Pre-operative Care for children

with SB/H at a CBR Centre

IF Conference Kampala, 2. 11. 2011 Kordelia Fischer-Borchert

What is the role of CBR in pre-

operative care for children with SB/H?

•Medical care and

referral for the child

•To inform and encourage

parents

Successful pre-operative care for children with SB/H can only be achieved, when professionals, children and parents are collaborating together.

Preoperative care for children with SB/H at a CBR Centre

1. Clinical examination including:

•Measure head circumference

•Assess the fontanels

•Body temperature

•General condition

•Assess the wound

•Deformities?

2. Wound care:

•Keep it clean, use “Normal Saline” for cleaning open

wounds and cover with sterile dressing

•Keep wound open, when Baby is not laying on

No preventive antibiotics, without clinical

signs of sepsis, like fever or other signs

of infections

Preoperative care for children with SB/H at a CBR Centre

3. Documentation

•Open a clients file

•Referral Note

Preoperative care for children with SB/H at a CBR Centre

Preoperative care for children

with SB/H at a CBR Centre

4. Referral •Medical (Pediatric) Consultation

•Surgical Hospital

Ensure, that baby and mother are stable enough to travel

How can parents be encouraged?

•Listen to the parents and counsel accordingly

•Inform about the condition of the baby

•Inform about the next steps for treatment

•Encourage parents

•Inform about review and rehabilitation at the

CBR Centre

•Provide information material about SB/HC

•Discuss financial matters

Pre-operative care for children with

SB/H at a CBR

CBR Staff

Network Encouragement of parents

Care for children

Thank you for listening