Asking Mother About the Child's Problems

Some simple techniques will help you to be more effective when you see the mother and her sick child.

Greet the mother appropriately without hurrying and ask her to sit with her child.

Try to:

• avoid using words that suggest judgment of the mother and baby such as "wrong" or "bad"
• sit so that your head is level with the mother's head
• look at the mother and pay attention as she speaks
• remove barriers (table or notes) between you and the mother
• make the mother feel that you have time to listen to her 

Acute Respiratory Infections Pt.3

Wheezing
 

Causes

• Under age 2 -Bronchiolitis
• Older children plus those with recurrent attacks of wheeze -bronchial asthma or reactive airways disease
• transient wheezers
• persistent wheezers
• Other respiratory infections
• Inhaled foreign body
• Tuberculous node compressing bronchus

Drug management

• Bronchodilators for asthma or recurrent airways disease but notfor bronchiolitus
• Use of metered-dose inhalers with spacer device
• Relatively inexpensive -Salbutamol inhaler $ 1.50 for 200 doses
• Can be used in outpatient setting and at home
• Combined inhaler and inhaled steroids (expensive) reserved for cases of recurrent asthma