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Sam Case

This document describes the case of two malnourished children from November 2022 to February 2023. The children were severely malnourished initially but through various interventions like supplementary feeding, deworming medication, and breastfeeding promotion their nutritional status improved to normal.

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roseannurak
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38 views

Sam Case

This document describes the case of two malnourished children from November 2022 to February 2023. The children were severely malnourished initially but through various interventions like supplementary feeding, deworming medication, and breastfeeding promotion their nutritional status improved to normal.

Uploaded by

roseannurak
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SAM CASE

• OCTOBER 2022, BELEN FAMILY WAS


TRANSFER FROM MARIVELES, BATAAN TO
GENERAL LUNA, QUEZON (BALIK
PROBINSYA). THEY WILL RESIDE AT BRGY
3 (POB) GENERAL,QUEZON.
• WE FOUND OUT THE 2 OF THEIR CHILD
WAS A SEVERELY MALNOURISHED.
NOVEMBER 24, 2022
• SHE WENT TO THE RHU FOR THE
CHECK-UP AND THE CHIEF
COMPLAINT WAS A LBM.
• UPON INTERVIEW, THE CHILD IS
14 MONTHS OLD AND HER
BIRTHDAY WAS ON SEPTEMBER
9, 2021.
• AFTER THE ASSESSMENT THE
CHILD WAS 5KGS AND HER
HEIGHT WAS 69CMS. AND HER
MUAC WAS 7.
• HER NUTRTIONAL STATUS WAS
SEVERELY MALNOURISHED.
NOVEMBER 25, 2022
UPON VISITATION TO THEIR
HOUSE TOGETHER WITH THE
BNS OF THE BRGY. WE FOUND
OUT THAT THE OTHER CHILD
WAS ALSO SEVERELY
MALNOURISHED.

• HIS AGE WAS 26 MONTHS


OLD AND HIS BIRTHDAY WAS
SEPTEMBER 17, 2020
• HIS WEIGHT WAS 7 KGS AND
HIS HIEGHT WAS 73 CMS. AND
HIS MUAC WAS 8.3
NOVEMBER 26, 2022

• MOTHER REPORTED THAT THEY PASS OUT


THE WORM THRU THEIR MOUTH AND NOSE.
• STARTED TO DONATED A BREAST MILK
• INSTRUCTED ON HOW TO PREPARE A
FROZEN BREAST MILK
NOVEMBER 27, 2022
• DRA. MECIJA ORDERED: CITIRIZINE SYRUP 2.5
ML 3X A DAY. ALBENDAZOLE 400MG 1 TABLET
FOR 3 NIGHTS AT BEDTIME. VITAMIN C SYRUP
ONCE A DAY DAILY. DIPHENHYDRAMINE
SYRUP 3X A DAY. VITAMIN A 100,000 UNITS
• WE REPORTED SAM CASE TO PHO FOR
INTERVENTION NEEDED.
• CONTINUE BREASTFEEDING.
NOVEMBER 28, 2022

• WE WILL REFER THEM TO BRGY. FOR THEIR


FOODS AND ASSISTANCE.
• CONTINUE MONITORING TO THEM.
• ADVISED TO CONTINUE BREASTFEEDING FOR
14 MONTHS CHILD. AND MIXED FEEDING FOR
THE 24MONTHS CHILD.
AFTER 2 WEEKS
(DECEMBER 7, 2022)
• REFER TO THE DSWD FOR SOME
INTERVENTION NEEDED.
• THEIR MOTHER BRINGS HER CHILD TO THE
CENTER FOR CHECK UP.
• CC: DIFFICULTY OF BREATHING AND COUGH
• UPON ASSESSMENT THE CHILD HAVE A
WHEEZING, CHEST IN DROWNING.
• DIAGNOSIS: ASTHMA. DRA. ORDERED A
SALBUTAMOL NEB EVERY 6 HRS.
PARACETAMOL AND SALBUTAMOL SYRUP.
• ADVISED TO CONTINUE BREASTFEEDING.
DECEMBER 9, 2022

• BNS REPEAT THE WEIGHT AND HEIGHT TO


THEM.
• UPON WEIGHING HER WEIGHT WAS 6 KGS.
AND HER HEIGHT WAS 69.5 CMS. WHILE HER
MUAC MEASURES 7CMS. HER NUTRITIONAL
STATUS WAS SEVERELY MALNOURISHED
• HIS WEIGHT WAS 8.3 KGS AND HIS HEIGHT
WAS 74CMS WHILE HIS MUAC MEASURES
12CMS. HIS NUTRITIONAL STATUS WAS
MODERTELY MALNOURISHED.
DECEMBER 13, 2022
• WE STARTED TO GIVE RUTF AS INTERVENTION
NEEDED TO THEM.
• INSTRUCTED 2 SACHET PER DAY FOR 2 MONTHS.
DECEMBER 20, 2022

• STARTED TO GIVE RIMO AS ADDITIONAL


INTERVENTION TO THEM.
• INSTRUCTION: 2 SACHET PER DAY FOR
6MONTHS.
• INTRODUCTION OF F1K TO THE MOTHER
OF BENEFICIARIES.
AFTER 4 WEEKS
(DECEMBER 22, 2022)
• REPEAT WEIGHING TO THEM AND MUAC
MEASURES TO THEM.
• HER WEIGHT WAS 8KGS AND HEIGHT WAS
69CMS WHILE IN MUAC MEASURES WAS
12CMS. HER NUTRITIONAL STATUS WAS
MODERATELY MALNOURISHED.
• HIS WEIGHT WAS 9KGS AND HEIGHT WAS 78
CMS. WHILE HIS MUAC MEASURES WAS 13
CMS. HIS NUTRITIONAL STATUS WAS
MODERATELY MALNOURISHED.
AFTER 6 WEEKS
( JANUARY 3, 2023)
• ENROLL TO MICRONUTRIENT POWDER
• INSTRUCTED: 1 SACHET PER DAY FOR 1
MONTH MIX TO THE FOOD
AFTER 6 WEEKS
(JANUARY 13, 2023)
• REPEAT WEIGHING TO THEM AND MUAC
MEASURES TO THEM.
• HER WEIGHT WAS 8KGS. AND HEIGHT
WAS 70.5 CMS WHILE IN MUAC MEASURES
WAS 9 CMS.. HER NUTRITIONAL STATUS
WAS NORMAL.
• HIS WEIGHT WAS 9KGS. AND HEIGHT WAS
78CMS CMS. WHILE HIS MUAC MEASURES
WAS 13CMS. HIS NUTRITIONAL STATUS
WAS NORMAL.
AFTER 8 WEEKS
(JANUARY 24, 2023)
• ENROLL TO ENHANCE NUTRITBUN
• INSTRUCTED: 2 BUNS EVERY DAY
AFTER 8 WEEKS
(JANUARY 24, 2023)
• REPEAT WEIGHING TO THEM AND MUAC
MEASURES TO THEM.
• HER WEIGHT WAS 9 KGS AND HEIGHT WAS
70CMS WHILE IN MUAC MEASURES WAS 10
CMS. HER NUTRITIONAL STATUS WAS
NORMAL.
• HIS WEIGHT WAS 10KGS AND HEIGHT WAS
78CMS. WHILE HIS MUAC MEASURES WAS
13CMS. HIS NUTRITIONAL STATUS WAS
NORMAL.
FEBRUARY 13, 2023
• CONTINUE SUPPLEMENTARY FEEDING
TO THEM.
• CONTINUE CLOSELY MONITORING.
• CONTINUE MONTHLY WEIGHING.
FEBRUARY 13, 2023

• REPEAT WEIGHING TO THEM AND MUAC


MEASURES TO THEM.
• HER WEIGHT WAS 9.5 KGS AND HEIGHT WAS
73CMS WHILE IN MUAC MEASURES WAS 12 CMS.
HER NUTRITIONAL STATUS WAS NORMAL.
• HIS WEIGHT WAS 10.5KGS AND HEIGHT WAS
78CMS. WHILE HIS MUAC MEASURES WAS
13CMS. HIS NUTRITIONAL STATUS WAS
NORMAL.

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