NAME OF THE STUDENT : Ms. Nisha KaushikNAME OF THE EVALUATOR : Mr.Baljinder Singh TOPIC OF THE HEALTH TALK : Dengue Hemorrhagic FeverGROUP : Patient and familySIZE OF THE GROUP : 8-10 membersDATE AND TIME : VENUE : METHOD OF TEACHING : Lecture cum discussionAUDIO 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:

TIMESPECIFICOBJECTIVESCONTENT OF TOPICTEACHING LEARNING ACTIVITYA.VAIDSEVALUATION

2minTo introduce the topic.INTRODUCTIONDengue fever is most commonly an acute febrile illness defined by the presence of fever and two or more of the following, retro-orbital 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.

TRANSMISSIONAedes 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

Student teacher introduced the topic.

TIMESPECIFICOBJECTIVESCONTENT OF TOPICTEACHING LEARNING ACTIVITYA.VAIDSEVALUATION

5 minTo enumerate the signs and symptoms of dengue hemorrhagic fever.SIGNS AND SYMPTOMSFirst 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 Weakness4th 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 appetite regained and blood pressure already stable.

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

TIMESPECIFICOBJECTIVESCONTENT OF TOPICTEACHING LEARNING ACTIVITYA.VAIDSEVALUATION

2min

5 minTo enlist the diagnostic test of dengue hemorrhagic fever.

To explain the management of dengue hemorrhagic fever.DIAGNOSISTests 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 (RT-PCR)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 and bleeding. Paracetamol may be given. 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)

Student teacher enlisted the diagnostic test of dengue hemorrhagic fever.

Student teacher explained the management of dengue hemorrhagic fever.

TIMESPECIFICOBJECTIVESCONTENT OF TOPICTEACHING LEARNING ACTIVITYA.VAIDSEVALUATION

TIMESPECIFICOBJECTIVESCONTENT OF TOPICTEACHING LEARNING ACTIVITYA.VAIDSEVALUATION

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 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.

TIMESPECIFICOBJECTIVESCONTENT OF TOPICTEACHING LEARNING ACTIVITYA.VAIDSEVALUATION

TIMESPECIFICOBJECTIVESCONTENT OF TOPICTEACHING LEARNING ACTIVITYA.VAIDSEVALUATION

TIMESPECIFICOBJECTIVESCONTENT OF TOPICTEACHING LEARNING ACTIVITYA.VAIDSEVALUATION