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Chapter Eleven: Health Care in Child Care

Chapter Eleven: Health Care in Child Care. Health Policies. Identification of infectious diseases Management of infectious diseases Managing care for mildly-ill children Methods and practices for caregivers. Identification of Infectious Diseases. Signs and Symptoms of Illness

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Chapter Eleven: Health Care in Child Care

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  1. Chapter Eleven: Health Care in Child Care

  2. Health Policies Identification of infectious diseases Management of infectious diseases Managing care for mildly-ill children Methods and practices for caregivers

  3. Identification of Infectious Diseases Signs and Symptoms of Illness Common indicators (Figure 11-1) Listlessness Sore throat Runny nose Diarrhea Complaint of stomach ear or head ache Red or watery eyes Unusual rashes Infection skin lesions

  4. Serious indicators Fever Vomiting Severe coughing or breathing Urine or strong odor Unusual drowsiness Excessive crying

  5. Respiratory Tract Transmitted Diseases (see Table 11-1) Colds Influenza Strep Throat Scarlet Fever Chicken Pox Fifth Disease Sixth Disease

  6. Meningitis Hib Rubella Mumps Whooping Cough Otitis Media Tuberculosis

  7. Fecal-Oral (see Table 11-2) Giardia Shigella Salmonella Hepatitis A Campylobacter E. Coli Cocksackie virus Pinworms

  8. Direct Contact (see Table 11-3) Conjunctivitis (Pinkeye) Impetigo Ringworm Head Lice Scabies Cytomegalovirus Herpes Simplex

  9. Bloodborne (see Table 11-4) Hepatitis B HIV/AIDS

  10. Managing Infectious Diseases in Child Care Exclusion (see Guidelines Table 11-5) Serious indicators and conditions Includes adults in child care If child excluded, provisions should be made for Notification of parents, including time period and conditions for return Notification of Public Health (see checklist Table 11-6)

  11. Managing Care for Mildly Ill Children Three Questions Is the disease highly communicable or communicable at this time? Will it put others at risk? Does the child feel well enough to participate in child care? Can the child care provide the mildly ill child adequate care?

  12. Checklist for care of mildly ill children Observe and record signs and symptoms Pay extra attention Provide quiet activities and quiet place Administer medication Supply good nutrition through foods and beverages

  13. Observation Recognition of serious signs/symptoms Supervision Sanitary procedures in use Notification of Public Health, if needed Education Caregivers Parents Children Implications for Caregivers

  14. Cultural Competence Access to health care Immunization Sanitary habits

  15. Reality Check:Otitis Media and Child Care Second most frequently diagnosed childhood disease More than 50% children have 3+ bouts by age of three Treated with antibiotics Caregivers need to recognize symptoms for early intervention Not contagious

  16. Setting up care for mildly ill children On job site Family child care home Child care center Child’s home Reality Check:Special Care for Mildly Ill Children

  17. Must meet APA and AAHP guidelines Information about illness, including physician’s name Prognosis and instructions for illness Care plan Open line of communication with parents

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