Course Number: CHS251A
Course Title: Health Problems in Children

STUDENT LEARNING OUTCOMES

General

Students will acquire medical skills needed to recognize and respond to the major health problems in children using standard WHO (the Integrated Management of Childhood Illness), FSM national, and state protocols. They keep proper clinical records and referral forms and records. They will use registries to facilitate delivery of ongoing care to high risk patients.

Specific

Students will be able to:

- Explain the 10 principles for health workers in the Code of Conduct of the International Red Cross as they apply both to disaster
   relief and community health (see Community Health. Wood, CH. AMREF, 2^nd ed. Nairobi Kenya, 1997.)
- Define confidentiality and explain why it is important for all health workers to preserve confidentiality.
- Demonstrate 3 techniques for establishing rapport with a child.
- Take and record vital signs correctly.
- Identify normal vs. abnormal values for vital signs and recognize the significance of particular abnormal values.
- Identify safe traditional remedies for the following symptoms: cough, runny nose, headache, body ache, abdominal
   pain, skin bruises, constipation, rash and weakness.
- Recognize when it is dangerous to delay or interrupt modern medical treatments.
- Correctly diagnose child illness, counsel and treat according the Integrated Management of Childhood Illness
   algorithms.
- Correctly recognize, counsel and treat other childhood conditions using criteria in FSM national and state protocols
   for care of sick children.
- Counsel parents at time of treatment of child regarding specific preventive measures for each of the major disease
   conditions.
- Recognize child neglect and abuse and select appropriate response.
- Accurately measure height and weight, plot on growth chart, interpret findings and select proper response.
- Counsel parents of underweight and overweight children, remembering to cite reasons for concern, and to give
  specific diet and realistic activity prescriptions.
- Recognize the indications, common side effects and dangers of each medicine on the dispensary essential drug list.
- Select correct doses of meds based on diagnosis, patient age and weight.
- Recognize signs and symptoms in children that warrant referral to a higher level of care for the following: eye, ear,
   mouth and pharynx, chest, abdomen, genitor-urinary tract, nervous system and extremities.
- Classify children as normal vs. abnormal based on age and developmental milestones and select proper management
   for children with developmental delay.
- Select proper treatment and monitoring plan for patients with tuberculosis and Hansen's disease.
- Demonstrate proper procedure for DOT dose administration.
- Select proper public health actions for acute flaccid paralysis, rash + fever illness, multiple cases of profuse
  watery diarrhea, dengue-like illnesses, TB and Hansen's disease.
- Calculate the prevalence of children's health problems (e.g. anemia, underweight, obesity) using raw data and
   explain how this information can be used.
- Provide proper counseling for support of breastfeeding, weaning, and breastfeeding difficulties.
- Demonstrate proper paper records and communications for hospital referral.
- Construct a registry for (CSHCNs) children with special health care needs (including those for a dispensary
   catchment area (including those with social problems, rheumatic fever, developmental delay, congenital heart
   disease, failure to thrive, physical disabilities).