MSU-Iligan Institute of Technology COLLEGE OF NURSING Level II AACUP Accredited Topic: Prevention Pediatric Community-Acquired Pneumonia Recurrence Description/ Overview: This health teaching is intended to provide the patient and his significant others the information regarding PCAP, its causes and symptoms, in order to prevent recurrences within the household. Materials/ Equipment: leaflets, cartolina, charts illustrating ways to get rid of vectors, videos to serve as simulation General Objective: After a 15-minute discussion with lecture and return demonstration, the patient will be able to increase his knowledge, develop his attitude and practice techniques on proper ways to prevent the recurrence of pneumonia. Objectives COGNITIVE: Upon the completion of the lesson, the patient will be able to: a) Process the given information and explain his own understanding of the Pediatric CommunityAcquired Pneumonia b) Determine the risk factors of the condition. Learning Content Teaching Strategy Time Allotment (in minutes) Evaluation and Assessment Tool 1. What is Pediatric Community-Acquired Pneumonia? Community-acquired pneumonia is the most common type of pneumonia. It occurs outside of hospitals or other health care facilities. Pneumonia is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus (purulent material), causing cough with phlegm or pus, fever, chills, and difficulty breathing. A variety of organisms, including bacteria, viruses and fungi, can cause pneumonia. Lecture using leaflets, and Interactive Discussion 1 min Oral summary of what the participant learned 2. What factors increase the risk of acquiring pneumonia? Lecture using leaflets, and Interactive Discussion 1 min Flashcards/drill Patient R / Medicare Room, Bed 1 | 1 Pneumonia can affect anyone. But the two age groups at highest risk are: Children who are 2 years old or younger People who are age 65 or older Other risk factors include: c) Enumerate the symptoms and distinguish them from other conditions. Being hospitalized Chronic disease Smoking Weakened or suppressed immune system. 3. Pneumonia Symptoms Signs and symptoms of pneumonia vary from mild to severe, depending on factors such as the type of germ causing the infection, and your age and overall health. Mild signs and symptoms often are similar to those of a cold or flu, but they last longer. Signs and symptoms of pneumonia may include: ● Chest pain when you breathe or cough ● Confusion or changes in mental awareness (in adults age 65 and older) ● Cough, which may produce phlegm ● Fatigue Lecture using leaflets, and Interactive Discussion Patient R / Medicare Room, Bed 1 | 2 2 min Q and A ● Fever, sweating and shaking chills ● Lower than normal body temperature (in adults older than age 65 and people with weak immune systems) ● Nausea, vomiting or diarrhea ● Shortness of breath PSYCHOMOTOR: Upon the completion of the lesson, the patient will be able to: a) Develop a list of To help prevent pneumonia: personal and lifestyle Get vaccinated. changes to be Make sure children adapted in get vaccinated order to prevent Practice good the condition hygiene. Don't smoke Don’t allow someone to smoke inside the house Keep immune system strong. Lecture Demonstration using charts and videos as simulation. AFFECTIVE: Patient R / Medicare Room, Bed 1 | 3 9 min Demonstration with the use of Performance Evaluation Checklist Upon the completion of the lesson, the patient will be able to: a) Express feelings and concerns regarding the condition. b) State willingness to apply the proper ways of pneumonia prevention. Open Forum 1 min Open Forum Open Forum 1 min Open Forum Patient R / Medicare Room, Bed 1 | 4 MSU-Iligan Institute of Technology COLLEGE OF NURSING Level II AACUP Accredited Topic: Pediatric Community-Acquired Pneumonia Management (replenishing body fluids) Description/ Overview: This health teaching is intended to provide the patient, and his significant others, information regarding the management of Pediatric Community-Acquired Pneumonia, specifically in maintaining hydration, in order to alleviate suffering and supplement recovery. Pneumonia can also cause dehydration from fever and decreased thirst and appetite, which may require treatment with extra fluids intravenously. Materials/ Equipment: leaflets, cartolina, pentel pen, scotch tape, visual aids, For OreSol preparation: 1L water distilled, 8 tsp sugar, 1 tsp rock salt, sterile container, ladle. General Objective: After a 20-minute discussion with lecture and return demonstration, the patient will be able to increase his knowledge, develop his attitude and enhance his techniques on proper ways to manage the dehydration during recovery. Objectives COGNITIVE: Upon the completion of the lesson, the patient will be able to: a) Define Hypovolemia and enumerate its symptoms Learning Content Teaching Strategy Time Allotment (in minutes) Evaluation and Assessment Tool 1. What is Hypovolemia? Fluid volume deficit (FVD) or hypovolemia is a state or condition where the fluid output exceeds the fluid intake. It occurs when the body loses both water and electrolytes from the ECF in similar proportions. Lecture using leaflets, and Interactive Discussion 3 min Oral summary of what the participant learned The following are the common signs and symptoms presented for dehydrated patients: ● Alterations in mental state ● Patient complaints of weakness and thirst that may or may not be accompanied by tachycardia or weak pulse Patient R / Medicare Room, Bed 1 | 5 ● Weight loss (depending on the severity of fluid volume deficit) ● Concentrated urine, decreased urine output ● Dry mucous membranes, sunken eyeballs ● Weak pulse, tachycardia ● Decreased skin turgor ● Decreased blood pressure, hemoconcentration ● Postural hypotension b) Explain the association of PCAP with hypovolemia. c) State the importance of maintaining hydration 2. Why is it manifested in pneumonia? Pneumonia can lead to a COPD exacerbation (“breathing attack”), which can cause coughing, wheezing, and shortness of breath. As a result, a low oxygen level may develop, requiring the use of oxygen until the pneumonia clears up. Pneumonia can also cause dehydration from fever and decreased thirst and appetite, which may require treatment with extra fluids intravenously. 3. Why is replenishing body fluids vital in the given scenario? Rehydration is important to improve chances at a speedy recovery. It is essential to replenish body fluids so that the immune system can fend longer in Lecture using leaflets, and Interactive Discussion 1 min Q and A Lecture using leaflets, and Interactive Discussion 1 min Oral summary of what the participant learned Patient R / Medicare Room, Bed 1 | 6 battling with the self-limiting virus. d) Enumerate best liquids to be consumed for fluid replenishment PSYCHOMOTOR: Upon the completion of the lesson, the patient will be able to: a) Return demonstrate the preparation of a homemade Oral Rehydrating Solution 4. Ensure that you Lecture using take a lot of fluids and Visual aids stay well hydrated. ● Drink adequate water ● Other fluids like coconut water, papaya leaf juice, neem juice and other juices are also recommended ● Consume at frequent intervals, or per doctor’s orders, to keep your body well hydrated. ● Avoid caffeine and alcohol as indicated to reduce effects of diuresis. 1 min Q and A 1. Oral rehydration therapy Is recommended for patients with moderate dehydration caused by high fever and vomiting. Preparation, in case of emergencies: ● Pour 1 liter of sterilized/distilled water (5 glasses) to the clean container. 7 min Return Demonstration with the use of Performance Evaluation Checklist Lecture Demonstration using the Oresol preparation materials Patient R / Medicare Room, Bed 1 | 7 ● Take a teaspoon of rock salt levelled by a ladle and pour into the water. ● Add 8 teaspoons of sugar levelled by a ladle into the water and stir. ● Taste the mixture. If it is saltier than tears, discard the solution and prepare another mixture using same process. (You can also make a mixture of 1 glass by adding 1 pinch of salt and 2 teaspoons of sugar.) AFFECTIVE: Upon the completion of the lesson, the patient will be able to: a) State willingness to apply the preparation of Oresol for dire cases. b) Express feelings and concerns regarding adequate hydration Open Forum 1 min Open Forum Open Forum 1 min Open Forum Patient R / Medicare Room, Bed 1 | 8 MSU-Iligan Institute of Technology COLLEGE OF NURSING Level II AACUP Accredited Topic: Pediatric Community-Acquired Pneumonia Management (proper nutrition) Description/ Overview: This health teaching is intended to provide the patient information regarding the management of PCAP, specifically in balancing nutrition, in order to alleviate suffering and supplement recovery. Pneumonia causes the lungs' air sacs (alveoli) to become inflamed and fill up with fluid or pus. That can make it hard for the oxygen you breathe in to get into your bloodstream. Although less common, some people experience pneumonia symptoms such as fatigue, nausea, vomiting, and loss of appetite. Materials/ Equipment: leaflets, cartolina, scotch tape, visual aids General Objective: After a 10-minute discussion with lecture and return demonstration, the patient will be able to increase his knowledge, develop his attitude and enhance his techniques on proper ways to manage weakness and boost the immune system while recovering. Objectives COGNITIVE: Upon the completion of the lesson, the patient will be able to: d) Explain the importance of balanced nutrition for a pneumonia patient. e) Determine best food sources for pneumonia patients nutritional needs Learning Content Teaching Strategy Time Allotment (in minutes) Evaluation and Assessment Tool 1. Importance of nutrition in Pneumonia: Symptoms of pneumonia include coughing (with green, yellow, or bloody mucus), fever, chills, shortness of breath, nausea, low energy, stabbing chest pains, shallow breaths, and a loss of appetite. Thus, a healthy immune system is needed to support the human body until it is free of the infection. Lecture using leaflets, and Interactive Discussion 2 min Oral summary of what the participant learned 2. What to eat and what to avoid Generally the symptoms of pneumonia include high body temperature, sweating, chills, coughing that may produce phlegm, shortness of breath and chest pain. Lecture using Visual aids and Interactive Discussion 2 min Q and A Patient R / Medicare Room, Bed 1 | 9 One must visit a doctor and take the prescribed drugs along with rest. During this the body requires specific nutrients which has to be followed to keep the situation in check. There is a severe risk of getting dehydrated and hence the diet must include a lot of fluids. It is commonly observed that patients develop a condition known as anorexia for a temporary period in which the patient loses the feeling to eat. The patient must be kept on a liquid diet and foods that are easily consumed like: - Fruit & vegetable smoothies - Water - Veggie soups - Fresh organic vegetables Foods to limit: - Sugary products - Soft drinks - Commercially processed foods - Foods with artificial ingredients - Milk and dairy products, as they contribute greatly to mucus in the body - Caffeinated products PSYCHOMOTOR: Upon the completion of the lesson, the patient will be able to: f) Establish a list or menu of favorite food to eat, within the parameters of Provide a selection of foods that are within the parameters of the patient’s diet plan. The nurse could Lecture Demonstration using Patient R / Medicare Room, Bed 1 | 10 4 min Output Evaluation the patient’s diet plan. help through suggestion and recommendation. AFFECTIVE: Upon the completion of the lesson, the patient will be able to: g) State willingness to apply the learning about proper nutrition for pneumonia patients. Open Forum 1 min Open Forum Open Forum 1 min Open Forum h) Express feelings and concerns regarding the topic. REFERRENCES: Firdous, H. (n.d.). Diet Chart For Pneumonia. Retrieved from Lybrate: https://www.lybrate.com/topic/diet-for-pneumonia Pneumonia. (2020, June 13). Retrieved from Mayo Clinic: https://www.mayoclinic.org/diseasesconditions/pneumonia/symptoms-causes/syc-20354204 Patient R / Medicare Room, Bed 1 | 11