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3.
Have an understanding that sickness can be prevented by developing preventive health habits.
Aims:
What causes different kinds of sickness How to tell when a person is sick When a sick person needs to see a doctor What you can do to prevent sickness
*Some sickness gets better without treatment, other times, if you wait to see a doctor, the sickness becomes so serious that treatment is very difficult.
INFECTIOUS DISEASES
Tuberculosis: spread through the air by coughing or contact with spit. Diarrhea: contact with dirty fingers, water, flies Cold, flu, measles, mumps, chickenpox, polio: from contact with someone who is sick (hand to mouth, through air by coughing, flies) Parasites- Worms and amoeba: hand to mouth, unwashed food, poorly cooked food, poor hygiene or lack of cleanliness.
How to Keep From Passing Germs to Another Person? By washing hands with soap & H2O before you touch food, either to prepare or to eat By washing hands after using the toilet By keeping hands out of the mouth By keeping food covered
How to Keep From Passing Germs to Another Person? By proper garbage disposal By having latrine, pit or H20 seal toilet By washing clothes and bedding often: hang blankets out in the sun By washing dishes & cooking utensils: cover them when not in use
By having a pure source of H2O or boiling all drinking H2O By washing food (vegetables & fruits) before eating By covering coughs & sneezes; using a clean cloth to wipe/blow the nose
By not spitting anywhere By not sleeping a sick person with another sick person By taking immunizations recommended by health workers By wearing shoes in areas where there is hookworm
NON-INFECTIOUS DISEASES
Does not spread from person to another Cause by the way we live and from the habits we have (LIFESTYLE) Lifestyle Diseases: Cancer, Heart disease, stroke, diabetes, hypertension -can be hereditary Accidents (home, work, vehicular)
Never leave a small child alone at home when there is fire burning Keep handles of cooking utensils turned so small child cannot pull and spill hot food on himself Dont let a child play with cooking fire or matches Keep all poisons out of reach of children Keep all medicines out of reach of children
Never store a poison in a container that is normally used for food of drink Keep sharp objects out of reach of children Pick up any broken glass or old cans with jagged edges and dispose properly Stay in doors when chemical sprays are being used on crops. Wash clothing and body that comes in contact with such sprays
Review Questions
What causes sickness? How can you tell that the person is sick? What are the signs & symptoms you can look for that indicate a person is sick?
Closing Thoughts
The Bible teaches that in the beginning of the world there was NO disease. Everything was perfect. When God created human beings and animals, He made them healthy and well.
Breathing or Respiration
Pay attention to the way he breathes:
-Are his breaths deep or shallow? -Does he have difficulty breathing? -Listen carefully to the sound of the breath. Whistling or wheezing? Gurgling or snoring sound?
Breathing or Respiration
*Sucking in of the skin between the ribs & at the angle of the neck (behind the collar bone) means air has trouble getting through *If this sign is seen in a baby that baby should be taken to a doctor -Is he coughing? -Is he spitting up mucus? What color is the mucus? -Is there blood in the mucus?
Newborns: Ave. 44 breaths/min Infants: 20-40 breaths/min Preschool children: 20-30 breaths/min Older children: 16-25 breaths/min Adults: 12 to 20 breaths/min
Source Wikipedia, 2007
person with fever or pneumonia will breathe more quickly than normal ( >40 shallow breaths/min)
Pulse/Heart Beat
Normal Pulse for People at Rest
Babies Children Adults Well-trained athletes 100-140 beats/min 80-100 beats/min 60-80 beats/min 40-60 beats/min
Respiration
The smaller the person the faster the heartbeat Pulse when a person exercise, frightened or has a fever *The pulse 20 beats/min for each degree of C rise in fever *When in illness pulse of adults or children 80-120/min
Respiration
*Pulse rate should be taken at the same time you take the temperature. Weak, rapid pulse can mean the person is in shock Very rapid, very slow or irregular pulse can mean heart trouble Slow pulse with high fever maybe a sign of typhoid.
Swelling or puffiness
Signs of Dehydration
Skin lose elasticity or stretchiness Little or no urine (dark & yellow) Sudden weight loss Dry mouth Sunken, tearless eyes Sagging in the soft spot (fontanelle) in babies Severe dehydration: rapid, weak pulse, fast deep breathing or fits (convulsions)
Rehydration Drink
In 1 liter of boiled H2O put 2 level of tablespoons of sugar or honey, teaspoon salt, & teaspoon of bicarbonate soda
*If theres no soda use another teaspoon of salt. If available add cup of orange or little lemon juice
Digestive Tract
DONT give an enema, even the person has not had bowel movement
Closing Thoughts
The Bible tells of one of Gods prophets giving care at home to a very sick boy, in fact, he had died. Read the story in 2 Kings 2:4
Review Questions
What are the kind of signs and symptoms our bodies can show? What are the kind of signs you measure at home? What can we observe when a person is sick?
Answers
1. Fever, cough, pain, feeling badly, tired all the time, diarrhea, vomiting 2. Temperature, rate of breathing, rate of heart beat (pulse), dehydration (by lifting skin) 3. Color- feel of the skin, eyes- color of white parts, size of pupil, ears- pain or drainage, belly- pain or sounds of bowel, musclespain, numbness, weakness or spasm, convulsions
Our minds have a very strong influence over our bodies, so if we think we are going to get well, we often do. Many health problems have a mental health component so our state of mind and our beliefs and faith in the healer make a lot of difference.
Bible Thought
For God hath given us the spirit of fear; but of power, and love, and of a sound mind. 2 Timothy 1:7
Drink more water and other liquids when sick (unless the doctor instruct otherwise) If theres a fever, drink more than 6 cups. (ADD 4 MORE CUPS & FILL with WATER or FRUIT JUICE)
Remove the child from tub, dry and cover with light weight blanket or sheet. Take temperature after 30 min. Repeat the procedure if the fever is still >38C or 101F. Never leave the child alone while taking the temp. of sponging
tablet with smashed fruit.
38C or 101F
Steam Inhalation
Water vapor loosen mucus of: -respiratory tract, nose, throat, wind pipe, bronchi & lungs Steam Inhalation relieve: -cough, asthma, bronchitis, pneumonia, whooping cough
Closing Thoughts
And let him that athirst, come. And
Whoever will, let him take the water of life freely. Revelation 22:17
Spiritual water maybe found in: Prayer Bible Study Meditation
PRECAUTIONS
Should see a doctor or health worker when: Fever is >38C or 101F Chills Prolonged cough Coughing up purulent or bloody material Severe or prolonged cough Stiff neck Earache
Influenza or Flu
Caused by a virus (different from cold virus) Contagious Symptoms maybe similar to common cold but usually theres a high fever 39C or 103F There is an ache-all-over feeling Will last 1 week but a person may feel weak for a long period of time More serious for very young children, very old people, or those who already have respiratory disease.
PRECAUTIONS
Same as in a common cold except that fever will be higher Chilling is common during first day or two Isolate the person until temperature is normal for 24 hours.
Sore Throat
Can be caused be several kinds of bacteria. If caused by streptococcus bacteria, the person should see a doctor. Often accompanies other respiratory sickness. Scratchy or burning sore throat with a cold & very little fever can be treated by home treatment. Should see a doctor if sore throat last longer than 2 or 3 days.
PRECAUTIONS
A person should see a doctor when: The fever is >38C or 101F lasting >24 hr. Severe sore throat esp. cold symptoms start; extremely red throat, swollen tonsils & whitish patches on the throat (sign of bacterial infection).
PRECAUTIONS
Nausea & vomiting can be symptoms of any serious condition If condition does not clear promptly or if it recurs SEE A DOCTOR RIGHT AWAY!
DIARRHEA
It is a symptom of many conditions of the intestines. Maybe cause by a viral infection, injudicious eating, food poisoning, other germs. If food poisoning: acute nausea, vomiting, diarrhea after hrs of eating the contaminated food. *It can be severe but it will end once the toxins have been flushed out from the body.
Handout#6
PRECAUTIONS
If there is fever it is a sign of infection.
Watch for severe or prolonged pain, recurrent diarrhea, or diarrhea that does not clear within 24 hours.
Acid Stomach
Discomfort often after eating Burping, burning sensation at the upper side of the abdomen (belly) Bloating & indigestion due to nervous tensions, wrong eating habits (eating too fast, eating too much, etc.) Caused by drinking coffee, tea, or alcohol; tobacco
Home Treatment
AVOID: - rich, fried, greasy, spicy food - any food that causes irritation - eating heavy meals in the evening DONT: - eat a wide variety of foods at one meal - take coffee, tea, caffeinated drinks, alcohol & tobacco Exercise outdoor (walking or gardening) Drink plenty of water between meals Hydrotherapy: neutral tub bath at bed time
Handout#7
PRECAUTIONS
Symptoms may mimic stomach ulcer or even more serious disease.
CONSTIPATION
Causes of simple constipation: Eating too many refined food Lack of exercise Inadequate drinking of water Taking laxatives
Home Treatment
1.
2. 3. 4. 5. 6.
Eat fiber rich foods (fresh or dried fruits; legumes, whole wheat, brown rice, fresh vegetables, etc.) Avoid sugars, starches, highly refined rich foods. Drink at least 8 glasses of water everyday. Get plenty of outdoor exercise & adequate rest. Have a regular time for bowel movement. Deep breathing exercise.
Handout#8
PRECAUTIONS
Any abrupt change in bowel habits is a danger signal. SEE THE DOCTOR RIGHT AWAY!!!
Session 5
Review: Questions
Q#1 How will drinking water help you? POSSIBLE ANSWERS: - to lower fever - to prevent constipation - to replace body fluid (diarrhea or vomiting) Q#2 What can you use this for? 1 teaspoon salt in 1 glass of water Answer: - gargle for sore throat
Review: Questions
Q#3 Salty water from the glass into the palm of your hand. What can you do with this? ANSWER: - sniff it up to relieve a stuffy nose Q#4 1 liter of water + tsp salt + tsp baking soda + 2 tbsp of sugar. What can you do with it? ANSWER: - Give to the person with diarrhea and/or vomiting to prevent & treat dehydration - Give to who had been burned to replace water loss.
Review: Questions
Q#5 A glass of fruit juice. What would be this be good for? ANSWER: - to reduce fever - to replace body fluids (vomiting & diarrhea - to help recover from flu or cold or other infectious disease Q#6 A can of carbonated drink . When would this be appropriate? POSSIBLE ANSWERS: - when a person is vomiting, nauseated, or having a diarrhea
Review: Questions
Q#7 Bucket of steaming hot water, chair & towel. How could you use you it? POSSIBLE ANSWER: - breath the steam to relieve chest congestion, or moisten so it can be cough up to relieve a cough
Review: Questions
Q#6 Basin of warm water, wash cloth. How would you use this to treat sickness? POSSIBLE ANSWER: - to reduce fever by sponging the body Q#7 What else could you do to reduce a fever in a young baby? ANSWER: - Place the baby directly in the water, sponging with the cloth. PRECAUTION: Dont chill the baby
Water Treatment
HOT WATER -Causes blood vessels to expand and improve circulation -Extra blood supply O2 and food for the cells -Help recover from infection and injury COLD WATER -Contracts the blood vessels -Little blood circulates
Heating Compress
Good for: Sore joints (elbow, knee) due to arthritis Twisted or over used joints Neck sore Hoarse throat Heating Joint Compress Relieves: Pain & swelling by increasing the circulation
Procedure
1. Usually it is best to apply heating compress after the joint has been warmed (a heat lamp, or soaked in hot water. 2. Place the cotton cloth into cold tap water. Wring out the water. Wrap it around the joint as you would a bandage. 3. Cover the cotton cloth with the double thickness of flannel. Make sure the wet cotton cloth is completely covered. 4. Pin in place. Leave in place all day or all night.
Question: Why is this called a HEATING THROAT COMPRESS when the water in the cloth is cold water? Answer: Because the body has to warm or heat the cold cloth up and will increase circulation in the area. It will help bring healing to the area.
Question: Is it dangerous to put a cold cloth around the neck? Answer: No, not if you cover it well with the strip of flannel cloth.
Procedure
1. Give the treatment in a room free of breezes if possible. 2. It is best if the patient can sit is a chair, but if the patient is too weak leave him lying in bed. 3. If giving the foot bath in bed, protect the bed with a sheet of plastic. 4. Fill the foot bucket or tub with hot water (water will come up to the ankle). Test the H2O with your elbow.
Procedure
1. Put the persons feet in the tub or bucket, & cover with towel. Use a section of newspaper across the top of the tub under the towel. Add 1-2 cups of hot water every 3-5 min. Ask the patient to remove the feet when adding the hot water. Put a wash cloth wrung out of a cold water on the forehead. Change this every time you add more hot water. After 20 min. lift the feet out of the hot water. Pour a small pan of cold water over the feet, then dry the feet immediately. Remove & empty the tub bucket.
2. 3.
4.
Warning
NEVER give such treatment to:
Procedure
1.
2.
3.
4. 5.
Fill one of the containers with hot water (not too hot to burn). Fill the other container with cold water with few ice cubes. Put the affected part into the hot water totally immersing it. Leave it in the hot water for 4-5 min. Move the affected part into the cold water container. Leave it there for half a minute. Add 1 cup of hot water to the other container. Test it with your hand. Put the affected part back into the hot water for another 5 min. Keep moving the part back and forth between the hot & cold containers. (hot water-5 min., cold water-half min.)
Procedure
6. Continue the treatment for 20 min. total time. 7. End the cold part of the treatment. 8. Dry the part thoroughly.
Review Questions
Q#1 When giving hot & cold treatment, what kind of water should you start with? ANSWER: HOT Q#2 What kind of water should you end with? ANSWER: COLD
NEVER use hot or cold compress for ABDOMINAL PAINS (may break appendix & cause a very serious sickness) NEVER use hot cold compress if there is FRESH BLEEDING. DO NOT apply this treatment on the first day for sprained ankle. Use only cold soak. DO NOT soak the injured part for longer that 20 min.
Cool Water
Can be used: as an emergency measure If acid, lye, or dirt has gotten into the eye, wash immediately with plenty of COOL WATER *If a person has gotten acid or lye in his eye, SEE THE DOCTOR right away!
Closing Thoughts
Simple treatments are as old as Bible times. Over 2,000 years ago, when parts of the Bible were being written, Isaiah recommended this treatment for King Hezekiah: For Isaiah had said, Let them take a lump of figs, and lay it for a plaister upon the boil, And he shall recover. Isaiah 38:21
Materials Needed
Poles & blanket for improvised stretcher Blanket Watch w/second hand or digital read out seconds (optional) Pads of clean cloth Pitcher or can of clean water Bar of soap 1 liter bottle or pitcher Salt Bicarbonate of soda (baking soda)
Definition
FIRST AID
is the immediate and temporary care given to an injured person on one who has suddenly become sick.
Knowing the principles of FIRST AID may help you save a persons life, or prevent further injury. First Aid is the care you give until you can get medical help. Persons trained in First Aid DO NOT take the place of doctors, nurses or other health workers. Emergencies can happen any time, at any place. First Aid knowledge is needed before the emergencies arises.
Loss of Consciousness
Check for: Breathing
Is the person breathing? IF NOT, tilt his head way back and pull his jaw & tongue forward. Remove if something is stuck. IF NOT breathing, give mouth-to-mouth breathing
Loss of Consciousness
Could it be heat stroke? SYMPTOMS: no sweating high fever hot red skin If symptoms are present: shade him from the sun keep the head higher that his feet soak him with the cold water
If a person has merely fainted, but still breathing: keep him lying down put a cold compress on his forehead until he revives
Loss of Consciousness
Bleeding - Is the person losing blood? If so, stop the bleeding. Shock - Is the person in shock? Is the skin moist & pale? - Is the heart beat weak & fast? - Lay the person on a cot or board with his feet higher than his head. - Loosen his clothing, but keep him warm.
DO NOT MOVE AN UNCONCIOUS PERSON, if badly injured, except with great care. In case of broken neck or back, ANY CHANGE OF POSITION can cause greater INJURY & permanent PARALYSIS.
Drowning
Start mouth-to-mouth breathing even before the person is out of the water Have someone else bring the person out of the water while you give mouth-to-mouth. DONT wait to get the water out of his lungs. In between breaths, turn the head to one side and push on his belly with the heel of your hand. DONT stop giving mouth-to-mouth every 5 min.
Heimlich Maneuver
1. Stand behind the person, wrap arms around his waist. 2. Put fist against belly, below the ribs & above the navel. Place your other hand over your fist. 3. Press belly with a sudden strong upward jerk to force air from the lungs, and to clear the throat. *DONT do the Heimlich Maneuver if he can inhale or talk.
REVIEW
The first thing you check in an injured person. ANSWER: Breathing The next thing you look for is ANSWER: Bleeding
Question
If the wound is on the HEAD where would you put pressure? ANSWER: *Directly on the bleeding wound. *There are no pressure points for the blood supply on the head. *Have the head elevated higher that the heart.
DONT wait until the wound becomes infected. DONT use home treatments for such wounds- for medical care ASAP.
HEART ATTACK
More frequent in older people Person of any age Fat and smokers
SPIRITUAL APPLICATION
The Parable of the Good Samaritan illustrates a person who gave FIRST AID to someone in need.
Review
What is First Aid? Who should give First Aid? What should you check for first, if you find an unconscious person? -BREATHING What should you check for next in an injured person? -BLEEDING
Review
What do you do if the person is not breathing? -Make sure that there is nothing obstructing the air passage then give Mouth-to Mouth breathing How long should you do this? - Until he breathes on his own at least an hour
Review
If you have to move an injured person, what should you be careful of? - A broken back or a broken neck If a person is drowning how soon should you start giving him your breath? - Immediately, dont wait to get out of water.
Review
If you cut your arm , how should you stop bleeding? - Direct pressure, put pressure on the pressure point If a little girl falls and gets a gash in her leg, how would you treat it? - Wash your own hands. Wash wound with clean soap & water. If bleeding badly apply pressure directly.
Skin Burns
Burns can be very serious Can cause death either by shock or infection Infection can begin quickly Fluids are rapidly lost
Kinds of Burns
First degree burns which do not form blisters on the skin. - affects only the epidermis or outer layer of the skin - the burn site is red, painful, dry, with not blisters ex. Mild sunburn
Kinds of Burns
Second Degree burns that cause blisters
- burns involve the epidermis and part of the dermis layer of skin - burn site appears red, blistered, and may be swollen and painful
Kinds of Burns
Third Degree destroys
the outer layer of skin (epidermis) and the entire layer beneath (or dermis). - dry and leathery skin - black, white, brown, or yellow skin - swelling - lack of pain because nerve endings have been destroyed
Poisoning
Another cause of accidents, at home, or around the farm Can happen to anyone Children are the common victims ALL POISONS should be KEPT OUT of reach of children!!!
NEVER keep kerosene, gasoline or other poisons in cola or soft drink bottles.
Common Poisons
Rat poison DDT, lindane, insecticides Medicines Iodine Soap powders, bleach Cigarettes Lye Rubbing or wood alcohol Poisonous leaves, seeds, berries Matches Gasoline (petrol), paint thinner
Charcoal
1. Dilute charcoal powder.
Children: 2 tbsp of charcoal into half glass of drinking water Adult: 3 tbsp of charcoal powder into a glass of water 2. Let the patient drink the glass of water at one time. 3. Induce vomiting 5 min. after the first dose. 4. After vomiting, give the patient another glass of charcoal drink .
Charcoal
5. Repeat procedure #s 3 & 4 three times. 6. After the third vomiting, give the patient another glass of charcoal drink to adsorb the remaining poisons in the stomach.
Snake Bites
Poisonous snake bite: leaves marks of two fangs
6.
Review Questions
What poisons do you have at home that you need to be very careful with so children will not get them accidentally? What do you do for a person who has swallowed a poison? What is the first thing you do for a first and second degree burn?
Review Questions
Why do you have a person lie down and not move around or walk for help who has bitten by a poisonous snake or insect? Why should the band you tie between the snake bite and the heart be tied loosely? If the snake bite is not from the poisonous snake, what treatment what treatment should you give? Why is an insect bite more dangerous to a small child?
SPIRITUAL APPLICATIONS
We CANNOT avoid all accidents. Many can be prevented by being CAREFUL. But God also promised to help us.
For He shall give His angels charge over thee, thee keep in all thy ways. They shall bear thee up in their hands, lest thou dash thou foot against a stone. Psalm 91:11,12