Checklist – IMCI Management of the Sick Child Age 2 Months Up to 5 Years Date: ___________ Child’s Name: ________________________________ Age: ______Sex: ______Weight:______ Temperature:_______ ASK: What is/are the child’s problem? __________________________ Initial Visit? ______ Follow-up Visit? _______ ASSESS: (Encircle all signs present) CLASSIFY CHECK FOR GENERAL DANGERS SIGNS General Danger Signs Present? NOT ABLE TO DRINK OR BREASTFEED CONVULSIONS ABNORMALLY SLEEPY OR DIFFICULT TO AWAKEN VOMIT EVERYTHING DOES THE CHILD HAVE COUGH OR DIFFICULT BREATHING? * For how long? ______ days DOES THE CHILD HAVE DIARRHEA? * For how long? ______ days * Is there blood in the stool? YES______ NO ______ YES______ NO ______ * Count the breaths in one minute. ______ breaths per minute. Fast breathing? * Look for chest indrawing. * Look and listen for stridor YES______ NO ______ * Look at the young child’s general condition. Is the child: Abnormally sleepy or difficulty to awaken? Restless or irritable? * Look for sunken eyes? * Pinch the skin of the abdomen. Does it go back: Very slowly (longer than 2 seconds)? Slowly? DOES THE CHILD HAVE FEVER? (By history/ feels hot/ temperature 37.5 o C or above) YES______ NO ______ Decide the malaria risk * Does the child live in malaria area? * Has the child visited/ traveled or stayed overnight in a malaria area in the past 4 weeks? If malaria risk, obtain a blood smear result + not done THEN ASK: * For how long has the child have fever? ________days * If more than 7 days, has fever been present every day? * Has the child had measles within the past 3 months? LOOK AND FEEL: * Look or feel for stiff neck * Look for runny nose Look for signs of MEASLES * Generalized rash and * One of these: cough, runny nose or red eyes If the child has measles now or within the last 3 months? * Look for mouth ulcers. If yes, are they deep and extensive? * Look for pus draining from the eye. * Look for clouding of the cornea ASSESS DENGUE HEMORRHAGIC FEVER ASK: * Does the child have any bleeding from the nose or gums or in the vomitus or stool? * Has the child had black stool? This study source was downloaded by 100000851219664 from CourseHero.com on 10-24-2022 04:35:11 GMT -05:00 https://www.coursehero.com/file/118486611/IMCI-CHECKLISTpdf/ * Has the child had persistent abdominal pain? * Has the child had persistent vomiting? LOOK AND FEEL: * Look for bleeding from nose or gums * Look for skin petechiae * Feel for cold and clammy extremities * Check capillary refill. _______ seconds * Perform Tourniquet test if child is 6 months or older AND has no other signs AND has fever for more than 3 days. DOES THE CHILD HAVE EAR PROBLEM? YES______ NO ______ * For how long? ______ days * Is there ear pain? * Is there ear discharge? * Look for pus draining from the ear * Feel for tender swelling behind the ear LOOK FOR MALNUTRITION/ANEMIA * Look for visible severe waiting * Look for edema of both foot * Look for palmar pallor ( Severe palmar pallor? Some palmar pallor? * Check capillary refill. _______ seconds * Determine weigh for age. Very low? CHECK THE CHILD’S IMMUNIZATION STATUS? Return for the next immunization on: Date CHECK THE VITAMIN A SUPPLENTATION STATUS for children 6 months or older. Is the child six months of age or older? YES______ NO ______ Has the child received Vitamin A in the past six months? YES______ NO ______ Vitamin A needed today: YES______ NO ______ LOOK FOR MALNUTRITION/ANEMIA * Look for visible severe waiting * Look for edema of both foot * Look for palmar pallor ( Severe palmar pallor? Some palmar pallor? * Check capillary refill. _______ seconds * Determine weigh for age. Very low? ASSESS CHILDS FEEDING If child has Anemia or Very low Weight or is less than 2 years old * Do you breastfeed your child? YES______ NO ______ This study source was downloaded by 100000851219664 from CourseHero.com on 10-24-2022 04:35:11 GMT -05:00 https://www.coursehero.com/file/118486611/IMCI-CHECKLISTpdf/ Feeding Problems If yes, how many times in 24 hours? ______ times. Do you breastfeed during the night? YES_____ NO ______ * Does the child take any other food or fluids? YES_____ NO ______ If yes, what food or fluids?______________________________________________________________ How many times per day? _______ times. What do you use to feed the child?____________________ If very low weight for age, how large per serving? ___________________________________________ Does the child receive his/her own serving?_____________ Who feeds the child and how?__________ * During the illness, has the child’s feeding changed? YES_____ NO ______, If yes, how? ______________ ASSESS CARE FOR DEVELOPMENT: Ask question about how the mother cares for her child. Compare the mother’s answers to the Recommendations for care & Development for the child’s age * How do you play with your child? * How do you communicate with your child? ASSESS OTHER PROBLEMS This study source was downloaded by 100000851219664 from CourseHero.com on 10-24-2022 04:35:11 GMT -05:00 https://www.coursehero.com/file/118486611/IMCI-CHECKLISTpdf/ Powered by TCPDF (www.tcpdf.org) Care and Development Problems
