Transcript Chapter Eleven - Delmar Cengage Learning

Chapter Eleven:
Health Care in Child Care
Health Policies




Identification of infectious diseases
Management of infectious diseases
Managing care for mildly-ill children
Methods and practices for caregivers
Identification of
Infectious Diseases
Signs and Symptoms of Illness

Common indicators (Figure 11-1)
Listlessness
 Sore throat
 Runny nose
 Diarrhea
 Complaint of stomach ear or head ache
 Red or watery eyes
 Unusual rashes
 Infection skin lesions


Serious indicators
Fever
 Vomiting
 Severe coughing or breathing
 Urine or strong odor
 Unusual drowsiness
 Excessive crying

Respiratory Tract Transmitted
Diseases (see Table 11-1)







Colds
Influenza
Strep Throat
Scarlet Fever
Chicken Pox
Fifth Disease
Sixth Disease







Meningitis
Hib
Rubella
Mumps
Whooping Cough
Otitis Media
Tuberculosis
Fecal-Oral (see Table 11-2)








Giardia
Shigella
Salmonella
Hepatitis A
Campylobacter
E. Coli
Cocksackie virus
Pinworms
Direct Contact (see Table 11-3)







Conjunctivitis (Pinkeye)
Impetigo
Ringworm
Head Lice
Scabies
Cytomegalovirus
Herpes Simplex
Bloodborne (see Table 11-4)


Hepatitis B
HIV/AIDS
Managing Infectious Diseases
in Child Care
Exclusion (see Guidelines Table 11-5)



Serious indicators and conditions
Includes adults in child care
If child excluded, provisions should be
made for
Notification of parents, including time period
and conditions for return
 Notification of Public Health (see checklist
Table 11-6)

Managing Care for
Mildly Ill Children
Three Questions
1.
2.
3.
Is the disease highly communicable or
communicable at this time?
• Will it put others at risk?
Does the child feel well enough to
participate in child care?
Can the child care provide the mildly ill
child adequate care?
Checklist for care of mildly ill children





Observe and record signs and symptoms
Pay extra attention
Provide quiet activities and quiet place
Administer medication
Supply good nutrition through foods and
beverages
Implications for Caregivers
Observation

Recognition of serious signs/symptoms
Supervision


Sanitary procedures in use
Notification of Public Health, if needed
Education



Caregivers
Parents
Children
Cultural Competence



Access to health care
Immunization
Sanitary habits
Reality
Check:
Otitis Media and Child Care





Second most frequently diagnosed
childhood disease
More than 50% children have 3+ bouts by
age of three
Treated with antibiotics
Caregivers need to recognize symptoms for
early intervention
Not contagious
Reality Check:
Special Care for Mildly Ill Children
Setting up care for mildly ill children




On job site
Family child care home
Child care center
Child’s home
Must meet APA and AAHP guidelines




Information about illness, including
physician’s name
Prognosis and instructions for illness
Care plan
Open line of communication with parents