Health Care In Child Care

1
Health Care In Child Care

• Chapter 4

2
Managing Health in a Child Care Setting

• Success depends on
• 1. Learning to identify infectious diseases
• 4 modes of transmission
• 2.Knowing how to prevent spread of disease
• Immunization and sanitation
• 3. Knowing when to exclude a child
• Child is highly contagious and/or cant
  participate in the program

3
Identifying Infectious Disease

• Health policy should state that any child who
  exhibits serious infectious disease symptoms
  should be excluded Ex. Fever, vomiting, severe
  cough
• Other disease symptoms should be monitored
• Ex. Runny nose, complaints of head or stomach
  ache
• (See table 4.5)

4
Respiratory Tract Transmitted Diseases

• Are occasionally life threatening EX TB,
  meningitis
• See Table 4.1
• Many of these diseases are easily transmitted so
  immunization and exclusion are key to controlling
  the more serious illnesses

5
Ear Infection (otitis media)

• The second most frequently diagnosed childhood
  disease
• The cold is contagious, not the ear infection

6
Fecal-Oral Transmitted Diseases

• These diseases are spread through bacteria,
  parasites, and viruses that grow in the
  intestines and are present in the childs stools
• Universal Sanitary Practices are important in
  preventing spread of these diseases
• See Table 4.2
• Demos hand washing, diapering, coughing and
  sneezing, removing gloves

7
Transmitted Diseases, contd

• Direct Contact (secretions or parasites)
• can spread rapidly
• See Table 4.3
• Carried in the blood
• Hep B and HIV/AIDS
• If anyone (staff or child) has a blood-borne
  infectious disease, a stronger cleaning solution
  is recommended
• See Table 4.4

8
Managing Infectious Diseases

• Immunizations
• Sanitary practices
• Exclusion
• See Table 4.5
• Notification of Public Health Officials
• See Table 4.6
• Notification of Parents

9
Managing Mildly Ill Children

• Is the child contagious and how serious is the
  illness? EX cold V strep throat
• Can the child participate in the program?
• Can the childs needs be met?
• See Table 4.7

10
Administering Medicines

• See Table 4.8
• NOTE In CA administering a medicine does not
  need a doctors note either for prescriptions or
  over-the-counter medicines

11
Implications

• Observation
• Education
• Supervision
• Cultural sensitivity