Transcript Family Case Presentation of a Child with Upper Respiratory Tract

Family Case Presentation of a Child
with Upper Respiratory Tract
Infection
ABAD TJ. IMPERIAL AS. JAVATE KR.
PALMA RS. Uy RC. VALENCIA RP
Introduction
• Purpose of Presentation
– Chance to show a family in a community setting
– House visits are possible
– Cooperative family
Introduction
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SYP
10 months old
Male
Ilugin Phase I, Barangay Pinagbuhatan, Pasig
Filipino
Roman Catholic
Introduction
• Chief Complaint: cough
Clinical History
• Four days PTC, patient had cough and colds
– watery nasal discharge
– cough is described to be dry and non- productive
– patient usually wakes up at night due to cough
• No other associated signs and symptoms (no fever)
• No medications were given
• Patient however still had good appetite (breastfed
every 2-3 hours for 30 mins.) and activity
• Patient sought consult at Ilugin Community Center
Clinical History
• Physical examination of patient was normal
• Patient was prescribed multivitamins
• Mother was advised to give supportive
treatment to patient
Course of Illness
• After 3 days, patient’s episodes of cough
lessened and no longer had colds
• Possible complications:
– from viral etiology to bacterial
– otitis media (most common ear infection in
children connected to cough)
– bronchitis
– pneumonia
Family Profile
Family Member
Age/ Sex
Relation to Patient
Occupation
1) JP
26/F
Mother
Unemployed
2) CyP
21/M
Uncle
Current looking for a
new job
3) ChP
23/M
Uncle
Factory employee
4) LO
32/F
Aunt
Community Health
Worker
5) NP
67/F
Grandmother
Laundry Washer
(“labandera”)
Family Assessment Tools
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Family Life Line
Family Life Cycle
Family Genogram
Family APGAR
Family Map
SCREEM
Family Life Line
Grandfather left
Son from
grandmother’s
husband
decided to live
with the rest
of the family
Uncle started
drinking heavily
Unwanted
pregnancy of
patient’s
mother
Child’s first
incidence
with URTI
Grandmother
Family
tookhad
a job
to adjust
Family
to new
advised uncle
Mother
to stopstayed atWhole
home family take turns
watching the child. Pooling
while eldestmember
looked after
of the
the
family
but uncle refuses towhile
listen.
the other family
of resources
family
Unresolved
members took jobs.
Aunt
started training as
community health worker
Family Life Cycle
• Family with young children (nuclear family:
patient and his mother)
• However considering the family structure at
home is extended, the family life cycle is
launching family.
Family Genogram
Family APGAR
APGAR
SCORE
REASON
Adaptation
2
Extended family, two members have jobs while one
is looking for a job
Partnership
1
One uncle refuses to communicate and cooperate
with the family.
Growth
2
Family seems well adapted to change when
needed
Affection
1
Family members cannot seem to reach out to the
uncle mentioned above.
Resolve
2
Members of the family do not seem to mind their
living conditions.
Family Map
Gm
A
M
10 mos
U
U
SCREEM
Resource
Social
Good relationship with family
overall
Able to socialize well with
other people
Pathology
One of the family members is
isolated because of his refusal
to change his drinking and
smoking habits
Cultural
Proud of who they are and
where they came from
(-)
Religious
Religious family lead by
grandmother.
(-)
Economic
Manage to get by with the
income of the family
However, if crisis occurs,
budget will be constrained
Education
Has clear idea on how
problems arise and their
solution
Grandmother is a grade school
graduate. Mother, Aunt and
uncles are high school
graduates
Medical
Aunt is training to be a
community health worker
OPD at the health center is
only open during Wednesdays;
have to look for other source
of healthcare
Residence near the
community health center