The Department of Health started the National Dengue Prevention and Control Program seeing that 1993. They are really aiming for minimizing morbidity and mortality from dengue contamination by stopping the transmitting of the malware from the mosquito vector human. In line with this their objective is to increase the quality of health of Filipinos by adopting an integrated dengue control approach in the prevention and control of afectacion infection.
In accordance to them there are sixty two, 503 cases of the mosquito-borne illness have been completely reported inside the Philippines by January you to Aug 21, up nearly 80 percent in the same period last 2010.
The loss of life toll was also up from 350 in the same period 2010. The division said the amount of dengue instances in the country began to rise in Might and peaked last month with the onset of the rainy time. Disease specialists are now tightly monitoring a number of barangays across the country for situations of afectacion outbreak. Consistent with this, the group chose to conduct a class and job regarding theprevention and control over dengue fever to raise the awareness of the residents of Barangay Macapagal Village Region 3.
II. CONTENT FROM THE TOPIC TO GET DISCUSSED
Precisely what is Dengue?
Melindre fever is definitely an severe febrile disease caused by illness one of the serotypes of afectacion virus which can be transmitted by genus Aedes. It refers to a not cancerous form of disease with organized symptoms, fever and often allergy associated with discomfort behind the eyes, sore joints, and the bone fragments. Dengue hemorrhagic fever can be described as severe, occasionally fatal symptoms of melindre virus illness characterized by a bleeding diathesis and hypovolemic shock. Etiologic agent and vector
Afectacion viruses (DEN) types 1, 2, several, 4, which can be classified because flaviviridae, happen to be principally sent from human being to human through the bites of the Aedes aegypti insects. The female insect bites the infected individual during the day and can transmit the virus to a different host quickly or after almost 8 to week of incubation within the salivary gland from the mosquito. The mosquito host remains contaminated for life.
Method of Indication
By attack of an contaminated mosquito, primarily the Aedes Egypti ” is a time biting insect (they seem two hours after dawn and two hours just before sunset ). It bread of dogs on stagnant water. It has a limited and low soaring movement. They have fine white-colored dots at the base with the wings; with white rings on the hip and legs.
Aedes albopictus may bring about transmission of dengue malware in country areas. And also other contributory insects are the Aedes polynensis and Aedes scutellaris simplex.
After an individual is shown aggression towards by a great infective mosquito, the disease undergoes a great incubation period of 3 to 14 days.
Signs of dengue fever differ, depending on the contact form and intensity of the disease. Dengue fever
With the mild kind of the disease, you could experience a few or all of these signs and symptoms:
High fever, approximately 105 F (40. 6 C)
A rash over almost all of your body, which can subside after a couple of days then reappear
Severe headache, backache or equally
Pain lurking behind your eye
Severe joint and muscle tissue pain
Nausea and throwing up
Sign and symptoms usually commence about several to seven days after becoming bitten by a mosquito having a dengue virus. Mild dengue fever rarely triggers death, along with your symptoms will usually subside in a week after starting.
Dengue hemorrhagic fever
More-severe forms of the disease generally begin not much different from the way as the mild form (dengue fever) then turn into worse after several days and nights. Dengue hemorrhagic fever an even more severe sort of the disease than initial dengue fever may cause signs and symptoms of dengue fever plus:
Significant problems for your blood and lymph vessels
A decrease in the amount of blood cellular material that support your blood clot (platelets)
Bleeding in the nose and mouth
Bleeding under the skin area, which gives the appearance of bruising
Dengue impact syndrome
Dengue impact syndrome one of the most severe kind of the disease could potentially cause signs and symptoms of mild melindre fever as well as:
Severe abs pain
Fluid (plasma) leakage from blood vessels
A sudden drop in blood pressure (shock)
Severe signs and symptoms may possibly appear following your fever has better. In a small number of cases, people with a severe type of the disease pass away of it. Modern supportive hospital care diminishes this risk.
Torniquet Check (Rumpel Qualified prospects Test) ” First, Inflate the blood pressure cuff for the upper adjustable rate mortgage to a point midway involving the systolic and diastolic pressure for 5 mins. Second, discharge cuff and make an fabricated 2 . a few cm, square or one particular inch sq just below the cuff, in the antecubital depressione. Lastly, count the number of petechiae inside the package. A check is (+) when twenty or more petechiae per 2 . 5 cm square or perhaps 1 in . square will be observed.
How is it cured?
For a moderate form of the disease:
Consuming plenty of fluids to avoid lacks from nausea and large fever. Taking acetaminophen (Tylenol, others) to alleviate discomfort and reduce fever May take acetylsalicylsäure or various other nonsteroidal anti-inflammatory drugs, including ibuprofen (Advil, Motrin, others) and naproxen sodium (Aleve, others). These can increase the risk of bleeding complications. For a more serious form of the illness, treatment contains: Supporting care in a hospital
Intravenous (IV) fluid and electrolyte replacement
Blood pressure monitoring
Transfusion to exchange blood loss
Techniques of Prevention and Control
The prevention of afectacion is directed at community and personal mosquito control in native to the island areas.
Cover water piles and water pails all the time to prevent insects from reproduction.
Replace water in flower vases once a week.
Clean most water pots once a week.
Clean the sides well to eliminate eggs of mosquitoes staying with the edges.
Clean gutters of leaves and particles so that rain water will not accumulate as reproduction places of mosquitoes.
Older tires applied as roof top support should be punctured or cut to avoid accumulation of water.
Gather and get rid of all useless tin cans, jars, wine bottles and other items which can collect and maintain water.
In order to avoid mosquito hits, wear long slacks and extended sleeves.
For personal protection, make use of mosquito water-proof sprays that have DEET when visiting places where dengue is endemic.
Limiting experience of mosquitoes by avoiding standing up water and staying indoors two hours after sunrise and before sunset will help.
Public Health Nursing Responsibilities
Since there is no known immunization agent against Dengue, breastfeeding efforts needs to be directed toward the immediate control of the cause by knowing the characteristics of the disease and its causation. The following are crucial: Report immediately to the City and county Health Workplace if there is any known circumstance outbreak
Refer immediately to the local hospital, in the event there are circumstances that display symptoms of hemorrhage from any kind of part of the physique Execute a strong well being education program directed to environmental sanitationparticularly destruction coming from all known propagation places of mosquitoes Assist in the diagnosis based upon the symptoms. For those without having signs of hemorrhage, the registered nurse may carry out the tourniquet test. Conduct epidemiologic investigations as means of calling families, circumstance finding as well as as community health education.
Any disease or condition connected with hemorrhage is enough to cause alarm. Quick control of hemorrhage and close observation in the patient pertaining to vital symptoms leading to impact are the nursing staff primary concern. Nursing procedures are described towards the symptoms as they occur but quick medical attention should be sought.
1 . For hemorrhage keep the affected person ate others during blood loss episodes. Pertaining to nose blood loss, maintain an increased position of trunk and promote vasoconstriction in sinus mucosal membrane through an ice bag above the forehead. Intended for melena, place ice tote over the abdominal. Avoid needless movement, If perhaps transfusion is given, support affected person during therapy. Observe signs of deterioration (shock) such as low pulse, cool clammy moisture, prostration.
2 . For shock ” Prevention is the best treatment. Dorsal recumbent position encourages circulation.
a few. Adequate preparation of the affected person, mentally, and physically prevents occurrence of shock. some. Provision of heat through lightweight covers (overheating causes vasodilation which aggravates bleeding) five. Diet -low fat, low fiber, non-irritating, non-carbonated. Noodle soup can be given.
III. LESSON PLAN
Our predicted learners are the selected citizens of Barangay Macapagal Town Zone a few.
The topic to be discussed is about dengue, the disease caused by a family of malware that are sent by mosquitoes.
After forty minutes of discussion, the student rns will be able to:
” Establish connection to the individuals of Talk Session ” Teach scholars about avoidance and power over dengue. ” Provide fundamental knowledge on how dengue is prevented as well as its signs & symptoms ” Increase the learner’s awareness on how dengue is usually transmitted ” Realize the importance of offering health theories especially in the community
¢ Client- centered
After 45 minutes of discussion, the participants will be able to:
” Acknowledge the purpose of the class
” Participate well in the said period
” Understand the given health theories by the student nurses while shown by participants capability to answer questions given by student nurses at the end from the class.
Deb. Method of Teaching
The method of teaching would be in a form of classroom type discussion wherein the group is going to act as course instructors and the students as the students. There will be usage of visual aids like Manila paper to guide the scholars.
” Manila paper
” Pictures (visual aid regarding dengue prevention and control)
It was a bright, sun-drenched day since the group 3 going their approach to Barangay Macapagal Small town Zone several, to perform their Chat Session. The group was hoping for the Chat Treatment to go easily as designed, and with God’s elegance the class proceeded well. The group surely could achieve their objectives by the end of the school.
After forty five minutes of discussion, the student healthcare professionals were able to go over about the prevention and control of melindre by giving standard knowledge in order to be eliminated including the signs or symptoms. Also elevating the understanding of listeners about how it is sent lastly, to realize theimportance of giving health teachings. The participants recognize the purpose of the topic by engaging and they had an ability to solution are concerns. In line with this, the individuals understand on how can be eliminated and handled dengue.
Sixth is v. BIBLIOGRAPHY
Handbook of Prevalent Communicable and Infectious Disease, Revised edition by Dionesia Mondejar-Navales REGISTERED NURSE, MAEd
NLPGNI (2007). Public Health Breastfeeding in the Thailand. National Group of Filipino Government Healthcare professionals, PhilippinesMayo Clinic (September 35, 2009). Afectacion Fever. RetrievedSeptember13, 2010from
http://www.mayoclinic.com/health/denguefever/D/DSECTION=symptomsDOH (2006). DengueRetrievedSeptember13, 2010, fromhttp://www.doh.gov.ph/healthadvisories/dengue/
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