Management of Severe Malnutrition: A Manual for Physicians and Other Senior Health Workers by World Health OrganizManagement of Severe Malnutrition: A Manual for Physicians and Other Senior Health Workers by World Health Organiz

Management of Severe Malnutrition: A Manual for Physicians and Other Senior Health Workers

byWorld Health OrganizEditorWorld Health Organiz

Paperback | January 1, 1999

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This manual provides expert practical guidelines for the management of severely malnourished children. Addressed to doctors and other senior health workers, the manual explains exactly what must be done to save lives, achieve successful management and rehabilitation, prevent relapse, and thus give these children the greatest chance of full recovery. Throughout, the importance of treating severe malnutrition as both a medical and a social disorder is repeatedly emphasized. As successful management does not require sophisticated facilities and equipment or highly qualified personnel, the manual also performs a persuasive function, encouraging health professionals to do all they can to save these children and meet their great need for care and affection.

Recommended procedures draw on extensive practical experience as well as several recent therapeutic advances. These include improved solutions of oral rehydration salts for the treatment of dehydration, better understanding of the role of micronutrients in dietary management, and growing evidence that physical and psychological stimulation can help prevent long-term consequences of impaired growth and psychological development. Noting that the physiology of malnourished children is seriously abnormal, the manual gives particular attention to aspects of management - whether involving the interpretation of symptoms or the use of specific interventions - that differ considerably from standard procedures for well-nourished children. Details range from the reasons why IV infusion easily causes overhydration and heart failure, through a list of treatments that have no value and should never be used, to the simple reminder that underarm temperature is not a reliable guide to body temperature in a malnourished child during rewarming.

Further practical guidance is provided in eight appendices, which use numerous tables, charts, sample recording forms, instructions for preparing feeds, and examples of easily constructed toys to help ensure that management is thorough, safe, and in line with the latest knowledge.
World Health Organization is a Specialized Agency of the United Nations, charged to act as the world's directing and coordinating authority on questions of human health. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based polic...
Title:Management of Severe Malnutrition: A Manual for Physicians and Other Senior Health WorkersFormat:PaperbackDimensions:67 pages, 8 × 6 × 0.68 inPublished:January 1, 1999Publisher:WHO PUBLICATIONSLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:9241545119

ISBN - 13:9789241545112

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Table of Contents

Treatment facilities; Evaluation of the malnourished child; Assessment of nutritional status and criteria for admission; History and physical examination; Laboratory tests Initial treatment; Principles of management; Hypoglycaemia; Hypothermia; Dehydration and septic shock; Dietary treatment; Infections; Vitamin deficiencies; Very severe anaemia; Congestive heart failure; Dermatosis of kwashiorkor; Rehabilitation; Principles of management; Nutritional rehabilitation; Emotional and physical stimulation; Teaching parents how to prevent malnutrition from recurring; Preparation for discharge; Follow-up; Failure to respond to treatment; General principles; Problems with the treatment facility; Problems with individual children; Learning from failure; Management of malnutrition in disaster situations and refugee camps; General considerations; Establishing a therapeutic feeding centre; Criteria for enrolment and discharge; Principles of management; Evaluation of the therapeutic feeding centre; Malnutrition in adolescents and adults; Principles of management; Classification of malnutrition; History and physical examination; Initial treatment; Rehabilitation; Criteria for discharge; Failure to respond to treatment.