ABAD TJ. IMPERIAL AS. JAVATE KR. PALMA RS.

Uy RC. VALENCIA RP.

Family Case Presentation of a Child with Upper Respiratory

Tract Infection

Community Pediatrics

Purpose of PresentationIntroduction

House visits are possible

Chance to show a family in a community setting

Cooperative family

SYP 10 months old Male Ilugin Phase I, Barangay Pinagbuhatan, Pasig Filipino Roman Catholic

Introduction

Chief Complaint: cough

Introduction

• 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 normalPatient was prescribed multivitaminsMother was advised to give supportive

treatment to patient

Clinical History

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

Course of Illness

Diagnosis:

Upper Respiratory Tract Infection

Family Life LineFamily Life CycleFamily GenogramFamily APGARFamily MapSCREEM

Family Assessment Tools

Family Life Line

Child’s first incidence with URTI

Uncle started drinking heavily

Unwanted pregnancy of patient’s mother

Son from grandmother’s husband decided to live with the rest of the family

Grandfather left

Grandmother took a job while eldest looked after the family

Family had to adjust to new member of the family

Family advised uncle to stop but uncle refuses to listen. Unresolved

Mother stayed at home while the other family members took jobs. Aunt started training as community health worker

Whole family take turns watching the child. Pooling of resources

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 Life Cycle

Family Genogram

Family Member Age/ Sex

Relation to Patient

Occupation

1) JP 26/F Mother Unemployed2) CyP 21/M Uncle Current looking for

a new job3) ChP 23/M Uncle Factory employee4) LO 32/F Aunt Community Health

Worker5) NP 67/F Grandmother Laundry Washer

(“labandera”)

Family Profile

APGAR SCORE REASONAdaptation 2 Extended family, two members have jobs

while one is looking for a jobPartnership 1 One uncle refuses to communicate and

cooperate with the family.Growth 2 Family seems well adapted to change

when neededAffection 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 APGAR

Family MapGm

A M U U

10 mos

Family Map / Genogram

Resource PathologySocial Good relationship with

family overallAble to socialize well with other people

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

Residence near the community health center

OPD at the health center is only open during Wednesdays; have to look for other source of healthcare

SCREEM