or give ORS
Capillary refill more than 3 seconds or If any other signs are positive, give fluids rapidly as in Plan C
Abdominal pain or SEVERE DENGUE Treat the child to prevent low blood sugar
Vomiting HEMORRHAGIC FEVER DO NOT GIVE ASPIRIN
Tourniquet test ( + ) Refer all children Urgently to hospital
CHRONIC EAR
Pus seen draining from the ear and discharge is reported for less than 14 INFECTION Dry the ear by wicking
days Follow up in 5 days
NO EAR INFECTION
No ear pain and no pus seen draining from the ear No additional treatment
kg ) 1/2 5 ml 1/2 5 ml
) 1 7.5 ml 1 10 ml
B. For Dysentery
AMOXYCILLIN
SYRUP 250MG/5ML
2 – 4 months
5 ml
( 10 – 19 kg ) 7.5 ml
C. For Cholera
TETRACYCLINE COTRIMOXAZOLE
Primaquine
Primaquine
CHOLOROQUINE
Give single
5months ½ ½ ½ ¼
5 months –
12 months ½ ½ ½ 1/2
12months –
3 years old
1 1 ½ ½ ¼ ¾
3 years old –
GIVE VITAMIN A
GIVE IRON
Iron Syrup
Iron/Folate Tablet FeSo4 150 mg/5ml
AGE or WEIGHT FeSo4 200mg + 250mcg Folate (60mg elemental iron) (6mg elemental iron per ml )
2months-4months
(4 – <6kg ) 2.5 ml
4months – 12months
(6 – <10kg ) 4 ml
GIVE MEBENDAZOLE
Goals
To ensure that expectant mother and nursing mother maintain good health, learn the art of child care, has a normal delivery and
bear healthy children
That every child lives and grows up in a family unit with love and security, in healthy surroundings, receives adequate nourishment,
health supervision and efficient medical attention and is taught the elements of healthy living
Risk Factors
145 cm tall (4 ft & 9 inches)
Below 18 yrs old, above 35 yrs old
Have had 4 pregnancies
With TB, goiter, heart disease, DM, bronchial asthma, severe anemia
Last baby born was less than 2 years ago
Previous cesarian section delivery
History of 2 or more abortions, difficult delivery, given birth to twins, 2 or more babies born before EDD, stillbirth
Weighs less than 45 kgs. or more than 80 kgs.
Danger Signs
1. any type of vaginal bleeding
2. headache, dizziness, blurred vision
3. puffiness of face and hands
4. pallor
Prenatal Care
Schedule of Visits
1st – as early as pregnancy, 1st trimester
2nd – 2nd trimester
3rd & subsequent visits – 3rd trimester
More frequent visits for those at risk with complications
As early as possible
TT1 during pregnancy 0% None
Infants born to the mother will be protected from neonatal tetanus. Gives 3 years protection
TT2 At least 4 weeks later 80% for the mother from the tetanus.
TT3 At least 6 months later 90% Gives 5 years protection for the mother.
TT4 At least 1 year later 99% Gives 10 years protection for the mother
TT5 At least 1 year later 99% Gives lifetime protection for the mothers. All Infants born to that mother will be protected.
Dose: 0.5ml
Route: Intramuscular
Cardiovascular Disease
Period of Life Type of CVD Prevalence
At birth to early childhood Congenital Heart Disease 2/ 1000 school children (aged 5-15 yrs. old)
Early to late childhood Rheumatic Fever/ Rheumatic Heart Disease 1/1000 school children (aged 5-15 yrs. old)
Middle age to old age Coronary Artery Disease Cerebrovascular Accident 5/100 adults
Cardiovascular Disease
Diseases Causes/ Risk factors
Congenital Heart Disease Maternal Infections, Drug intake, Maternal Disease, Genetic
Cerebrovascular Accident
(Stroke) Hypertension, Arteriosclerosis
Primary Prevention: CVD
Disease Primordial Specific Protection
Rheumatic Heart Disease Prevention of recurrent sore throat thru adequate environmental Identification of cases of rheumatic fever
sanitation; avoidance of overcrowding; adequate treatment Prophylaxis with penicillin or erythromyc
cessation of smoking
control /treatment of diabetes,
Coronary Heart Disease Prevention of development/ acquisition of risk factors hypertension
cigarette smoking weight reduction
(Heart Attack) high fat intake change to proper diet
high salt intake Adjustment of activities
Cerebrovascular Accident
(Stroke) all measures to control hypertension &
all measures to prevent hypertension & arteriosclerosis progression of arteriosclerosis
Primary Prevention thru health education is the main focus of the program:
1. Maintenance of ideal body wt.
2. diet – low fat
3. alcohol/smoking avoidance
4. exercise
5. regular BP check up
Rectum Low fat intake Fecal occult blood test DRE Sigmoidoscopy
Mouth No smoking, betel nut chewing, Oral hygiene Regular dental check-ups
Aim:
Controlling and assimilating healthy lifestyle in the Filipino culture (2005- 2010) thru IEC
Main Concern:
modifiable risk factors ( diet, body wt., smoking, alcohol, stress, sedentary living, birth wt. ,migration
1. Acute or Rapidly Progressive Renal Failure : A sudden decline in renal function resulting from the failure of the renal circulation or
by glomerular or tubular damage causing the accumulation of substances that is normally eliminated in the urine in the body fluids
leading to disruption in homeostatic, endocrine, and metabolic functions.
2. Acute Nephritis: A severe inflammation of the kidney caused by infection, degenerative disease, or disease of the blood vessels.
3. Chronic Renal Failure: A progressive deterioration of renal function that ends as uremia and its complications unless dialysis or
kidney transplant is performed.
4. Neprolithiasis: A disorder characterized by the presence of calculi in the kidney.
5. Nephrotic Syndrome: A clinical disorder of excessive leakage of plasma proteins into the urine because of increased permeability of
the glomerular capillary membrane
6. Urinary Tract Infection: A disease caused by the presence of pathogenic microorganisms in the urinary tract with or without signs
and symptoms.
7. Renal Tubular Defects: An abnormal condition in the reabsorption of selected materials back into the blood and secretion,
collection, and conduction of urine.
8. Urinary Tract Obstruction: A condition wherein the urine flow is blocked or clogged.
Mental Health
Mental health is not merely the absence of mental illness. According to the World Health Organization (WHO) Manual on Mental
Health, a person is in a state of sound mental health when,
o He feels physically well
o His thought are organized
o His feelings are modulated
o His behaviors are coordinated and appropriate (*note: behaviors considered “normal”
may vary according to cultural norms)
Any person may develop mental illness regardless of race, nationality, age, sex civil status and socio-economic background may
develop mental illness.
Yes. Mental illness is curable if detected early and prompt and adequate treatment is given. Treatment depends on severity of illness
and includes:
Pharmacotherapy (use of medicines)
Various therapies (physical, recreational, occupational, environmental)
Psychotherapy and others
Goal
To improve the quality of life and increase productivity of disabled, handicapped persons.
Aim:
To reduce the prevalence of disability through prevention, early detection and provision of rehabilitation services at the community
level.
Home Visit
a professional face to face contact made by the nurse with a patient or the family to provide necessary health care activities
and to further attain the objectives of the agency
Bag Technique
a tool making of the public health bag through which the nurse during the home visit can perform nursing procedures with
ease and deftness saving time and effort with the end in view of rendering effective
Thermometer Technique
giving to the individual patient the nursing care required by his/her specific illness or trauma to help him/her reach a level of
functioning at which he/she can maintain himself/herself or die peacefully in dignity
1. Separating the articles used by a client with communicable disease to prevent the spread of infection:
2. Frequent washing and airing of beddings and other articles and disinfections of room
3. Wearing a protective gown, to be used only within the room of the sick member
4. Discarding properly all nasal and throat discharges of any member sick with communicable disease
5. Burning all soiled articles if could be or contaminated articles be boiled first in water 30 minutes before laundering
Intravenous Therapy
Insertion of a needle or catheter into a vein to provide medication and fluids based on physician’s written prescription
can be done only by nurses accredited by ANSAP
Family Planning Program
Overview
The Philippine Family Planning Program is a national program that systematically provides information and services needed by
women of reproductive age to plan their families according to their own beliefs and circumstances.
Mission
To provide the means and opportunities by which married couples of reproductive age desirous of spacing and limiting their
pregnancies can realize their reproductive goals.
Types of Methods
NATURAL METHODS
a. Calendar or Rhythm Method
b. Basal Body Temperature Method
c. Cervical Mucus Method
d. Sympto-Thermal Method
e. Lactational Amennorhea
ARTIFICIAL METHODS
a. Chemical Methods
i. Ovulation suppressant such as PILLS
ii. Depo-Provera
iii. Spermicidals
iv. Implant
b. Mechanical Methods
i. Male and Female Condom
ii. Intrauterine Device
iii. Cervical Cap/Diaphragm
c. Surgical Methods
i. Vasectomy
ii. Tubal Ligation
Warning Signs
Pills
Abdominal pain (severe)
Chest pain (severe)
Headache (severe)
Eye problems (blurred vision, flashing lights, blindness)
Severe leg pain (calf or thigh)
Others: depression, jaundice, breast lumps
IUD
Period late, no symptoms of pregnancy, abnormal bleeding or spotting
Abdominal pain during intercourse
Infection or abnormal vaginal discharge
Not feeling well, has fever or chills
String is missing or has become shorter or longer
Injectables
Dizziness
Severe headache
Heavy bleeding
BTL
Fever
Weakness
Rapid pulse
Persistent abdominal pain
Vomiting
Dizziness
Pus or tenderness at incision site
Amenorrhea
Vasectomy
Fever
Scrotal blood clots or excessive swelling