000			02654nam a22002537a 4500
999			_c8315 _d8315
003			CFM20100002
005			20240720152625.0
008			160505b2010 xxu||||| |||| 00| 0 eng d
040			_cFEU-NRMF MEDICAL LIBRARY _a93630.0
041			_aEnglish
050			_aCFM20100002
100			_aBunggay, Darwin Nuguid, MD. _eauthor
245			_aSevere malnutrition : _bsaving a child`s future beyond the prescription / _cDarwin Nuguid Bunggay.
260			_aFairview, Quezon City _bDepartment of Community and Family Medicine, FEU-NRMF, _c2010
300			_billustrations and photos (colored); _c(in folder)
336			_atext _2rdacontent
337			_aunmediated _2rdamedia
338			_avolume _2rdacarrier
504			_aIncludes appendices and bibliographical references.
520			_aABSTRACT: One out of three children in developing countries, including the Philippines, suffers from malnutrition and is estimated to be an underlying cause in more than one third of all deaths in children under five. It develops as a result of inadequate nutrition and disturbed social interactions contributing to poor weight gain, delayed development and abnormal behavior. Malnutrition is not just about diet and nutrition but involves a complex interplay of medical and psychosocial aspects needing close attention.Severe malnutrition in children if not properly addressed significantly affects the future development of an individual`s over all productivity. This clinical report intends to emphasize the importance of a holistic multidisciplinary approach in managing severe malnutrition. The index patient, AA, is a 15 month old female suffering from severe wasting(5.3kg) and severe stunting(66cm) with delays in speech and social development(Picture 1). Several factors such as poverty, poor education, poor family planning, misperceptions and the inability of the parents to avail of public health services for their children, all played a role in AA`s severe malnutrition. The Family Health CareProgram adopted AA in the program using the biopsychosocial model in a team-based approach in handling her severe malnutrition and guiding the family to self reliance with promising results. Interventions included nutritional build-up, immunizations, medical management, birth certificate registration, relief goods and livelihood assistance to meet short and medium term goals and educational assistance and family counseling to meet the long term goals. Careful monitoring of these goals is of utmost importance.
521			_aRESDCFM
887			_aRC RC0031 10
942			_2lcc _cRE