Logic Trees
Logic Trees
FOR
LOGIC TREES
Objectives: Improve
the access to quality health service and Enhance the nurses competence and confidence for independent practice and case management
Protocol Health Data (HxD) History, P.E. findings Classified: Green, Yellow and Red
Management Protocol Interventions to handle the case or situation Classified: Plan A, Plan B, Plan C or D depending on specific combination of Green, Yellow and Red health assessment data.
Protocol includes: Branching Logic Assessment data obtained from a given patient or case and the appropriate management are individualized according to the patients sx/s or experiences.
Logic Tree Flow Chart For Initial Pre-Natal Checkup (# 28) Pregnancy
With At least one RED s/s or HxD No At least one YELLOW s/s or HxD No At least one GREEN s/s or HxD Proceed with Plan A Yes Proceed with Plan B Yes Proceed with Plan C
Yes
Proceed with Plan B Yes There is still time to bring patient to the hospital No Proceed with Plan A Yes
No
At least one YELLOW s/s or HxD
Yes
No
At least one GREEN s/s or HxD
1. Give the mother nourishment then let her sleep 2. Attend to the baby 3. Give after care instructions 4. Register the babys birth or instruct the family to do it.
1. No At least 1 s/s developed during or immediately after delivery 2. More than 1 baby was born 3. Baby is premature (AOG < 36 wks)
Logic Tree Flow Chart For Care of the Newborn Immediately After Birth (# 31) At least one RED s/s
or HxD noted on initial examination
Yes
No
At least one YELLOW s/s or HxD noted on
Yes
initial examination No
At least one GREEN s/s or HxD noted on
No At least one RED s/s At least one YELLOW s/s or HxD noted on or HxD noted on detailed examination detailed examination Yes Proceed with Plan C No
Give aftercare instructions to The family
With
Yes
No At least one RED s/s or HxD No At least one YELLOW s/s or HxD No At least one GREEN s/s or HxD
Refer to Logic Trees Number 1,2,7 and 15 Proceed with Plan C Proceed with Plan B Yes
Yes Yes
At least one YELLOW s/s At least one RED s/s No Proceed with or HxD has developed or HxD has developed Plan A since last visit since last visit
No
Continue postpartum check-up till 7th day after patient has given birth
Logic Tree Flow Chart For WellBaby Check-up, Neonatal Period (# 33-A) fever, cough, colds, Refer to
diarrhea or other problems
Yes
No Patient is more than one month No At least one RED s/s or HxD No At least one GREEN s/s or HxD Proceed with Plan A
Appropriate Logic Tree Refer to Logic Tree # 33-B Proceed with Plan B Yes At least one RED s/s or HxD has developed since last visit No Advise the companion to bring back the baby after one month
Yes
Yes
Logic Tree Flow Chart For WellBaby Check-up, Patient is More Than One Month (# 33-B)to fever, cough, colds, Refer
diarrhea or other problems
Yes
No Patient is more than one month No At least one RED s/s or HxD No At least one GREEN s/s or HxD Proceed with Plan A
Appropriate Logic Tree Refer to Logic Tree # 33-A Proceed with Plan B Yes At least one RED s/s or HxD has developed since last visit No Advise the companion to bring back the baby after one month
Yes
Yes
Logic Tree Flow Chart For Problem on Cough, Colds or DOB Not Associated with Fever: Adult Patient (# 7) cough, colds,
DOB; adult patient
With fever No At least one RED s/s or HxD No At least one YELLOW s/s or HxD No At least one GREEN s/s or HxD Yes Yes Yes Refer to Logic Tree # 1 Proceed with Plan C Proceed with Plan B No Yes
Proceed with At least one RED s/s Plan A or HxD has developed since last visit
Logic Tree Flow Chart For Problem on Skin Lesions: Adult Patient (# 9)
At least one RED s/s or HxD No At least one BLUE s/s or HxD No At least one YELLOW s/s or HxD No No At least one GREEN s/s or HxD No Proceed with Plan A Yes Proceed with Plan B
Yes
Yes
No
No At least one BLUE s/s or HxD since last visit No At least one RED s/s or HxD since last visit
Logic Tree Flow Chart For Problem on Body Weakness: Adult Patient (# 10)
At least one RED s/s or HxD No At least one YELLOW s/s or HxD No At least one GREEN s/s or HxD No Proceed with Plan A Yes Proceed with Plan B No Yes Proceed with Plan C Yes
No
Logic Tree Flow Chart For Problem on Abdominal Pain, Epigastric: Adult Patient (# 11)
Epigastric pain
With At least one RED s/s or HxD No At least one YELLOW s/s or HxD No At least one GREEN s/s or HxD No Proceed with Plan A No Yes Proceed with Plan B No Yes Proceed with Plan C Yes
At least one RED s/s or HxD since last visit Improvement in Yes the patients advice the patient condition
Logic Tree Flow Chart For Problem on Insomnia: Adult Patient (# 16)
Insomnia
With At least one YELLOW s/s or HxD No At least one GREEN s/s or HxD Proceed with Plan A Improvement in the patients condition Yes advice the patient Yes Proceed with Plan B No
Logic Tree Flow Chart For Problem on Dizziness: Adult Patient (# 24)
dizziness
With At least one RED s/s or HxD No At least one YELLOW s/s or HxD No At least one GREEN s/s or HxD No Proceed with Plan A No Yes Proceed with Plan B No Yes Proceed with Plan C Yes
At least one RED s/s or HxD since last visit Improvement in Yes the patients advice the patient condition