Identification of Patients with Pneumonia – PST04102 Disease Control and Prevention

NTA Level 4 • Semester 1 • PST04102

Identification of Patients with Pneumonia

Disease Control and Prevention • Source Session/Topic 19
Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability.

Session 19: Identification of Patients with Pneumonia

Total Session Time: 120 minutes + 2 hours Assignment

Prerequisites

• None

Learning Tasks

By the end of this session students are expected to be able to:

• Describe cause of pneumonia,
• Describe Mode of Transmission of Pneumonia
• Describe Major Signs and Symptoms of Pneumonia
• Explain Treatment of Pneumonia
• Explain Prevention and Control of Pneumonia

Resources Needed:

• Flip charts, marker pens, and masking tape
• Black/white board, chalk and whiteboard markers
• Computer and LCD Projector

SESSION OVERVIEW

|Step |Time |Activity/ |Content |

| | |Method | |

|1 |05 minutes |Presentation |Introduction, Learning Tasks |

|2 |05 minutes |Presentation |Cause(s) of Pneumonia |

|3 |10 minutes |Presentation |Mode of Transmission of Pneumonia |

| | |Brainstorming | |

|4 |10 minutes |Presentation |Major Signs and Symptoms of |

| | |Buzzing |Pneumonia |

|5 |20 minutes |Presentation |Treatment of Pneumonia |

|6 | 55 |Presentation |Prevention and Control of Pneumonia |

| |minutes |Buzzing | |

|7 |5 minutes |Presentation |Key Points |

|8 |5 minutes |Presentation |Evaluation |

|9 |5 minutes |Presentation |Assignment |

SESSION CONTENTS

STEP1: Presentation of Session Title and Learning Task (5 minutes)

READ or ASK students to read the learning tasks and clarify

ASK students if they have any questions before continuing

STEP 2: Causes of Pneumonia (5 minutes)

Lower respiratory tract infections include infectious processes of the

lungs and bronchi,

for example pneumonia and bronchitis

Pneumonia

• Inflammatory condition of the lung caused by infection

Causes

• Virus
• Bacteria: Pneumococci, Streptococci, Staphylococci, Klebsiellae species

and Haemophillus influenzae

STEP 3: Mode of Transmission of Pneumonia (10 minutes)

|Activity: Brainstorming (5 minutes) |

| |

|ASK students to brainstorm on the following question: |

| |

|What are the modes of transmission of Pneumonia? |

| |

|ALLOW few students to respond |

| |

|WRITE their responses on the flip chart/ board |

| |

|CLARIFY and SUMMARISE by using the content below |

• Airborne from upper respiratory tract infection, especially influenza in

the elderly, HIV/AIDS, immunocompromised and measles and whooping cough

in children. These infections cause damage to the epithelium of the lungs

and so clear the way for bacterial superinfection

• Transmission is by droplet spread, direct oral contact or indirectly

through freshly infected articles

STEP 4: Signs and Symptoms of Pneumonia (10minutes)

|Activity: Buzzing (10 minutes) |

| |

|ASK students to pair up and buzz on the following question for 2 |

|minutes |

| |

|What are the signs and symptoms of Pneumonia? |

| |

|ALLOW few pairs to respond and let other pairs to add on points not |

|mentioned |

| |

|WRITE their response on the flip chart/board |

| |

|CLARIFY and SUMMARIZE by using the content below |

Signs and Symptoms

• Dry or productive Cough
• High Fever with malaise, headache and loss of appetite
• Chest pain
• Dyspnoea (difficult breathing)
• Respiratory distress
• Crepitation in the lungs
• Wheezing

STEP 5: Treatment of Pneumonia (20 minutes)

• Supportive care: Lower temperature by using analgesics, if wheezing

use bronchodilators, daily fluid maintenance(encourage breastfeeding

for children)

• Medicines

o Non-severe pneumonia: Cotrimoxazole, Amoxycillin

o Severe pneumonia: Benzyl-penicillin, Chloramphenicol, Gentamycin,

Ceftriaxone, Erythromycin and Azithromycin

STEP 6: Prevention and Control of Pneumonia (55 minutes)

|Activity: Group Discussion (15 minutes) |

| |

|DIVIDE students into small manageable groups |

| |

|ASK students to discuss on the following question |

| |

|What are the prevention and control measures of Pneumonia? |

| |

|ALLOW students to discuss for 10 minutes |

| |

|ALLOW few groups to present and the rest to add points not mentioned |

| |

|WRITE their response on the flip chart/board |

| |

|CLARIFY and SUMMARIZE by using the content below |

• Control measures of lower respiratory tract infections are based on

general principles governing control of airborne diseases

• Immunisation to prevent diseases complicated by pneumonia such as

measles and whooping cough is important

• Mortality can be reduced by early diagnosis and treatment especially

in children and elderly

• Prompt adequate therapy started.

STEP 7: Key Points (5 minutes)

• Pneumonia is characterized by cough, fever and difficulty in breathing
• It occurs as a complication of upper respiratory infections
• Treatment will depend if it is a non-severe or severe condition
• Control depends on the control of primary diseases and on general

principles governing control of airborne diseases

• Mortality can be reduced by early diagnosis and treatment

STEP 8: Evaluation (5 minutes)

• What causes Pneumonia?
• What is the mode of transmission for pneumonia?
• What are the major signs and symptoms of pneumonia?
• What is the treatment of pneumonia?
• What are the prevention and control measures of pneumonia?

STEP 9: Assignment (5 minutes)

|Activity: Take Home Assignment (5 minutes) |

| |

|DIVIDE individual assignment |

| |

|ASK the students to work individually on the following Assignment |

|Explain preventive measures that you will take to control Pneumonia in |

|children and adults |

|ALLOCATE time for students to do the assignments and submit |

| |

|REFER students to recommended reference |

References

Cook, G.& Zumla, A. (2003). Manson’s Tropical Diseases. (21sted.). London:

Saunders Ltd

Denyer, S. P. Hodges, N. A. &Gorman, S. P (2011) Ed. Hugo & Russell’s

Pharmaceutical Microbiology (8thed). Oxford: Willey-Blackwell publishing

Eshuis J, &Manschot,P (1992). Communicable diseases,(1st ed). Nairobi:

AMREF

GoT (2004): National Infection Prevention and Control (IPC) Guidelines for

Healthcare Workers. Dar es Salaam: MOHSW

GoT (2013) Standard Treatment Guidelines & National Essential Medicines

List (4thed).

Dar es Salaam: MOHSW

Nordberg, E. (1999): Communicable Diseases, A Manual for Health Workers in

Sub-Saharan Africa, Nairobi: AMREF

Nordberg, E., Kingondu, T., & Mugambi, E., et al. (2008) Communicable

Diseases. (4thed.). Nairobi: AMREF

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