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Logic Trees

This document outlines the use of logic trees to guide nursing assessment and management for common health problems. It provides logic tree flow charts for safe motherhood, well-baby care, and adult health issues. The logic trees classify assessment data and corresponding management plans as green, yellow, red to determine the appropriate level of care. They aim to improve access to quality healthcare and enhance nurse competence through a standardized approach.
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0% found this document useful (0 votes)
269 views19 pages

Logic Trees

This document outlines the use of logic trees to guide nursing assessment and management for common health problems. It provides logic tree flow charts for safe motherhood, well-baby care, and adult health issues. The logic trees classify assessment data and corresponding management plans as green, yellow, red to determine the appropriate level of care. They aim to improve access to quality healthcare and enhance nurse competence through a standardized approach.
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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LOGIC TREES

FOR

SAFE MOTHERHOOD, WELL-BABY CARE & COMMON ADULT HEALTH PROBLEM

LOGIC TREES
Objectives: Improve

the access to quality health service and Enhance the nurses competence and confidence for independent practice and case management

USE OF LOGIC TREES


Assessment

Protocol Health Data (HxD) History, P.E. findings Classified: Green, Yellow and Red

USE OF LOGIC TREES

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.

USE OF LOGIC TREES

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

Logic Tree Flow Chart For Follow-up Pre-Natal Check-up (# 29)


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

Logic Tree Flow Chart For Home Delivery (# 30)


Labor Pains With
At least one RED s/s or HxD

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

Proceed with Plan C

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

Proceed with Plan B Yes

initial examination Proceed with Plan A

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

Logic Tree Flow Chart For Postpartum Check-up (# 32)


Patient just gave birth cough, colds, diarrhea or frequent, scanty and painful urination

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

Yes Proceed with Plan C

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

Proceed with Plan D Yes

Yes

Proceed with Plan C

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

Improvement in Yes the patients Advise the patient condition

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

At least one RED s/s or HxD since last visit

Improvement in Yes the patients Advise the patient condition

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

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