Aussie Childcare Network Forum

Case Study 4
Paolo, who is usually a very active 2.5-year-old child, has just returned to the service after two days at home with a cold. You notice that this is the third cold Paolo has had in the past month.
His father said that he had a fever two nights ago but that, ‘He seems to be OK now apart from a runny nose and a bit of a cough’.
You notice throughout the morning that Paolo is playing more quietly than usual and seems sleepy. You also notice that his cough is very deep and throaty and he gasps occasionally. You are concerned that his symptoms are consistent with Whooping cough (Pertussis).
Paolo’s parents have signed a form to say he is ‘not medically vaccinated’, as they have concerns about the effects of immunisation and are strong believers in natural medicine.
Answer the questions that follow.
1. Where would you source information about whooping cough and the recommended immunisation of this disease?

2. How should a record of Paolo’s illness be documented?

3. What steps would you take to have Paolo checked for whooping cough?

4. Who should be informed if Paolo is diagnosed with whooping cough? How should they be informed and what should be carefully considered when informing them? .
The local Public Health Unit should notify by phone as soon as possible if Paolo is diagnosed with whooping cough and privacy and confidentiality should be maintained by the service when the informing the local Public Health Unit about this incident. Service must ensure that the information should not share to any unauthorised person.
5. If Paolo is diagnosed with whooping cough, should he be excluded from the service? If so, for how long should he be excluded?

Yes If Paolo is diagnosed with whooping cough; he should be excluded from the service for 7–10 days but not more than 21 days. http://www.decd.sa.gov.au/

6. What are the grouping issues and procedures of which you would ensure staff are aware to reduce the possible spread of whooping cough?

7. How should the service provide information to families and educators about child and adult immunisation recommendations?

Services can provide families /educators some web links: Services can refer families /educators to Immunise Australia web side during enrolment process or meetings. These websites can help families /educators to in find out about the recommended immunisation schedule for children and adults. This website contains details about recommended immunisations for children /Adults and when they should have them.
Services can print out and display posters
Services can print out and display posters which contain details information about recommended immunisations for children /Adults
Send newsletters, message alerts families/educators: services can send newsletters, message alerts to families/educators on recommended immunisations schedule for children /Adults
lorina can you guide me / hints in question 1.2.3.6 thanks

Case Study 4
Paolo, who is usually a very active 2.5-year-old child, has just returned to the service after two days at home with a cold. You notice that this is the third cold Paolo has had in the past month.
His father said that he had a fever two nights ago but that, ‘He seems to be OK now apart from a runny nose and a bit of a cough’.
You notice throughout the morning that Paolo is playing more quietly than usual and seems sleepy. You also notice that his cough is very deep and throaty and he gasps occasionally. You are concerned that his symptoms are consistent with Whooping cough (Pertussis).
Paolo’s parents have signed a form to say he is ‘not medically vaccinated’, as they have concerns about the effects of immunisation and are strong believers in natural medicine.
hi lorina what i need to do in the following
1. Where would you source information about whooping cough and the recommended immunisation of this disease?

2. How should a record of Paolo’s illness be documented thanks for help
one more thing, lorina you are true human being and give you precious time to people like me

hi lorina
Case Study 4
Paolo, who is usually a very active 2.5-year-old child, has just returned to the service after two days at home with a cold. You notice that this is the third cold Paolo has had in the past month.
His father said that he had a fever two nights ago but that, ‘He seems to be OK now apart from a runny nose and a bit of a cough’.
You notice throughout the morning that Paolo is playing more quietly than usual and seems sleepy. You also notice that his cough is very deep and throaty and he gasps occasionally. You are concerned that his symptoms are consistent with Whooping cough (Pertussis).
Paolo’s parents have signed a form to say he is ‘not medically vaccinated’, as they have concerns about the effects of immunisation and are strong believers in natural medicine.
madam what i need to do in the following
How should a record of Paolo’s illness be documented thanks for help
should i need to record paolo's illness in Incident, injury, trauma and illness record and notifying his families please help me in because my trainer suggest me for this question that, i need to Ensure that service procedures are followed in relation to notifying families of illness or injuries that affect children while in education and care
my answer so far
Paolo is when he returns to the service is concerning me so, I would documented the full report of Paolo’s illness in Accident/Illness/Trauma record and document the full report of the illness, Details of action taken, including first aid administration of medication: Medical personnel contacted: Yes / No If yes, provide details: Details of person completing this record, Notifications (including attempted notifications) and Parental acknowledgement:
madam, can you tell me i am on right track please help.........

thanks lorina

hi lorina
can you help me in
Case Study 4
Paolo, who is usually a very active 2.5-year-old child, has just returned to the service after two days at home with a cold. You notice that this is the third cold Paolo has had in the past month.
His father said that he had a fever two nights ago but that, ‘He seems to be OK now apart from a runny nose and a bit of a cough’.
You notice throughout the morning that Paolo is playing more quietly than usual and seems sleepy. You also notice that his cough is very deep and throaty and he gasps occasionally. You are concerned that his symptoms are consistent with Whooping cough (Pertussis).
Paolo’s parents have signed a form to say he is ‘not medically vaccinated’, as they have concerns about the effects of immunisation and are strong believers in natural medicine. madam what i need to do in
What are the grouping issues and procedures of which you would ensure staff are aware to reduce the possible spread of whooping cough?
i have done so far a) I would ensure that staff must exclude Paolo from other children.

b) I would ensure that staff must check the immunisation records for every child who has contact with the Paolo.

c) Staff must look for evidence of vaccination of every child of the centre of age 1 to 4 years with the DTP vaccine at 2, 4 and 6 months of age, and at 4 years of age. The ‘P’ in the vaccine is for pertussis which is whooping cough.
d) I would ensure that staff must check whether Any child or adult who lives in the same house with Paolo and also attends the centre and has received less than three doses of pertussis vaccine must excluded from the centre until they have had 5 days of an appropriate course of antibiotics. If antibiotics have not been taken, these adults and child/Ren must be excluded for 14 days after their last exposure to a case of whooping cough at home .
madam my trainer suggest me to
relook at & expand upon this response to take into consideration grouping issues & procedures within the service itself

E.g can the whole group be configured so that smaller groups of children are able engage in appropriate play and activities and be supervised by educators within the one space, or across indoor and outdoor areas? thanks

hi lorina
can you help me in
Case Study 4
Paolo, who is usually a very active 2.5-year-old child, has just returned to the service after two days at home with a cold. You notice that this is the third cold Paolo has had in the past month.
His father said that he had a fever two nights ago but that, ‘He seems to be OK now apart from a runny nose and a bit of a cough’.
You notice throughout the morning that Paolo is playing more quietly than usual and seems sleepy. You also notice that his cough is very deep and throaty and he gasps occasionally. You are concerned that his symptoms are consistent with Whooping cough (Pertussis).
Paolo’s parents have signed a form to say he is ‘not medically vaccinated’, as they have concerns about the effects of immunisation and are strong believers in natural medicine. madam what i need to do in
Who should be informed if Paulo is diagnosed with whooping cough? How should they be informed and what should be carefully considered when informing them?
i have done so far
The local Public Health Unit should notify by phone as soon as possible if Paulo is diagnosed with whooping cough and privacy and confidentiality should be maintained by the service when the informing the local Public Health Unit about this incident. Service must ensure that the information should not share to any unauthorised person but my trainer suggest me to expand my answer and ask me to consider who else should be notified that the centre has had a confirmed case of whooping cough
she also ask me to refer to page 140 of the 5th edition of staying healthy in childcare for further information
madam i have refer to page 140 of the 5th edition of staying healthy but i could not find anything
thanks