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NAME OF THE STUDENT

Ms. Nisha Kaushik

NAME OF THE EVALUATOR

Mr.Baljinder Singh

TOPIC OF THE HEALTH TALK

Dengue Hemorrhagic Fever

GROUP

Patient and family

SIZE OF THE GROUP

8-10 members

DATE AND TIME

VENUE

METHOD OF TEACHING

Lecture cum discussion

AUDIO VISUAL AIDS

Charts

PREVIOUS KNOWLEDGE OF GROUP: Group has less knowledge regarding prevention and management of dengue hemorrhagic
fever.
GENERAL OBJECTIVES:
At the end of discussion, group will be able to know about dengue. Group member will be able to apply this knowledge in future. The
group would be able to describe the dengue and how its affect a persons health. SPECIFIC OBJECTIVES:

TIME

SPECIFIC
OBJECTIVE
S

2min

To introduce
the topic.

CONTENT OF TOPIC

INTRODUCTION
Dengue fever is most commonly an acute febrile illness defined
by the presence of fever and two or more of the following, retroorbital or ocular pain, headache, rash, myalgia, arthralgia,
leukopenia, or hemorrhagic manifestations (e.g., positive
tourniquet test, petechiae; purpura/ecchymosis; epistaxis; gum
bleeding; blood in vomitus, urine, or stool; or vaginal bleeding)
but not meeting the case definition of dengue hemorrhagic fever.
Anorexia, nausea, abdominal pain, and persistent vomiting may
also occur but are not case-defining criteria for DF.
TRANSMISSION
Aedes aegypti or the common household
mosquito are the transmitter of the disease, is a
day-biting mosquito which lays eggs in clear
and stagnant water found in flower vases, cans, rain barrels, old
rubber tires, etc. The adult mosquitoes rest in dark places of the
house

TEACHIN
G
LEARNIN
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ACTIVITY
Student
teacher
introduced
the topic.

A.V
AID
S

EVALUATION

TIME

SPECIFIC
OBJECTIVE
S

CONTENT OF TOPIC

TEACHIN
G
LEARNIN
G
ACTIVITY

A.V
AID
S

EVALUATION

5 min

To enumerate
the signs and
symptoms of
dengue
hemorrhagic
fever.

SIGNS AND SYMPTOMS


First 4 days: febrile or invasive stage
-

Sudden onset of high fever

Abdominal pain

Joint & muscle pain

Headache

Vomiting

Conjunctival infection / pain behind the eyes

Epistaxis

- Loss of appetite and Weakness


4th 7th days: toxic or hemorrhagic stage
- Lowering of temperature
- Skin rashes - maculopapular rash or red tiny spots on the skin
called petechiae
- Severe abdominal pain
- Vomiting
- Hematemesis and melena
- Unstable BP
7th 10th day: convalescent or recovery stage
- Generalized flushing with intervening areas of blanching

Student
teacher
enumerated
the signs and
symptoms of
dengue
hemorrhagic
fever.

appetite regained and blood pressure already stable.

TIME

SPECIFIC
OBJECTIVE
S

CONTENT OF TOPIC

TEACHIN
G
LEARNIN
G
ACTIVITY

A.V
AID
S

EVALUATION

2min

5 min

To enlist the
diagnostic test
of dengue
hemorrhagic
fever.

To explain the
management of
dengue
hemorrhagic
fever.

DIAGNOSIS
Tests may include the following blood tests:

Antibody teststo see if your body is producing


substances that fight the dengue fever viruses

Reverse transcriptase polymerase chain reaction test (RTPCR)to determine the presence and quantity of virus
present in the bloodstream

20 or more petechiae that form within a 2.5-cm diameter


circle by tourniquet test

MANAGEMENT: No medications available that can provide a


cure. Treatment addresses the symptoms and it also attempts to
avoid potential complications.
DENGUE FEVER:

Symptomatic and supportive treatment.

Bed rest during acute febrile illness.

Avoidance of antipyretics or aspirin because of gastritis

Student
teacher
enlisted the
diagnostic
test of
dengue
hemorrhagic
fever.

Student
teacher
explained the
management
of dengue
hemorrhagic
fever.

and bleeding. Paracetamol may be given.

TIME

SPECIFIC
OBJECTIVE
S

Analgesics / mild sedation for pain such as headache.

For vomiting and sweating, oral fluids and electrolytes


must be supplemented

IV fluids if necessary.

Monitoring of patient is required till he becomes afebrile,


has normal platelet count and normal hematocrit.

Prevention of DHF by early recognition of plasma leakage


by frequent estimation of hematocrit (> 20% in normal
values) and platelet count < 50,000/mm3 would cause
Dengue Hemorrhagic Fever.

Check for low BP and for Narrow pulse pressure (< 20


mm Hg)

CONTENT OF TOPIC

TEACHIN
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LEARNIN

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EVALUATION

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ACTIVITY

TIME

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CONTENT OF TOPIC

PREVENTION AND CONTROL

Cover water drums and water pails at all times to prevent


mosquitoes from breeding.

Replace water in flower vases once a week.

Clean all water containers once a week. Scrub the sides


well to remove eggs of mosquitoes sticking to the sides.

Clean gutters of leaves and debris so that rain water will


not collect as breeding places of mosquitoes.

Old tires used as roof support should be punctured or cut


to avoid accumulation of water.

Collect and dispose all unusable tin cans, jars, bottles and
other items that can collect and hold water.

Insect repellents, screen the window and bed mosquito net

TEACHIN
G
LEARNIN
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ACTIVITY

A.V
AID
S

EVALUATION

TIME

Wear long-sleeved shirts and pants. Also wear socks and


shoes, and apply insect repellents on your skin and your
clothing whenever going out in infected area.

SPECIFIC
OBJECTIVES

CONTENT OF
TOPIC

TEACHING
LEARNING
ACTIVITY

A.V
AIDS

EVALUATION

TIME

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OBJECTIVE
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CONTENT OF TOPIC

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CONTENT OF TOPIC

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ACTIVITY