TOPIC: PREVENTION OF URINARY TRACT INFECTIONS Description: This Structured Health Teaching includes the causes, symptoms and

two interventions to prevent the development or spread of urinary tract infection. Time Allotment: 5minutes Objective: after the SHT, the learners shall be able to understand the causes, symptoms and prevention measures of UTIs. SpcificObjectives After the Structured helath Teaching, theCaregiv should: 1. Be knowledgeable on the possible causes, symptoms and prevention activities of UTI Content I. Introduction to UTI Urinary Tract Infection among children may be one of the most common, preventable, treatable and overlooked illnesses. It is the inflammation, usually bacterial in origin, of either the urethra, bladder, ureters or kidneys. Because they are still at an early age, infants urethras are still very short and may serve as a ready pathway for invading organisms. It also may be caused by urine stasis, poor perineal hygiene, constipation, tight or soiled clothing, diapers and poor water intake. Females have a 10 to 30 times greater chance of developing the disease. Clinical Manifestations for infants may include fever, too frequent or infrequent urination, constant squirming, irritability, foul smelling urine, abdominal distension, diaper rash, pallor and possible jaundice. There are ways to prevent the development of UTI. And the most common are proper hydration and perinea hygiene. Ang UTI orUrinary Tract Infection ang usa samga sakit na dali ra maiwasan, dali ra ma ayo ug usahay usa pod ni siya sa pinakadili mabantayan. Mahitabo ni tungod kay na infected ang pare sa atong urinary sytem, ang ureter,bladder,urethra or ang kidney mismo. Tugnod kay mga bata pa sila, maba pa ang mga urethra, ug dali ra maaiian sa mga kagaw. Pwede ni siya tungod kay dili mayo ang pagpanlimpyo sa atong genital area, constipation, pagsuot ug hugot ug hugaw na sinina,diapers,orkulang sa paginomug tubig. Mabaw-an na naa nay UTI ang bata knd gihilanat na siya, sige or kulang ang pagpangihi, sige siyang galihok, dili mahimutang, baho angihi, gabutodang tiyan , nay diaper rash, nanluspad or ga yellow na ang bata.

2. Acknowledge the importance of adequate water intake and its relation to UTI

Daghan pamaagi na ma prevent nato ang UTI, angpinaka dali ka yang pag-sigeg inom ug tubigug ang insakto napaglimpyo sakinatawo sa bata. II. Water Intake The ideal water intake for infants 1 month to12months is usually 80100 mL/kg in 24H. It is important to maintain overall health of the infant, and it aids in flushing out bacteria that may have dwelled in the vaginal cavities. Frequent urination minimizes bacterial growth in the area. Caregivers must encourage their children to drink as much water in a day as possible, as per requirement. May be at small amounts at a time, do not force to take big amounts in one sitting, this may cause discomfort and abdominal pain to the baby. Sa mga bata, nga 1 month to 12months,orang ginatawag na infants, and insakto na ilimnun na tubig kay dapat 80 -100mL/kg sa sulod sa 24 ka oras. Makatang ni sa general health sa bata, ug makatabang pud ni nga mapugngan ang pag daghan sa kagaw nga gapuyo sa atong urinary tract kay tungodma wash out raman ni kada pangihi sa bata. Dapat, gina painom nato atong mga bata ug daghan tubig,pero dili diretso-diretso.pwede man siya na ginagmay lang usa kada inom ug tubig kay maka cause pud ni na magsakit ang tiyan sa bata kay ni butod na . III. Perineal Care Proper cleaning of the infants genital area is also an important factor to prevent UTIs. It must be done from front to back, avoiding the urethral area with fecal material. Caregivers should clean the area before or after defecating and before changing diapers. Cleaning may be done using water, a clean cloth and very mild soap. The direction must be from front to back and not the other way around. Avoid using nylon or any tight clothing/ diapers, wear cotton panties. Encourage generous intake of fluids. Ang insakto pod nga pamaagi sapaglimpyo sa kinatawo sa bata kay pagpahid gikan sa atubangan paingon sa likod, para dili nato madala ang kagaw gikan sa tae/sampot sa bata paingon si alagian ug ihi. Dapat limpyohan pud ang kinatawo sa bata pagkahuman niya ug kalibang, pagkahuman pangihi,ug ingi ilis ug diaper.Atong gaitan ug tubig, limpyo na labakara, ug very mild soap. Sa pagtrapo, dapat gikan sa atubangan paingon sa likod.kung mahimo,dili natopagamiton ug huot na diaper or sinina ang bata, dayun atong paimnon ug dagahn tubig.

3. Demonstrate/ Reiterate how to clean the perineal area, when to clean and what to use.

4. Describe ways to prevent and avoid the further development of UTI.

To aid in the prevention of the spread or escalation of the infection, it is best to adhere to medications prescribed by the pediatrician, as well as provide proper rest and nutrition. At this stage, the infant needs attention in order to develop the sense of trust, he/she must also be watched closely because it is at this stage when he/she ay touch, grab or hold anything and put it or his/her fingers in her mouth. To avoid the transfer of microorganisms, the caregivers must watch over the child, and assist in washing the babys hands when needed. Para atong maiwasan ang pag grabe sa infection, atong siguraduon na ginatumar pud sa bata ang mga tambal na giprescribe sa pediatrician. Ato pud hatagan ug insakto na restor sleep period ang bata, ug insakto na pgakaon. Ani nga panahon ang bata kay nahinanglan jud ug attention para mka feel siya ug trust or salig nga muabot ra jud angm=iyang mga kinahanglanon. Kailangan pud siya bantayan kay ani nga panahon, kusog ning bata mag hikap-hikap ug maski unsa ug ibutang ra sa iyang ba-ba. Aron maiwasan ang pagbalhin balhin sa kagaw, atong bantayan nkung unsa ning gipangkaptan sa bata ugkung kailangan hugasan ning mga kamot sa bata.

Silliman University College of Nursing

LESSON PLAN for Structured Health Teaching on Urinary Tract Infection

Submitted by: YankaPatricia B Guarin

Submitted to: Asst.Prof. Ma. Theresa Belcina Jr Submitted on: November 18, 2011